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Travel Claims Processor

Full-time

Career Professionals, Inc.

Job Functions:

  • Input claim data into the system, ensuring all information is accurate, up-to-date, and properly filed.
  • Assist in collecting and organizing all necessary documentation for claims, including medical reports,
receipts, and forms. • Review and assess claims to determine their validity, ensuring all necessary documentation is submitted and in compliance with relevant regulations. • Analyze claims data to identify discrepancies, fraud, or errors and escalate complex claims to senior claims staff or managers.
  • Conduct initial investigations when necessary to gather additional information or verify claims details.
  • Ensure compliance with industry regulations, company policies, and procedures in handling claims.
  • Follow up with claimants, healthcare providers, or third-party vendors to ensure timely resolution and
payment. • Communicate with various departments, such as underwriting, legal, or customer service, to facilitate smooth claims processing. • Serve as a point of contact for customers or policyholders, answering inquiries related to claims status, processing timelines, and required documentation. • Maintain accurate records of claims, correspondence, and claims history in the system. Job Requirements:
  • Bachelor’s degree in any related field.
  • Previous experience in claims processing, customer service, or a related field is preferred.
  • Strong organizational and communication skills.
  • Ability to handle confidential information with discretion.
  • Familiarity with claims software or management systems. • Attention to detail and accuracy.
  • Knowledge of industry-specific regulations and compliance standards (e.g., insurance or healthcare claims)

Vacancy posted a month ago
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