Insurance Claim Processor
Insurance Claim Processor
الوصف الوظيفي
Company Healthcare Industry (Hospital)
Role Description:
Obtain information from insured or designated persons for purpose of settling claim with insurance carrier. Completing insurance claim forms, preparation of the claim and performing related work as required.
Duties and Responsibilities:
· Receives the Insurance claims & related documents from the reception or billing clerk and any other concern staff or section.
· Checks the documents and registering the status in the excel file or in the sap system.
· Verifies the documents, coverage, exclusions and deductibles.
· Verifies the required information of the documents and if missing returning to the concerned for correction.
· Contacts receptionist or other involved persons to obtain missing information.
· Prepares the report of the errors
· Answers questions regarding insurance claims, missing documents, error corrections status.
· Daily posting and updating of the receiving ,missing and error status in the system
· Sorts ,separates and attaches the claims as per company and policy holders
· Prepares and reviews insurance-claim forms and related documents for completeness.
· Participates in the departmental meetings, trainings and educational programs
· Prepares the monthly statement for submission according to the requirement of the insurance co. and corporate.
· Performs the duty as per the assigned weekly, fortnightly and monthly scheduled, shifts and timings by the supervisors or department.
· Ensures the timely Submission of claims to internal section and to the insurance company as per assigned schedule and target dates.
· Adheres to established departmental policies s and procedures.
· Maintains departmental records and files, and takes care of departmental equipment.
· Participates in the planning, organizing and development for the achievement of the departmental goals.
· Performs miscellaneous job-related duties as assigned.
· Ensures quality and patient safety practices are followed (occupational and patient safety).
· Provides and promotes people centered care.
· Promotes inclusive health by providing equitable and accessible care to patients and families with special needs.
الوصف الوظيفي
المهارات
· Bachelor’s Degree
· Minimum 2 – 3 years in the similar field
· Strong communication and report writing skills.
· Proficient in using computer application systems, specially using of excel spreadsheet and Word document
· Knowledge of basic medical insurance claim forms and procedures
· Ability to understand basic medical insurance policies.
· Ability to answer questions regarding claims, coverage and payments.
المهارات
تفاصيل الوظيفة
- منطقة الوظيفة
- الكويت, الكويت
- قطاع الشركة
- خدمات الاستشارات التجارية
- طبيعة عمل الشركة
- شركة توظيف
- الدور الوظيفي
- التمويل والإستثمار
- نوع التوظيف
- دوام كامل
- الراتب الشهري
- غير محدد
- عدد الوظائف الشاغرة
- 1
تفاصيل الوظيفة
المرشح المفضل
- منطقة الإقامة
- الكويت
- الشهادة
- بكالوريوس/ دبلوم عالي
