• Identify and implement new claims procedures
• Evaluate and resolve claims based on company standards
• Analyze medical claims to ensure accurate payments
• Verify documents and coordinate healthcare coverage eligibility
• Review medical records for pre-existing conditions and coverage factors
• Process claims from accredited clinics and hospitals nationwide
• Ensure accurate transmittal of checks to clients
• Maintain strict confidentiality of patient medical records

Qualifications:

• Strong attention to detail and analytical skills
• Experience in claims processing, healthcare, or insurance (preferred)
• Ability to handle sensitive and confidential information
• Good communication and problem-solving skills
• Familiarity with medical terms and documentation is an advantage