Claims Processing Specialist/Data Entry

Job Description

REQUIREMENTS

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Proven experience in claims processing, insurance, finance, or a related field.
• Strong attention to detail with excellent organizational skills.
• Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and claims management software.
• Ability to analyze information quickly and make sound decisions.
• Excellent communication skills, both written and verbal.
• Ability to manage multiple priorities and work effectively under deadlines.

RESPONSIBILITIES

• Review and verify claims submissions for completeness and accuracy.
• Process claims in the company system promptly and in accordance with established guidelines.
• Investigate and resolve discrepancies or missing information by coordinating with relevant departments.
• Communicate effectively with customers, vendors, and internal teams regarding claim status and required documentation.
• Maintain detailed records of claims activity, ensuring data integrity and confidentiality.
• Assist in generating reports related to claims processing metrics and performance.
• Contribute to the development and implementation of process improvements to enhance efficiency.

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