Claims Reconciliation Agent
Review and analyze claims to ensure they are accurate and complete. Process claims adjustments and corrections as necessary. Reconcile claims data with financial records and systems. Identify and investigate…

Review and analyze claims to ensure they are accurate and complete. Process claims adjustments and corrections as necessary. Reconcile claims data with financial records and systems. Identify and investigate…
Review and handle claims according to the established standard procedure. Responsible for more complex tasks, such as evaluating difficult or high-cost claims, determining settlements, managing escalated customer concerns, and…
ob Description / What You Do Operate within and meet the conditions of company service standards, clear to zero, to guarantee customer satisfaction and retention on Member's Claim submission.…
Handle incoming queries from healthcare providers via phone, email, and other communication channels. Provide accurate and timely information in response to provider inquiries. Escalate complex queries to appropriate departments…
Medical Officer – Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met. What You Do…
Precertification Officer - Pharmacist Precertification officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Key Responsibilities/What You Do…
Job OverviewThe Claims Operations Manager will manage Healthcare providers claims and ensure our Claims Operations team to meet required department KPI’s including timelines, cost, customer service and scope accuracy.…
Job Overview The Claims Assistant Manager is responsible to supervise the processing/documents handling operations for efficient claims monitoring and responding to clients according to set quality & performance standards…
The Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process OP claims according to operations set standards.What You Do Manages routine daily…
The main duty of a Travel & Assistance Officer is to respond to telephone / e-mail inquiries and manage the claims cycle about the Travel & Assistance products /…