Claims Processing Specialist
4 days ago
**Job Requirements:**
We are looking for a detail-oriented Claims Processing Specialist to join our team at RelianceUnited. As a key member of our healthcare operations, you will be responsible for processing claims reconciliation requests from accredited Flexicare network providers.
**Key Responsibilities:**
- Process claims records from accredited hospitals and doctors within agreed timeframes to avoid service suspensions.
- Research variances and collaborate with claims team members, provider relations, and accounting to resolve reconciliation issues.
- Maintain accurate logs and records used by the Recon team.
- Provide guidance and support to colleagues on claims reconciliation processes and procedures.
**Ideal Candidate:**
- Bachelor's degree in any field or equivalent experience.
- Prior experience in claim reconciliation within the HMO or insurance industry is preferred.
- Strong analytical and problem-solving skills, with ability to work independently and as part of a team.
- Excellent communication and critical thinking skills, with proficiency in Google platforms (e.g., GDocs, GSheets) and MS Office.
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