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Medical Claims Officer
2 weeks ago
- Manages routine daily claims administration work.
- Coordinates work flow & meet deadlines.
- Evaluates claims with regards to eligibility.
- Takes decisions on high cost and complicated cases based on standard operating procedures.
- Handles International Preauthorization cases as required.
- Attends calls and e-mails from insurance companies, clients, and providers.
- Coordinates with international providers for direct billing.
- Makes suggestions to improve service.
- Increases efficiency, minimizes errors and administration time.
Behavioral Requirements
- Organizational & time management skills.
- Excellent team player.
- Ability to work well with all levels of internal management and staff, as well as outside clients and users.
- Ability to demonstrate sound work ethics.
- Show flexibility with excellent interpersonal skills.
- The ability to communicate sensitively and effectively with claims department and other departments having regard for the strict need for confidentiality.
- To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative
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