Medical Claims Processor
2 weeks ago
Introducing Humans of HR, a boutique recruitment agency rapidly establishing itself as the premier choice for sourcing and placing highly skilled Professionals. With an expansive network and an unwavering commitment to customer satisfaction, we stand out as the definitive partner in guiding you towards your next career milestone.
Position Title: Exceptional Claims Analyst
We're seeking an Exceptional Claims Analyst to join our dynamic team. As a Claims Analyst, you'll play a pivotal role in ensuring seamless claim processing, leveraging your keen eye for detail and sharp analytical skills to drive optimal outcomes for our clients.
Serve as a primary point of contact for handling and adjudicating a diverse range of insurance claims.
- Conduct thorough investigations and analyses of claims to determine coverage eligibility and appropriate settlements.
- Collaborate closely with internal teams, external stakeholders, and legal counsel to facilitate timely and fair claim resolutions.
- Prepare comprehensive documentation, reports, and correspondence related to claim assessments and decisions.
- Utilize advanced data analytics techniques to identify emerging claim trends and opportunities for process improvements.
- Champion customer satisfaction by providing exceptional service and support throughout the claims lifecycle.
- Contribute innovative ideas and strategies to enhance the efficiency and effectiveness of the claims management process.
Bachelor's degree in Business, Finance, Insurance, or related field.
- Minimum of 3 years of experience in claims analysis or related roles within the insurance industry.
- Experience working with claims management systems.
- Familiarity with regulatory requirements and compliance standards in the insurance industry.
- Passion for delivering exceptional customer service and building strong client relationships.
Join our team and unleash your potential as an Exceptional Claims Analyst, where every day brings new challenges and opportunities to make a meaningful impact in the world of insurance.
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