Deskripsi Pekerjaan
Join Tenet Global Business Center, Inc. as a Claims Examiner and become a vital part of our insurance operations team. This role demands precision, analytical rigor, and a commitment to excellence in claims adjudication. You'll investigate complex claims, verify documentation, and ensure compliance with regulatory standards while delivering exceptional service to claimants. Our dynamic environment offers growth opportunities in a leading global business center, where your expertise will directly impact client satisfaction and operational efficiency. Ideal candidates thrive in detail-oriented roles and possess a passion for resolving claims with integrity and speed.
Tanggung Jawab
- Review and analyze claim submissions for completeness and accuracy
- Investigate claim details by gathering documentation and verifying information
- Determine claim eligibility and make adjudication decisions based on policy guidelines
- Communicate claim outcomes to stakeholders and claimants professionally
- Maintain accurate records and documentation of all claim activities
- Collaborate with medical/legal teams for complex claim assessments
- Stay updated on industry regulations and internal policy changes
Kualifikasi
- Bachelor's degree in Business, Finance, Insurance, or related field
- Minimum 2 years of claims examination or underwriting experience
- Strong analytical skills with attention to detail
- Proficiency in claims management software and MS Office
- Knowledge of insurance regulations and claim processing procedures
- Excellent written and verbal communication skills
- Ability to work independently and meet deadlines in a fast-paced environment