Insurance Officer
Arope Insurance - Lebanon
Total years of experience :14 years, 1 Months
- Determine covered medical insurance losses by studying provisions of policy or certificate.
- Establish proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or investigating questionable claims.
- Document medical claims actions by completing forms, reports, logs, and records.
- Resolves medical claims by approving or denying documentation, calculating benefits due, initiating payment, or composing a denial letter.
- Ensure legal compliance by following company policies, procedures, guidelines, and country insurance regulations.
- Maintain quality customer services by following customer service practices; responding to customer inquiries.
- Provide legal support by assembling documentation for settlement action.
- Protect operations by keeping claims information confidential.
- Prepare reports by collecting, analyzing, and summarizing information.
- Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
- Accomplish organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments Contribute to strategic planning and overall management of the company.