Claims Processing Consultant
Hybrid
Core
Assess and process health insurance claims, manage complex and exception claims, and respond to customer and provider enquiries.
Role type
Claims Processing Consultant
Builds
Health insurance claims processing workflows
Domain
Health Insurance
Deliverable
client delivery
Required skills
Claims assessment, Exception claim management, Customer service, System navigation, Issue investigation, Process improvement
Responsibilities
Assess and process health insurance claims, Manage complex and exception claims, Respond to customer and provider enquiries, Work across multiple systems and applications, Investigate issues and identify solutions, Identify opportunities to improve processes and customer outcomes