HS Claim, Analyst
Core
Assess and settle individual health insurance claims arising from policies in force, determine claim validity, and authorize settlements.
Role type
Claims Analyst
Builds
Individual health insurance claims settlements
Domain
Health Insurance
Deliverable
client delivery
Required skills
Claims assessment, Claims settlement, Third-party liaison, Document processing, Claims inquiry resolution, Workflow improvement
Responsibilities
Assess and settle individual health insurance claims, Make recommendations and guidelines for claims, Liaise with solicitors and third parties during investigation and negotiation, Process claims documents timely, Answer inquiries relating to claims processing