FiristSource hiring For Healthcare Process

1 - 6 years

1 - 3 Lacs

Posted:2 weeks ago| Platform: Naukri logo

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Work from Office

Job Type

Full Time

Job Description


Key Responsibilities:

  • Review and process insurance claims submitted by policyholders, providers, or third parties.
  • Verify the accuracy and completeness of submitted claims and supporting documents.
  • Investigate and validate claims using internal systems and guidelines.
  • Coordinate with internal departments (e.g., underwriting, customer service) for clarification or additional information.
  • Maintain accurate and organized records of all claims and transactions.
  • Communicate claim decisions to stakeholders clearly and professionally.
  • Escalate complex or disputed claims to senior team members or supervisors.
  • Meet individual and team KPIs such as turnaround time, accuracy rate, and productivity.
  • Ensure compliance with all legal, regulatory, and company standards during the claims process.

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