Claims Specialist (Health)

TL;DR

Claims Specialist (Health): Processing health insurance claims and managing daily operations with an accent on accuracy and adherence to SLAs. Focus on executing claim activities, meeting production targets, and resolving member/client inquiries.

Location: Tuzla, Bosnia and Herzegovina

Company

hirify.global provides a personalized health platform that integrates health plan administration, wellbeing solutions, and care navigation.

What you will do

• Execute daily claims processing activities in compliance with policies and client-specific requirements.
• Maintain processing velocity and accuracy standards to meet client SLAs.
• Handle inquiries from customers, clients, and internal teams professionally.
• Identify and escalate processing problems or discrepancies to unblock workflows.

Requirements

• High school diploma or equivalent.
• Computer literacy in Windows and Microsoft Office (Word and Outlook).

Nice to have

• Proficiency in Microsoft Excel.
• Familiarity with insurance database systems.

Culture & Benefits

• Equal opportunity employer committed to diversity, equity, inclusion, and belonging.
• Work environment where differences are celebrated and employees from all backgrounds are empowered.