Insurance Claim Officer - Digital Insurance
Core
Handle insurance recoupment, reconciliation, and adjudication for digital insurance products, communicating with providers and members to ensure financial and procedural accuracy.
Role type
Insurance Claims Officer
Builds
Approved claims and related documentation for payers
Domain
Fintech / Digital Insurance
Deliverable
client delivery
Required skills
Insurance policy knowledge, claim procedure expertise, claims assessment, claim adjudication, reconciliation, provider communication, document generation, eligibility investigation, report preparation
Preferred skills
E-commerce insurance inquiry management, shipping/travel/gadget/retail insurance product experience
Technologies
Microsoft Office
Responsibilities
Handle insurance recoupment and reconciliation; adjudicate claims according to benefit policies; review approved claims for accuracy; generate daily claim processes and documents; investigate claims to determine eligibility; prepare regular claim reports
Seniority
Mid-level, hands-on IC