Company Overview

Clini Launch Research Institute (CLRI) is an advanced clinical research institute and professional training center dedicated to bridging the gap between aspirants and the industry. With a focus on elevating pharmacy, life sciences, and medical graduates into the clinical research industry, CLRI has been a pioneering institution for Clinical Research programs. Based in Bengaluru, the institute aims to provide valuable career opportunities and extensive industry connections to its candidates.

Job Overview

The Health Claims Specialist at Clini Launch Research Institute will play a critical role in managing and processing health insurance claims. This full-time, junior-level position is based in Bangalore and requires a minimum of 1 to a maximum of 3 years of work experience. The ideal candidate will be responsible for ensuring accurate claims processing while maintaining compliance with industry standards.

Qualifications and Skills

• Claims Processing Knowledge: Must possess a thorough understanding of health claims processing and insurance protocols (Mandatory skill).
• Attention to Detail: Ability to meticulously review and process claims with high accuracy to prevent any discrepancies or errors.
• Analytical Skills: Skilled in analyzing data and information to make informed decisions and resolve claim-related issues.
• Knowledge of Medical Terminology: Familiarity with medical terms to accurately interpret and process healthcare claims.
• Communication Skills: Strong verbal and written communication skills for effective interaction with stakeholders and team members.
• Problem-Solving Skills: Capable of identifying and resolving complex issues related to health claim discrepancies.

Roles and Responsibilities

• Review and process health insurance claims in a timely and accurate manner, adhering to policies and regulations.
• Coordinate with medical professionals and insurance companies to verify claims details and ensure compliance.
• Identify discrepancies or errors in claims and work with relevant parties to resolve them efficiently.
• Maintain detailed records of processed claims and prepare reports for management review.
• Continuously stay updated with industry standards and regulations impacting health claims processing.
• Provide excellent customer service by addressing inquiries and resolving claim-related issues promptly.
• Collaborate with team members to improve claims processing procedures and enhance operational efficiency.