Posted:4 hours ago|
Platform:
Work from Office
Full Time
We are looking for a detail-oriented and analytical Claims Associate to join our non-medical insurance team. The ideal candidate will be responsible for reviewing, assessing, and processing insurance claims with accuracy and integrity, ensuring adherence to company policies and compliance standards.
Evaluate and process insurance claims to determine validity and payment eligibility.
- Review documentation including claim forms, bills, and related records for accuracy and completeness.
- Interpret policy terms to determine coverage and liability.
- Detect and investigate potential fraudulent or suspicious claims.
- Coordinate with internal teams and external stakeholders to resolve claim-related disputes.
- Maintain proper documentation and ensure compliance with regulatory guidelines.
- Support continuous process improvements to enhance claims operations
CIEL HR
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