Healthcare Claims Processor

2 weeks ago

Melbourne, Victoria, Australia beBeeProcess Full time $105,000 - $145,000

Job Role: Senior Process Executive

About the Role

We are seeking an experienced Senior Process Executive to play a critical role in ensuring timely and accurate processing of health insurance claims.

Key Responsibilities:
  • Validate and process health insurance claims in accordance with regulatory guidelines.
  • Ensure accurate data entry and documentation of claim details in our claims management system.
  • Support the review of claims for completeness and compliance with policy terms and conditions.
  • Coordinate with internal departments to gather missing documentation or information.
  • Flag potential discrepancies or anomalies for further review.
  • Maintain confidentiality and data protection standards in handling sensitive health information.
  • Respond to inquiries from policyholders regarding claim status and documentation requirements.
  • Ensure timely processing of claims to meet service level agreements.
  • Assist in generating reports for tracking and audit purposes.
  • Stay updated on changes in claims procedures and regulatory requirements.

Achievable Qualifications:

  • 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.

Linguistic Skills:

  • Fluency in Cantonese, Mandarin, and English (speak, read, write).
Work Environment:
  • Contract employment type.
  • Information Technology job function.

We are an equal opportunities employer offering a competitive salary package including benefits.

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