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Health Insurance Claims Processing Specialist

3 weeks ago

Melbourne, Victoria, Australia beBeeClaim Full time $80,000 - $120,000
Job Title:

Health Insurance Claim Specialist

">Job Summary:

We are seeking a detail-oriented and organized individual to assist in the validation and processing of health insurance claims. The successful candidate will have a strong understanding of health insurance products and claims lifecycle, as well as proficiency in Microsoft Office and claims management software.

">Key Responsibilities:
  • Assist in validating and processing health insurance claims by reviewing claim details for accuracy and completeness.
  • Evaluate claim documentation to ensure 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 basic inquiries from policyholders regarding claim status and documentation requirements.
">Requirements:
  • 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.
  • Strong attention to detail and organizational skills.
  • Fluency in English (speak, read, and write).
">Skills:
  • Claims processing and validation
  • Document control and maintenance
  • Communication and interpersonal skills
  • Time management and organization
  • Microsoft Office proficiency