Job Description

:Job Title: Healthcare Claims Associate German LanguageLocation: Powai, MumbaiExperience Level: 16 yearsEmployment Type: Full-timeShift: UK shiftJob Summary:We are looking for a detail-oriented and multilingual professional to join our healthcare operations team as a Healthcare Claims Associate with fluency in German. The ideal candidate will be responsible for processing, reviewing, and validating healthcare claims in accordance with company policies and healthcare regulations. Fluency in German is essential as the role involves interpreting and processing claims originating from German-speaking regions.Key Responsibilities:Review, verify, and process healthcare claims using internal systems.Analyze submitted medical documents and ensure compliance with insurance policies.Translate and interpret medical and insurance documents from German to English and vice versa.Communicate with German-speaking clients, hospitals, or insurance providers as required.Identify and flag any inconsistencies or fraudulent claims.Collaborate with internal teams to resolve claim issues and escalate when needed.Maintain accurate records and documentation of all claim activities.Ensure adherence to SLAs and quality metrics.Qualifications & Skills:Bachelor's degree in Healthcare, Business Administration, or a related field.Fluency in German (B2/C1 level or higher) verbal and written.16 years of experience in healthcare claims processing or insurance domain preferred.Strong understanding of medical terminology and healthcare billing systems.Familiarity with ICD, CPT codes, and healthcare regulations is a plus.Excellent communication, analytical, and problem-solving skills.Ability to work in a fast-paced and deadline-driven environment.Experience with tools like Facets, QNXT, or other claims adjudication systems is a plus.Preferred:Certification in German language (Goethe, TestDaF, or equivalent).Experience working with European or German healthcare clients.

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