Healthcare Representative - CSR

Responsibilities

• Process and review insurance claims accurately and efficiently.
• Verify policy details and ensure compliance with company and client requirements.
• Investigate claim information, identify discrepancies, and coordinate resolutions.
• Maintain accurate records and ensure timely claim processing.
• Provide excellent customer service while handling inquiries or escalations.

Job Requirements

• At least 1 year of experience in BPO Insurance or Claims processing (Healthcare or Car Insurance preferred).
• High School Graduate (old curriculum) or higher educational attainment.
• Strong analytical and problem-solving skills.
• Good communication and documentation abilities.
• Amenable to shifting schedules and dynamic work environments.