Senior Claim Specialist
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Key skills for this role
About the Role
Review and process insurance claims, analyze rejections, ensure compliance, monitor payments, and coordinate with teams; requires Bachelor's degree and strong analytical skills.
Key Skills for This Role
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Overview
- Review and process insurance claims and e-claims submissions.
- Analyze claim rejections and coordinate resubmissions with supporting documentation.
- Ensure compliance with Nphies standards and CCHI regulations.
- Monitor claim payments, reconciliations, and collection reports.
- Prepare periodic reports on submissions, rejection trends, and recovery rates.
- Coordinate with internal teams and insurance stakeholders to resolve claim issues.
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