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 de...