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Insurance Claims Analyst
1 week ago
We are seeking a highly skilled Medical Claims Assessor to join our team at Allianz Popular SL. As a Medical Claims Assessor, you will be responsible for assessing and processing claims, communicating with stakeholders, and collaborating with internal teams.
Key Qualifications:- Bachelor's degree (Nursing) with at least 2 years of clinical experience or equivalent.
- 3+ years of claims processing experience in an Insurance / TPA environment, preferably with coding experience.
- Excellent communication and interpersonal skills.
- Ability to work accurately and efficiently, with attention to detail.
- Assess and process claims according to operational standards.
- Evaluate claims for eligibility, applying knowledge of insurance industry practices and company policies.
- Communicate effectively with insurance companies, clients, and providers via phone and email.
- Collaborate with different departments within the company to ensure seamless claim processing.
