Claims Processor

Outsourced Claims Processors review insurance claims submitted by individuals or businesses, verify the claims information indicated, calculate and process claims payments and determine the coverage and eligibility for claims based on policy terms and conditions. They can work for individuals or specialized industries such as insurance companies, healthcare providers, and customers to ensure timely and accurate claims processing.

They communicate with insurance companies, healthcare providers, and customers to obtain necessary information and resolve claim issues. They also maintain accurate records of claims information and transactions and ensure compliance with regulatory requirements and guidelines.