Benefit Claims Technician

Job Summary

A company is looking for an Accident, Critical Illness and Hospital Indemnity Benefit Claim Technician.

Key Responsibilities

• Evaluate claims by gathering and analyzing relevant information to make well-documented decisions
• Maintain professional communication and build strong relationships with claimants, employers, and internal teams
• Ensure accurate financial determinations and eligibility assessments based on policy provisions and documentation

Required Qualifications

• Experience with health insurance claims, particularly in Accident, Critical Illness, and Hospital Indemnity products
• Ability to analyze complex insurance and medical data and apply regulatory knowledge to claims decisions
• Proficient in calculating benefits using policy provisions and supporting documentation
• Highly organized with the ability to meet deadlines and manage priorities independently
• Adaptable to change and able to handle difficult situations calmly while working remotely