<p><strong>What role you will play in team:</strong> You'll be an integral part of our claims processing team, handling and resolving insurance claims in a timely and accurate manner.</p><p><strong>What you will do:</strong> You'll receive and review claims, collect necessary documentation, investigate suspicious activity, and process payments.</p><p><strong>Key responsibility:</strong><ul><li>Receive and review incoming insurance claims.</li><li>Verify the accuracy and completeness of claim documentation.</li><li>Investigate claims for suspicious activity and potential fraud.</li><li>Contact policyholders and healthcare providers to gather additional information.</li><li>Process claims payments in accordance with company policies and procedures.</li><li>Maintain accurate records and reports.</li><li>Adhere to regulatory guidelines and compliance standards.</li></ul></p><p><strong>Required Qualification and Skills:</strong><ul><li>High school diploma or equivalent; Bachelor's degree preferred.</li><li>Prior experience in insurance claims processing is a plus.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and customer service skills.</li><li>Proficiency in Microsoft Office Suite.</li><li>Knowledge of insurance terminology and procedures.</li></ul></p><p><strong>Benefits Included:</strong><ul><li>Competitive salary and benefits package.</li><li>Opportunities for professional development.</li><li>Positive and supportive work environment.</li><li>Comprehensive paid training.</li><li>Paid time off.</li></ul></p><p><strong>A Day in the Life:</strong> You'll start by reviewing new claims, followed by verifying documentation and contacting policyholders or providers to gather needed information. Payment processing and documentation updates conclude the day.</p>