Job Description: Supplemental Health Claims refers to the end-to-end administrative process of receiving, validating, adjudicating, and settling claims submitted under supplemental insurance policies that provide additional financial benefits beyond primary health insurance.
These policies typically include coverage such as accident, critical illness, hospital indemnity, cancer, disability, or other supplemental medical benefits .
Core Objective
To validate eligibility and policy coverage, assess claim documentation, calculate payable benefits, and process timely payment in accordance with the policy contract and regulatory guidelines.
Responsibilities: Manage office supplies, coordinate meetings, handle correspondence, and maintain records.
