OVA.Work ยท 3 months ago
Associate claims
Alpharetta, GA
Contract
Hybrid
New Grad, Entry LevelOVA.Work is seeking an Associate - Claims to handle, process, and review insurance claims accurately and timely. The role requires attention to detail and strong communication skills to ensure fair processing of claims while adhering to company policies and regulations.
ComplianceHuman ResourcesSoftware
Responsibilities
Review and process insurance claims submitted by customers, hospitals, or third parties
Verify claim information, policy coverage, and required documentation
Ensure timely resolution of claims by coordinating with internal teams and external stakeholders
Investigate discrepancies, identify potential fraud, and escalate complex cases
Maintain accurate claim records in the system for reporting and auditing purposes
Communicate claim decisions (approval, rejection, or further requirements) to customers with empathy and professionalism
Support the team in achieving turnaround time (TAT), quality, and compliance targets
Stay updated on policy guidelines, insurance products, and regulatory changes
Qualification
Required
Attention to detail
Analytical thinking
Strong communication skills
Ability to handle, process, and review insurance claims
Ability to verify claim information, policy coverage, and required documentation
Ability to ensure timely resolution of claims by coordinating with internal teams and external stakeholders
Ability to investigate discrepancies and identify potential fraud
Ability to maintain accurate claim records in the system for reporting and auditing purposes
Ability to communicate claim decisions to customers with empathy and professionalism
Ability to support the team in achieving turnaround time (TAT), quality, and compliance targets
Ability to stay updated on policy guidelines, insurance products, and regulatory changes
Company
OVA.Work
OVA is the most advanced Automated, Intelligent, intuitive On-boarding platform for Staffing Firms of all sizes.
Founded in 2018
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2020-03-15Pre Seed
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