Claims Processor

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Job Description - Claims Processor

Job Description
  • Ensure that claims assigned are completed within turnaround time.
  • Process and adjudicate the claims assigned.
  • Evaluate the claims based on Account's Benefits.
  • Ensure to meet daily/weekly/monthly target production.
  • Ensure that all returned claims from Claims QC -IP are correctly edited.
  • Ensures the quality of claims to be submitted for approval.
  • Return claims that are not valid for process to provider/hospital.
Job Qualification
  • Graduate of any four-year medical allied course or at least 3rd year college
  • Amenable to work in shifting schedule.
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