Insurance Claims Processor Job Description
As an Insurance Claims Processor, you will be responsible for processing insurance claims from start to finish. This includes verifying policy information, reviewing claim documentation, conducting investigations when necessary, and determining the appropriate payment. You will communicate with policyholders, insurance providers, and other parties to gather information and resolve any issues or discrepancies. Additionally, you will maintain accurate records of all claims processed and ensure compliance with regulatory requirements.
Responsibilities
- Review insurance claim forms and supporting documentation for accuracy and completeness
- Verify policy information and coverage details
- Conduct investigations and gather additional information when necessary
- Evaluate claims based on policy terms and conditions
- Determine the appropriate payment and process claims in a timely manner
- Communicate with policyholders, insurance providers, and other stakeholders to gather information and resolve issues
- Maintain accurate records of all claims processed
- Ensure compliance with regulatory requirements and company policies
- Stay updated on industry trends and changes in insurance claim processing
Qualifications
- Previous experience in insurance claims processing or related field
- Strong attention to detail and analytical skills
- Excellent communication and problem-solving abilities
- Knowledge of insurance policies and claim processes
- Proficiency in MS Office and other relevant software
- Ability to work in a fast-paced environment and meet deadlines
- Excellent organizational and time management skills
- Ability to maintain confidentiality and handle sensitive information
- Knowledge of regulatory requirements and compliance
- Customer-focused mindset
Skills
- Knowledge of insurance policies and claim processes
- Attention to detail
- Analytical skills
- Communication skills
- Problem-solving abilities
- MS Office
- Time management
- Organizational skills
- Confidentiality
- Regulatory compliance
- Customer service