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TRAVEL CLAIMS ADJUDICATOR

Posted as of: Saturday, September 29, 2018

Status: Archived

Company: Pacific Cross Insurance, Inc.

Number of available position(s):  1

Description:

Duties and Responsibilities:

•The Travel Claims Adjudicator is responsible for the timely processing of medical and non-medical claims as provided by Travel Product Coverage.
•Responsible for evaluating and collating of assessment information for any of the following medical and non-medical claims.
•Provides a thorough review of the details of claims and ensure that these are within policy coverage before submitting these for approval.
In cases of vague incidences vis-a-vis policy provisions he or she is expected to seek clarification
to ensure that the claims are processed within turn-over time.

Qualifications:

  • Graduate of NURSING or allied medical course
  • With HMO/insurance experience is an advantage
  • Prior experience in a customer service role in a call center setting is required
  • Good communication skills both oral and written
  • Highly organized so as to be able to manage multiple group and member accounts efficiently

Requirements:

Skills:
Clerical, Teamwork, Technical Writing, Critical Thinking, Computer/Technical Literacy, Interpersonal Abilities, Adaptability/Flexibility

Work Location:

Interested to apply? Send your application letter and CV to:

Contact Person
(Undisclosed)

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