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Job Description
- Handling medical claims sent by providers.
- Investigate circumstances surrounding insurance claims to determine validity of claim.
- Determine amount of loss or damages covered by insurance policies
- Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
- Ensure claims are valid and settlements are made according to company practices and procedures.
- Reconciliation for all payments delivered to providers
Job Requirements
- BSc degree of Medicine or Pharmacy.
- 1 – 2 years of experience.
- Medical insurance background is preferable.
- Good Knowledge of Microsoft Office.
