Healthcare Claims Professional

1 week ago


Melbourne, Victoria, Australia beBeeClaimsProcessor Full time $84,608 - $108,961

Job Description:

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  • We are seeking a highly skilled Claims Processor to join our team.">
  • The successful candidate will be responsible for ensuring accurate and timely processing of health insurance claims in accordance with Insurance Authority (IA) guidelines.">
  • This role requires strong attention to detail, organizational skills, and effective communication abilities.">
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Required Skills and Qualifications:

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  • Bachelor's degree in Insurance, Business Administration, Healthcare Management, or related field.">
  • Basic understanding of health insurance products and claims lifecycle.">
  • Proficiency in Microsoft Office and claims management software.">
  • Fluency in Cantonese, Mandarin, and English (speak, read, and write).">
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Key Responsibilities:

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  2. Assist in validating and processing health insurance claims.">
  3. Ensure accurate data entry and documentation of claim details in the claims management system.">
  4. Support the review of claims for completeness and compliance with policy terms and conditions.">
  5. C-coordinate with internal departments to gather missing documentation or information.">
  6. Flag potential discrepancies or anomalies for further review.">
  7. Maintain confidentiality and data protection standards in handling sensitive health information.">
  8. Respond to basic inquiries from policyholders regarding claim status and documentation requirements.">
  9. Ensure timely processing of claims to meet service level agreements (SLAs).">
  10. Assist in generating reports for internal tracking and audit purposes.">
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Benefits:

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  • This role offers a unique opportunity to work with a dynamic team and contribute to the success of our organization.">
  • We offer a competitive salary package, comprehensive benefits, and opportunities for professional growth and development.">
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About Us:

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We are a leading provider of healthcare services, dedicated to delivering high-quality care to our customers. Our mission is to provide innovative solutions that improve health outcomes and enhance patient experiences.

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