Claim Analyst
Learn insurance claim verification, document validation, claim settlement procedures, fraud detection basics and reimbursement processing used in insurance and healthcare companies.
Learn insurance claim verification, document validation, claim settlement procedures, fraud detection basics and reimbursement processing used in insurance and healthcare companies.
Document Validation
Fraud Detection Basics
Reimbursement Processing
Insurance Analyst Roles
The Claim Analyst Course focuses on the evaluation and processing of insurance and healthcare claims. Students will learn how to verify policy coverage, validate submitted documents, check claim eligibility, calculate settlement amounts, and handle claim approvals or rejections. The course also introduces fraud detection basics and communication with hospitals, customers, and insurance companies. This program prepares candidates for roles such as Claims Analyst, Claims Processor, Medical Claims Executive, and Insurance Back-Office Associate.
Verify hospital claim documents and process settlement.
Calculate reimbursement payable to customer.
Identify suspicious or duplicate claims.
"After completing this course, I joined a health insurance company as a Claims Executive."
"I learned how to verify hospital bills and process insurance claims professionally."
"The practical training helped me get a back-office insurance job quickly."