Provider Claims Representative
Core
Assess and process medical expense claims while maintaining strict confidentiality and ensuring accurate data entry.
Role type
Claims processing representative
Builds
Medical expense claim reimbursements
Domain
Healthcare insurance
Required skills
Medical confidentiality, Data entry accuracy, Cost management, Process optimization, Analytical thinking, Numerical aptitude, Decision-making, Discipline, Efficiency, Technical proficiency
Preferred skills
Knowledge of European or Asian languages (Russian, Polish, Chinese, German, Dutch, French, Italian, Portuguese)
Responsibilities
Assess and process medical expense claims, Ensure accurate data entry into PC and mainframe applications, Monitor workload to maintain processing timelines, Collaborate with supervisors on unclear claims, Identify procedural irregularities and escalate issues, Communicate dossier details to internal stakeholders