• Manage and monitor the claims process from start to finish.
• Ensure accuracy and timeliness of all claims processing.
• Maintain up-to-date records of all claims activity.
• Investigate and resolve any discrepancies in claims data.
• Monitor and review performance of claims staff.
• Monitor and review the accuracy of claims payments.
• Report on claims processing performance.
• Provide guidance and direction to staff regarding claims processing.
• Develop and implement strategies to improve claims processing efficiency.
• Maintain positive relationships with customers, vendors, and other stakeholders.
• Bachelor’s degree in business, finance, or related field.
• At least 3 years of experience in claims processing or related field.
• Knowledge of claims processing procedures and regulations.
• Ability to manage multiple tasks and prioritize effectively.
• Excellent organizational and problem-solving skills.
• Strong interpersonal and communication skills.
• Ability to work independently and as part of a team.
• Experience with claims processing software.
• Knowledge of insurance industry and related regulations.
• Experience in customer service and/or customer relations.
• Proficiency in Microsoft Office Suite.