Claims Adjudication Specialist – Returnship (Female Diversity)

• Review and process insurance claims with accuracy and adherence to company and regulatory policies

• Ensure compliance with health insurance guidelines and internal policy standards

• Perform claims adjudication, verifying claim details, policy coverage, and eligibility

• Monitor quality and performance metrics for timely claim processing

• Identify discrepancies or errors and escalate issues to the management team

• Collaborate with peers and cross-functional teams to resolve claim-related queries

• Support initiatives for improving claims processing efficiency and customer satisfaction