
Professional Claims Specialist
1 week ago
Claims Management Professional
We are seeking experienced claims management specialists to join our team.
- Accurately and efficiently process claims, validate applications, and manage LOG issuance to meet operational and service level agreement targets.
- Regularly review current claims processes and collaborate with stakeholders on developing new and improved processes to enhance efficiency and overall claims experience.
- Manage escalations and stakeholder relationships.
- Promote change and provide ongoing training and development for effective claims management.
- Liaise with insurance companies to verify exceptions and resolve complaints.
- Analyze data, prepare reports, and present findings when required.
The ideal candidate will have:
- A strong technical understanding of the claims process, preferably in a managed healthcare environment.
- Excellent interpersonal skills.
- Strong organizational skills and attention to detail.
- A passion for driving process improvement.
- Effective communication and stakeholder management skills.
- Claims Processing and Validation
- Process Improvement and Development
- Escalation and Stakeholder Management
- Training and Development
- Insurance Liaison and Complaint Resolution
- Technical Claims Knowledge
- Interpersonal and Communication Skills
- Organizational and Time Management Skills
- Passion for Process Improvement
This role offers a unique opportunity to develop your skills and expertise in claims management. If you have a passion for process improvement and excellent communication skills, this is an ideal position for you.
How to Apply:To apply, please submit your resume and cover letter outlining your relevant experience and qualifications.
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