Accident and Health Claims Examiner
Core
Review and analyze moderate to complex accident and health insurance claims to ensure accurate processing and benefit payments in accordance with policy provisions.
Role type
Claims Examiner
Builds
Accurate claim decisions and benefit payments
Domain
Insurance / Accident and Health
Deliverable
client delivery
Required skills
Policy interpretation, claims analysis, documentation management, customer service, Microsoft Office
Responsibilities
Analyze and research claim issues of moderate to complex difficulty; Review and apply policy provisions in processing of claims; Request and obtain necessary documents for claim processing; Release accurate benefit payments; Document required information in claim system; Receive inbound calls as overflow for the CSR team.
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