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Mastech Digital · 4 days ago

Supplemental health and Life insurance Claim

Chicago, IL

Contract

Onsite

Entry, Mid Level

4+ years exp

Mastech Digital is seeking a Supplemental Health and Life Insurance Claim professional to manage and adjudicate various types of insurance claims. The role involves verifying eligibility, calculating benefit payments, and ensuring compliance with regulations while maintaining accurate documentation and providing customer service.

Information Technology

Growth Opportunities

Hiring Manager

Purvi Sonker

Responsibilities

Review and adjudicate insurance claims (Accident, Critical Illness, Hospital Indemnity, Life, Weekly Income)

Verify eligibility using claim forms, medical records, policy documents, and regulations

Calculate benefit payments accurately

Request missing information from doctors, members, employers, or agencies

Approve, pay, or deny claims in compliance with regulations

Provide customer service via phone and written communication

Maintain accurate documentation in claim systems

Follow HIPAA, confidentiality, and unfair claims practices laws

Meet productivity, quality, and turnaround-time standards

Qualification

Claims processing experienceMedical terminologyInsurance certificationsERISA regulationsClaim systemsBachelor’s degreeCustomer service skillsMS Office proficiencySpanish language skillsAttention to detailCommunication skills