Syed Obaid Israr

JOB DESCRIPTION

• Reviewed and adjudicated medical claims in compliance with established claim processing guidelines.
• Obtained, verified, and analyzed information on submitted claims to ensure accuracy and completeness.
• Interfaced with internal departments and external parties to resolve claim-related queries and gather necessary documentation.
• Communicated with insurance agents, policyholders, and beneficiaries to clarify claim procedures and resolve issues.
• Prepared and processed claim forms and supporting documentation.
• Recorded and maintained detailed insurance policy and claims information in database systems for future reference.
• Assessed policy coverage and accurately calculated claim reimbursement amounts in accordance with policy terms.
• Ensured timely and accurate reimbursement of eligible claims.
• Entered and maintained data with a high degree of accuracy and confidentiality.
• Proficient with Med Next+, MEMS, BI Tool, RCM, CRM & Eskadenia.