Insurance Claim Specialist
2 months ago
Responsibilities and Duties.
- Serve as a point of contact for Insurance related inquiries
- Create a consistent positive work atmosphere through the communication
- Close interaction with respective department at hospital
- To interact with hospital insurance patients.
- Interact with Hospital Management Doctors Medical and nonmedical staff at the hospital
- To create awareness about insurance claims (reimbursement and cashless claims pre & post hospitalization claims etc.)
- Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company.
- Send the pre auth request and follow up on cashless approval form insurance company.
- Efficiently and effectively handle grievance / issue raised by hospital staff & patients escalate issue to the team leader as when necessary.
- Followup and Updates to be given to the clients
Required Skills and Experience
- Bachelor s Degree or Diploma (or equivalent experience)
- Excellent written & spoken English and business communication skills
- Should have good analytical skills that helps Planning forecasting &
- Should be confident with the ability to build and maintain constant rapport with the business and be handson where required
- Positive attitude with strong communication skills and approachable demeanor when working with all levels of staff
- Ability to work independently quickly learn organizational structure and demonstrate excellent time management skills
insurance claims,management,communication skills,insurance,operations,analytical skills,communication,claims handling,claims management,claims review,accident claims,casualty claims,claim investigation,claims resolution,delay claims,employment claims
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