Travel Claims Assistance, Process Developer

Inviting applications for the role of Travel Claims Assistance, Process Developer

Responsibilities
Examine travel documents, medical treatment records, medical bills, etc. to determine claim denial, settlement, or review
Compare data on the claim form with the protection plan to ascertain the completeness and validity of the claim
Examines claim form and other records to confirm coverage
Proactively works to resolve the claim as expeditiously as possible
Reviews and analyzes detailed medical records
Calculates reimbursement of benefits according to the schedule of coverage
Accurately interpret and compile information from a variety of sources and systems
Incrementally increase productivity without jeopardizing quality.
Provide recommendation post assessing a claim for payment, denial or incomplete information
Ability to work in ambiguous situations, to be able to join the dots while evaluating a claim, if required be proactive in searching the web for obtaining more clarity on claims information e.g., medical terms, conditions, etc.
Handle varied volumes of workloads and reach targets and deadlines on a timely basis
Comprehension, decision making, multi-tasking, strong written communication and customer service skill/attitude to clearly articulate the resolution
Responsible for handling varied volumes of workloads and reaching targets and deadlines on a timely basis
Works on special projects and tasks as assigned
Ensure that turnaround time and quality of the work meets Company service standards
Display energy and enthusiasm in approaching the job
Other duties as assigned

Qualifications
Minimum qualifications / skills
Relevant work experience in US Travel claims processing
Any graduate except technical

Preferred qualifications/skills
US Travel claim Insurance experience preferred
Medical claim specialists/examiner experience preferred
Reviews and analyses detailed medical records for accuracy and completeness
Good knowledge of US travel claims processing/travel industry for experienced candidates & responsible for handling travel claims of Medical Treatment/hospitalization, Trip Cancellation, Baggage/Personal Items loss etc.
Writes clearly, concisely, and effectively
Computer literate
Good comprehensive and decision-making skills
Proficient in the English language both written and verbal
Detail-oriented
Ability to multi-task. Manages time effectively

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