• Review and handle claims according to the established standard procedure.
• Responsible for more complex tasks, such as evaluating difficult or high-cost claims, determining settlements, managing escalated customer concerns, and offering mentorship and training to junior colleagues.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Ensure timely and accurate processing of approved claims for payment, including coordinating with other departments or third-party administrators.
• Take on extra responsibilities to efficiently assist the Team Leader in achieving team KPIs and serve as a substitute for the Team Leader when required
• Other Ad hoc duties as required.

•AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using i...

Ready to Apply?

Submit your application today and join our talented team at NEXTCARE Claims Management LLC.