Pharma Claims Representative

About the role

Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision.

What you'll do

• Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals
• Monitor and highlight high-cost claims and ensure relevant parties are aware
• Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable
• Interface effectively with internal and external customers to resolve customer issues
• Identify potential process improvements and make recommendations to team senior

What you need

• 1–4 yrs of experience
• Claims processing
• Communication
• Any graduate