Job Description

Claims Processing Officer

Key responsibilities/What you do:

  • Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention.
  • Review and handle claims according to the established standard procedure.
  • Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service
  • Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution.
  • Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
  • Ensures adaptability in various claims handling work-related tasks to be able to facilitate a multi-tasking role.
  • Ensures that high quality targets (standard of work performanc...

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