Claims Processor
Job summary
We are seeking a detail-oriented and organized Claim Processor Specialist to Review and process insurance claims accurately and promptly, entirely remotely. In this role, you’ll ensure accuracy, compliance, and efficiency in our financial operations while collaborating with colleagues virtually.
Job descriptions & requirements
Responsibilities:
- Review and process insurance claims accurately and promptly.
- Verify and analyze documentation to ensure completeness and eligibility under policy terms.
- Communicate with claimants, agents, and other stakeholders virtually to request additional information or clarify details.
- Evaluate claim validity and recommend approval, denial, or escalation.
- Maintain detailed electronic records of claim processing activities and decisions.
- Identify and flag potential fraud or inconsistencies for further review.
- Collaborate with internal teams remotely to resolve complex claims or issues.
- Ensure adherence to company policies, industry regulations, and service standards.
- Generate reports and summaries to track claim volumes, trends, and outcomes.
Requirements:
- Bachelor’s degree in Business, Finance, Insurance, or related field.
- 3+ years of previous experience in claims processing and insurance.
- Strong understanding of insurance policies, regulations, and claims procedures.
- Excellent analytical, problem-solving, and decision-making skills.
- Close attention to detail and accuracy.
- Strong written and verbal communication skills suitable for remote work.
- Proficiency with claims management software and Microsoft Office Suite.
- Self-motivated with the ability to manage time and tasks effectively in a remote environment.
Renumeration: NGN 500,000 (Non-negotiable)
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