Permanent. Claims Examiner
Job Reference: 877723
An excellent exciting opportunity with an attractive remuneration package for the right candidate.
- Responsible for processing health claims
- Prepare and handle responses to queries and letters within required timeframe, while providing the level of service acceptable by the company to our clients and providers
- Responsible for auditing and authorization claims and pre-determinations within authority limits, and verifying eligibility and pre-certification
- University Degree or professional qualification in insurance or related disciplines;
- At least 2 years relevant working experience in similar capacity
- Solid working knowledge of Claims classes and service requirements
- Strong analytical, negotiation and interpersonal skills
- Knowledge of medical terminology, anatomy and health insurance benefits, would be an asset
- Able to work independently and meet service standards
Salary: US$36,000-US$48,000 per annum plus benefits
If this role sounds like one that you feel inspired by, please get in touch. We would love to hear from you.