Claims Coordinator
Core
Assess and manage dental and health claims from submission through to settlement, ensuring fair and accurate decisions based on policy terms.
Role type
Claims Coordinator (Dental and Health)
Builds
Claims settlements and customer service interactions
Domain
Employee benefits / Health insurance
Deliverable
client delivery
Required skills
Claims assessment, policy interpretation, customer communication, record keeping, regulatory compliance, Microsoft Office (Word, Excel)
Responsibilities
Assess and manage claims from initial submission through to settlement; Communicate with customers through various channels; Review claim information and make fair, accurate decisions; Clearly explain claim outcomes and policy coverage; Agree claim settlements within authority levels; Ensure claims are handled in line with regulatory, compliance and quality standards
