Medical Claims Assessor

• Manages routine daily claims administration work.
• Coordinates work flow & meet deadlines.
• Evaluates claims with regards to eligibility.
• International Preauthorization.
• Attends calls and e-mails from insurance companies, clients, and providers.
• Makes suggestions to improve service.
• Increases efficiency, minimizes errors, and administration time.
• Coordinates with different departments within the company.
• Reports errors when detected.
  

Behavioral Requirements

• Strong verbal and written communication skills. Must have the ability to communicate sensitively and effectively with claims department and other departments having regards for the strict need for confidentiality.
• Show flexibility, excellent interpersonal skills.
• Team Player.
• Knowledge of overall insurance industry practices is a plus; the ability to exercise initiatives and be able to work flexibly under pressure and to tight deadlines.
• Experience of working with senior managers and understanding the necessity to act in a pleasant and courteous manner and to be able to work effectively with others.
• To be capable of responding diplomatically to pressures and problems showing a calm approach to working towards deadlines and always able to show an innovative and creative approach to work.
• Ability to work well with all levels of internal management and staff, as well as outside clients and users.
• Flexible and ability to work shift .