Handle general queries from clients, brokers, and providers via phone and email.
Receive and sort claims submissions, acknowledging receipts and requesting additional documentation where necessary.
Liaise with clients, brokers, and healthcare providers to obtain supporting documents as requested by the insurer.
Manage delegated IPMI claims emails and maintain an individual turnaround time (TAT) of less than two days for processing assigned claims.
Submit complete claims to the insurer within two days and reassess any denials or partial payments within three days of receipt.
Close processed claims in the Navision system within five days following remittance from the insurer.
Maintain up-to-date communication with clients by acknowledging claims within 24 hours and providing feedback or additional requests within three days.
Support customer service and underwriting decisions through timely outreach and accurate claims reporting.
Participate in team learning and development initiatives, including continuous learning in advanced Excel and systems optimization.
Perform any other duties as may be assigned by management.