Claims Specialist - Insurance (Remote)
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Key skills for this role
About the Role
Quik Hire Staffing is hiring a contract Insurance Claim Specialist for a client. The role involves processing insurance claims, verifying policy details, and communicating with claimants.
Key Skills for This Role
Responsibilities
- Review and process insurance claims submitted through the platform, ensuring all required documentation is complete and accurate
- Verify claim details against policy terms, including coverage limits, exclusions, and deductibles
- Communicate with claimants, healthcare providers, and other stakeholders to gather missing information or clarify discrepancies
- Determine eligibility for claims and calculate payouts based on policy terms and applicable regulations
- Maintain accurate records of claim decisions and update the system with relevant status updates
Requirements
- Experience reviewing and processing insurance claims in a fast paced environment
- Proficiency in insurance claim software or platforms, including data entry and record keeping systems
- Strong attention to detail to ensure accuracy in claim verification and payout calculations
- Ability to interpret insurance policies and apply terms correctly to individual claims
- Excellent communication skills to interact with claimants and stakeholders professionally
- Familiarity with regulatory compliance requirements in the insurance industry
Full Job Posting
Role Overview
- We are hiring for one of our clients, seeking a Insurance Claim Specialist to work on a contract basis. The role involves processing insurance claims with accuracy and efficiency, ensuring compliance with company policies and regulatory standards.
Key Responsibilities
- Review and process insurance claims submitted through the platform, ensuring all required documentation is complete and accurate.
- Verify claim details against policy terms, including coverage limits, exclusions, and deductibles.
- Communicate with claimants, healthcare providers, and other stakeholders to gather missing information or clarify discrepancies.
- Determine eligibility for claims and calculate payouts based on policy terms and applicable regulations.
- Maintain accurate records of claim decisions and update the system with relevant status updates.
Required Skills & Qualifications
- Experience reviewing and processing insurance claims in a fast paced environment.
- Proficiency in insurance claim software or platforms, including data entry and record keeping systems.
- Strong attention to detail to ensure accuracy in claim verification and payout calculations.
- Ability to interpret insurance policies and apply terms correctly to individual claims.
- Excellent communication skills to interact with claimants and stakeholders professionally.
- Familiarity with regulatory compliance requirements in the insurance industry.
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