Call Center Operator & Medical Claims Scrutinizer
Customer Service / Public Relations / Call Center
About the Employer
Job Description
WE'RE HIRING
CALL CENTER OPERATOR & MEDICAL CLAIMS SCRUTINIZER
Be part of a dynamic team handling insurance claims and customer inquiries in the healthcare industry.
KEY RESPONSIBILITIES
- Answer customer inquiries via phone, WhatsApp and email regarding insurance claims and eligibility.
- Scrutinize and assess medical claims as per policy terms and medical guidelines.
- Provide clear and professional communication with customers, hospitals and insurance partners.
- Maintain accurate records in the system and ensure timely claim processing.
- Work closely with internal teams to resolve claim-related issues efficiently.
REQUIREMENTS
- Age should be below 40.
- A minimum of one year working experience in the field of health claims, medical/healthcare background or call center experience will be an added advantage.
- Qualified Nurses / Pharmacists / Call Center experienced candidates are encouraged to apply.
- Fluency in Sinhala and English is must. Tamil will be an advantage.
- Excellent communication and interpersonal skills.
- Good computer literacy and ability to work on a roster basis (including night shifts and weekends).
WHAT WE OFFER
- A supportive and professional work environment
- Opportunity to grow and develop your career in the healthcare insurance industry
- Roster-based shifts (including night shifts and weekends)
- On-the-job training and guidance
- Convenient office location in Colombo 04
APPLY NOW
No. 91, 1/1 Galle Road, Colombo 04
