<ul><li>Administer health insurance claims and benefits on behalf of insurers.</li><li>Process and adjudicate claims according to policy terms and regulatory requirements.</li><li>Verify eligibility, coverage, and pre-authorization for medical services.</li><li>Coordinate with healthcare providers, policyholders, and insurers to resolve claim issues.</li><li>Maintain accurate records and documentation of claims processing activities.</li><li>Generate reports and analyze claims data for performance monitoring and improvement.</li><li>Provide customer service and support to policyholders regarding claims inquiries.</li><li>Stay updated on healthcare regulations and industry trends affecting claims administration.</li><li>Collaborate with internal teams and external stakeholders to optimize claims processes.</li></ul>

Third Part Administrator