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Title
Text copied to clipboard!Medical Insurance Claims Processing Analyst
Description
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We are looking for a Medical Insurance Claims Processing Analyst responsible for thorough analysis, verification, and processing of insurance claims related to medical services. Your primary task will be to ensure the accuracy and timely handling of claims, identify possible errors and discrepancies, and interact with medical institutions and insurance companies to resolve disputes. You will work with large volumes of data, use specialized software tools, and ensure compliance with internal standards and regulatory requirements. An important part of the job is analyzing trends and preparing reports to improve processes and enhance customer service quality. We value attention to detail, analytical thinking, and the ability to work in a team.
Responsibilities
Text copied to clipboard!- Analyze and verify medical insurance claims
- Process and register claims in the system
- Identify errors and discrepancies in documents
- Interact with medical institutions and insurance companies
- Prepare reports and analytical materials
- Ensure compliance with regulatory requirements and internal standards
- Participate in optimizing claims processing workflows
- Monitor timely claim review
- Train and advise staff on claims processing
- Work with claims management software
Requirements
Text copied to clipboard!- Higher education in medicine, insurance, or economics
- At least 1 year of experience with medical insurance claims
- Knowledge of regulatory framework in medical insurance
- Proficient in PC and specialized software
- Analytical skills and attention to detail
- Communication skills and teamwork
- Responsibility and organization
- English language skills are a plus
- Ability to handle large volumes of information
- Report preparation skills
Potential interview questions
Text copied to clipboard!- What experience do you have with medical insurance claims?
- Which software tools have you used for claims processing?
- How do you identify errors in insurance documents?
- Describe your experience interacting with medical institutions.
- What methods do you use for data analysis?
- How do you ensure compliance with regulatory requirements?
- How do you manage a large volume of claims?
- What reports have you prepared in previous roles?
- How do you train colleagues on new processes?
- What challenges have you faced and how did you resolve them?
