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