Sachbearbeiter (m/w/d) Krankenversicherung Leistung
Hybrid
Core
Process claims and payments for private health insurance policyholders, verifying entitlements and communicating with providers.
Role type
Claims processing specialist (private health insurance)
Builds
Claims decisions and payments for insured individuals and healthcare providers
Domain
Insurance / Private Health Insurance
Deliverable
client delivery
Required skills
Claims assessment, entitlement verification, payment processing, provider communication, regulatory compliance knowledge
Preferred skills
Medical knowledge, customer orientation, EDV system proficiency
Responsibilities
Verify claim entitlements, request and review documentation, authorize payments, communicate with customers and healthcare providers