Senior Claims Adjuster - Health Insurance

What role you will play in team:Leading a team of claims adjusters, overseeing the processing of health insurance claims.

What you will do:You will manage and supervise the claims adjustment process, ensure adherence to guidelines and improve efficiency.

Key responsibility:

• Supervising and mentoring a team of claims adjusters.
• Reviewing complex health insurance claims.
• Negotiating settlements with healthcare providers.
• Investigating fraudulent claims.
• 
  Ensuring compliance with regulatory requirements.
• Developing and implementing claims processing procedures.
• Analyzing claim data to identify trends and improve processes.

Required Qualification and Skills:

• Bachelor's degree in a relevant field.
• 5+ years of experience in health insurance claims adjustment.
• Strong leadership and supervisory skills.
• In-depth knowledge of health insurance regulations.
• Excellent communication and negotiation skills.

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Benefits Included:

• Competitive salary and comprehensive benefits.
• Opportunities for career advancement.
• Professional development and training.
• Health Insurance.
• Paid leaves.

A Day in the Life:Reviewing claims, supervising adjusters, investigating fraud, negotiating settlements, and ensuring regulatory compliance.