Medical Claims Examiner Live Connections
Live Connections
Office Location
Full Time
Experience: 6 - 6 years required
Pay:
Salary Information not included
Type: Full Time
Location: Maharashtra
Skills: claims adjudication, Medical Malpractice, Analytical skills, Communication skills, Insurance, Medical Terminology, Medical knowledge, Medical Practices
About Live Connections
Job Description
Job Title: Claims Adjudicator (Medical Claims/Medical Malpractice) Key Responsibilities: 1. Claims Adjudication: Review and process medical claims, ensuring accuracy and compliance with regulations and policies. 2. Medical Malpractice: Handle claims related to medical malpractice, assessing liability and determining appropriate actions. 3. Decision-Making: Make informed decisions on claims, taking into account medical records, policy terms, and relevant laws and regulations. Requirements: 1. Experience: 6+ years of experience in claims adjudication, preferably in the medical or insurance industry. 2. Medical Knowledge: Strong understanding of medical terminology, procedures, and practices. 3. Analytical Skills: Excellent analytical and problem-solving skills, with the ability to interpret complex medical information. 4. Communication Skills: Strong communication and interpersonal skills, with the ability to work with healthcare providers, policyholders, and other stakeholders. Industry: 1. Insurance: Experience in the insurance industry, particularly in claims adjudication, is highly valued. 2. Medical: Knowledge of medical practices, procedures, and terminology is essential for this role.,