What are the responsibilities and job description for the Claims Specialist position at DHVAJ?
MDofficeManager, located at 1410 S. Clark Blvd, Clarksville, IN 47129, is actively seeking a Claims Specialist to join our dynamic team. As a Claims Specialist, you will play a crucial role in managing and processing insurance claims, ensuring accuracy, efficiency, and compliance with company policies and regulatory requirements.
Key Responsibilities:
- Review and evaluate insurance claims for accuracy and completeness.
- Investigate and analyze claim details to determine liability and coverage.
- Communicate with policyholders, claimants, and healthcare providers to gather necessary information.
- Negotiate settlement amounts and authorize payments.
- Document all claim activities and maintain organized files for auditing purposes.
- Ensure compliance with legal requirements and company policies.
- Stay updated on industry regulations and best practices.
- Collaborate with attorneys, physicians, and other professionals as needed during claim investigations.
Qualifications:
- High school diploma or equivalent; additional education in insurance or related fields is a plus.
- Proven experience in insurance claims processing or a related role.
- Strong analytical and problem-solving skills.
- Excellent communication and negotiation abilities.
- Detail-oriented with the ability to manage multiple tasks efficiently.
- Proficiency in Microsoft Office Suite and experience with claims management software.
Salary : $17 - $19
