The Insurance Coordinator decides on benefit claims and processes the claims for payment. He analyzes and answers questions regarding claim settlement, which may include method of payment, deductible amounts, or reason for denial.

POSITION ACCOUNTABILITIES:

1. The insurance coordinator gets the required information from both internal and external sources to establish whether the claim is complete and valid.
2. He has to coordinate the benefits information and go through the details mentioned.
3. He also has to compare the data on claim application and other documents like certificates, doctor’s statement with the policy file that the company had.
4. He analyzes the claims to determine the extent of liability and according to policy rules he settles claims with claimants.
5. He has to thoroughly research the claims as required and for the protection of the company.
6. He interacts with agents and claimants, meets them in person to correct errors on claim forms and to investigate doubtful entries.
7. He is responsible for paying the claimant the amount due after thorough investigations.
8. Attach more and more information to the claim file.
9. Finds out if some relevant information is missing.
10. Provide customer service to prepare the forms and other documents so that the claim file is complete.
11.  Perform other duties as directed.

POSITION QUALIFICATIONS:

Bachelor’s Degree in any discipline field course and background with government and patient assistance programs.

At least 2 years experience in incurrence management Transferable Residence

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