Offer summary
Qualifications:
First degree in medicine, nursing or pharmacy, Completion of internship or housemanship, Experience in a claim examiner role, Strong medical and clinical knowledge, Excellent numeracy and analytical skills.Key responsabilities:
- Manage claims and approvals processes
- Examine and approve or reject healthcare claims
- Investigate fraud, waste, and abuse
- Negotiate tariffs and manage provider dashboard
- Collaborate with teams for customer satisfaction