Insurance Claims Specialist
3 days ago
CARE is seeking an Insurance Claims Officer to manage and process insurance claims efficiently. As a detail-oriented individual, you will navigate complex insurance policies and ensure that claims are handled in a timely and accurate manner.
Key Responsibilities- Claim Review and Assessment: Review and assess insurance claims for accuracy and completeness.
- Client Communication: Communicate with clients to gather necessary documentation and information.
- Investigation and Liaising: Investigate claims by gathering evidence and liaising with relevant parties.
- Policies and Compliance: Ensure compliance with company policies and regulatory requirements.
- Record Maintenance: Maintain detailed records of claims processing and outcomes.
- Client Support: Provide support to clients throughout the claims process, addressing any concerns or questions.
- Cross-Functional Collaboration: Collaborate with other departments to resolve complex claims issues.
- Trend Analysis: Analyze trends in claims data to identify potential areas for improvement.
- Reporting: Prepare reports on claims activity for management review.
- Analytical Skills: Strong analytical and problem-solving skills.
- Communication Abilities: Excellent communication and interpersonal abilities.
- Attention to Detail: Detail-oriented with a focus on accuracy.
- Teamwork and Adaptability: Ability to work independently and as part of a team, adapt to changing environments and processes.
- Technical Skills: Proficient in using claims management software and Microsoft Office.
- Customer Service Orientation: Customer service-oriented mindset.
- Confidentiality: Ability to handle sensitive information with confidentiality.
- Industry Knowledge: Knowledge of insurance policies and procedures.
- Time Management: Proven ability to meet deadlines and manage multiple tasks.
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