Claims Specialist

Summary

Join our client, a top-rated management consulting firm, as a Claims Specialist and work remotely on a B2B contract with an attractive US dollar salary. You will oversee and improve claims management processes, analyze data to identify inefficiencies, and implement strategies to enhance workflows. This role involves handling insurance claims, reviewing and validating them for accuracy, and collaborating with various stakeholders. The position requires a Bachelor's degree in a related field and proven expertise in US health insurance claims processing. Enjoy career growth opportunities and the flexibility of remote work within an award-winning organization.

Requirements

• A Bachelor’s degree in healthcare management or a related field is required
• Proven knowledge of US Health Insurance Claims Processing, including regulations, coding systems, and reimbursement policies
• Ability to work in a fast-paced, dynamic environment, managing multiple workflows simultaneously
• Excellent written and verbal communication skills in English

Responsibilities

• Oversee the process of handling insurance claims, ensuring they are managed efficiently and with accuracy
• Conduct data analysis to evaluate claims, identify patterns, and pinpoint errors or inefficiencies
• Review, validate, and process claims submitted by healthcare providers or policyholders
• Collaborate with insurance companies, healthcare providers, and patients to address claim-related concerns
• Ensure all claims meet regulatory standards and are processed accurately
• Spot instances of overpayment and initiate corrective actions
• Leverage past claims data to identify patterns, reduce risk, and enhance processing efficiency

Benefits

• Enjoy the flexibility of working remotely under a B2B contract with an attractive salary in US Dollars
• Join an award-winning organization committed to providing the resources needed to grow and learn
• Contribute to improving healthcare claims processing and make a difference in the industry