Claims Processor - Healthcare Insurance

Job Junction; Pune District; On-site; INR 350,000 - 550,000; Full time

Job summary

Job Junction in Maharashtra is seeking a Claims Processor specialized in healthcare insurance to join our dynamic team. This role focuses on accurate claims processing and regulatory compliance, supporting providers and policyholders through efficient workflow management.

Responsibilities include reviewing claims, analyzing data for discrepancies, and maintaining detailed records while collaborating with other departments to improve processing efficiency and customer satisfaction.

Qualifications

• Experience in reviewing and processing healthcare insurance claims.
• Ability to analyze data for discrepancies and accuracy in processing.
• Strong written and verbal communication with providers and policyholders.
• Detail-oriented with ability to work independently and in a team.

Responsibilities

• Review and process healthcare insurance claims in accordance with company policies and regulatory requirements.
• Analyze claims data to identify discrepancies and ensure accuracy in processing.
• Communicate with healthcare providers and policyholders to gather necessary information and resolve any issues related to claims.
• Maintain detailed records of claims processed and ensure timely follow-up on outstanding claims.
• Collaborate with other departments to improve claims processing workflows and enhance customer satisfaction.
• Stay updated on industry trends and changes in healthcare regulations that may impact claims processing.

Skills

Insurance systems

Claims processing

Analytical skills

Attention to detail

Communication skills

Teamwork

Tools

Claims software

Job description

We are seeking a skilled Claims Processor specializing in healthcare insurance to join our dynamic team in Maharashtra. The ideal candidate will have a strong background in insurance and healthcare, with a focus on claims processing. This role is crucial in ensuring that claims are handled efficiently and accurately, contributing to the overall success of our organization.

Key Responsibilities

• Review and process healthcare insurance claims in accordance with company policies and regulatory requirements.
• Analyze claims data to identify discrepancies and ensure accuracy in processing.
• Communicate with healthcare providers and policyholders to gather necessary information and resolve any issues related to claims.
• Maintain detailed records of claims processed and ensure timely follow-up on outstanding claims.
• Collaborate with other departments to improve claims processing workflows and enhance customer satisfaction.
• Stay updated on industry trends and changes in healthcare regulations that may impact claims processing.

Required Skills

• Strong knowledge of insurance and healthcare systems.
• Proficiency in claims processing and related software.
• Excellent analytical and problem-solving skills.
• Strong attention to detail and accuracy.
• Effective communication skills, both written and verbal.
• Ability to work independently and as part of a team.