Healthcare Claims Specialist

il y a 5 jours


Gentilly, Île-de-France MSA Temps plein

Job Summary

The Healthcare Service Operator will be responsible for managing and analyzing healthcare benefits within the MSA organization. This includes:

  • Processing and evaluating healthcare claims, ensuring compliance with regulatory requirements and company policies.
  • Providing exceptional customer service to members, addressing their inquiries and concerns regarding healthcare benefits and services.
  • Collaborating with internal teams to resolve issues and improve operational efficiency.
  • Staying up-to-date with industry developments and regulatory changes to ensure compliance and optimal service delivery.

Key Responsibilities

  • Manage and analyze healthcare benefits, ensuring accurate and timely processing of claims.
  • Communicate effectively with members, providing clear and concise information on healthcare benefits and services.
  • Collaborate with internal teams to resolve issues and improve operational efficiency.
  • Stay current with industry developments and regulatory changes to ensure compliance and optimal service delivery.

Requirements

  • Strong analytical and problem-solving skills, with ability to work in a fast-paced environment.
  • Excellent communication and interpersonal skills, with ability to work effectively with members and internal teams.
  • Ability to stay current with industry developments and regulatory changes.
  • Strong attention to detail and organizational skills, with ability to prioritize tasks and meet deadlines.


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