![Bajaj Allianz General Insurance Company](https://media.trabajo.org/img/noimg.jpg)
Executive Health Claims Assessment
3 weeks ago
:
- Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents
Reserve Setting:
- Need to do the proper reserve setting on system based on the claim documents
Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions - On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc.
Co-ordination with Branch Offices/Clients/Hospitals for requirements - Need to have follow up with branches office/clients/hospitals for additional documents whenever require
NEFT Updation - Updation of customer/insured NEFT details on system while processing the claims
- **Department**
:
West
**Open Positions**
:
1
**Skills Required**:
:
Industry Understanding & Competitive Awareness; Claims Assessment; Communication
**Location**
:
Baroda
**Education/Qualification**
:
Graduate/Post Graduate
**Desirable Skills**
:
1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language.
**Years Of Exp**
:
1 to 5 Years
**Posted On**
:
- 22-Jan-2023**Designation**
:
Executive Health Claims Assessment
-
Health Insurance Claims Executive
3 weeks ago
Vadodara, India Procover insurance LLP Full timeClaim Track Record - Maintain Claims TAT as mentioned below Weekly Claim Reporting with presence of Sales Team. Insured Calling - For Cashless and reimbursement claims, call every employee after receiving Claim Files or Cashless Claim request and to ensure smooth claim transition. **Salary**: ₹8,000.00 - ₹25,000.00 per month Schedule: - Day...
-
Health Insurance Claims Executive
2 weeks ago
Vadodara, Gujarat, India Procover insurance LLP Full timeClaim Track Record - Maintain Claims TAT as mentioned belowWeekly Claim Reporting with presence of Sales Team.Insured Calling - For Cashless and reimbursement claims, call every employee after receiving Claim Files or Cashless Claim request and to ensure smooth claim transition.Salary: ₹8, ₹25,000.00 per monthSchedule: Day shiftAbility to...
-
Claims Executive
3 weeks ago
Alkapuri, Vadodara, Gujarat, India Paramount Healthcare Management Pvt Ltd. Full timeConduct thorough reviews of claims to identify and rectify any discrepancies or errors. - Implement quality assurance measures to enhance the accuracy and efficiency of the claims process. - Accurately enter billing information for claim files into the system. - Ensure that all necessary documentation is recorded and maintained for auditing purposes. -...
-
Claims Processing Executive
6 days ago
Vadodara, Gujarat, India Watchyourhealth.com India Private Limited Full timeCRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...
-
Claim Processing Executive
2 months ago
Alamgir, Vadodara, Gujarat, India Watchyourhealth.com India Private Limited Full timeJob profile: CRM helpdesk. CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure...
-
Claim Processing Executive
1 week ago
Alamgir, Vadodara, Gujarat, India Watchyourhealth.com India Private Limited Full timeJob profile: CRM helpdesk. CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure...
-
Systems Assessment Incharge
2 months ago
Vadodara, India Aarti Industries Full timeStructure - System Assessment_Team 1 - Job posted on - Mar 13, 2023 - Employee Type - Full Time - Experience range (Years) - 3 years - 8 years 1. Provide support in developing the annual assessment plan, assessment objectives and scope. 2. Responsible to prepare the assessment protocol with the respective process owners and system assessment manager. 2....
-
Systems Assessment Incharge
2 weeks ago
Vadodara, Gujarat, India Aarti Industries Full timeStructure System Assessment_Team Job posted on Mar 13, 202 Employee Type Full Time Experience range (Years) 3 years 8 yearsProvide support in developing the annual assessment plan, assessment objectives and scope.Responsible to prepare the assessment protocol with the respective process owners and system assessment manager.Monitor and ensure timely...
-
Health Economics
2 weeks ago
Vadodara, Gujarat, India KMK Consulting Full timeKMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions.Our data analytics and software platforms support data science, commercial operations, real world evidence, and cloud information management. We help to optimize business strategy and operations by...
-
Insurance Sales Executive
2 weeks ago
Makarpura, Vadodara, Gujarat, India Galaxy Immigration Full timeWe are seeking a dynamic and results-oriented Insurance Executive to join our team. The Insurance Executive will be responsible for managing key client relationships, developing new business opportunities, and ensuring the successful implementation of insurance solutions. **Responsibilities**: - **Client Management**: - Build and maintain strong...
-
Health Economics
3 months ago
Vadodara, India KMK Consulting Full timeKMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions. Our data analytics and software platforms support data science, commercial operations, real world evidence, and cloud information management. We help to optimize business strategy and operations by...
-
Health Economics
4 weeks ago
Vadodara, India KMK Consulting Full timeKMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions. Our data analytics and software platforms support data science, commercial operations, real world evidence, and cloud information management. We help to optimize business strategy and operations by...
-
Health and Safety Officer
2 months ago
Vadodara, India Coenz Group Full time**Job Summary** Health and Safety supervision and management of Industrial Construction, fabrications, Installations and commissioning projects in the field of Chemical, Food Beverages, Oil & Gas and other manufacturing Industries etc. **Responsibilities and Duties** Below would be the key role and responsibilities, - Supervise and manage project...
-
Tpa Executive
4 weeks ago
Vadodara, India Ravistar Job Placement Consultancy Full time**TPA** **(Third Party Administration & Investigation)** - Willing to work with Doctor’s as well as Patient’s. - Contact to the Doctor’s and approach them to for CASHLESS Claim settlement. (Regarding for Health Insurance Policies Claim Part) - Tie - up with Doctor’s for CASHLESS Facilities. - Willing to do documentation when Doctor is ready to...
-
Tpa Executive
4 weeks ago
Vadodara, India Ravistar Job Placement Consultancy Full time**TPA** **(Third Party Administration & Investigation)** - Willing to work with Doctor’s as well as Patient’s. - Contact to the Doctor’s and approach them to for CASHLESS Claim settlement. (Regarding for Health Insurance Policies Claim Part) - Tie - up with Doctor’s for CASHLESS Facilities. - Willing to do documentation when Doctor is ready to...
-
Billing Executive
4 weeks ago
Vadodara, India HCG Cancer Centre Full timePreparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. - Collecting and reviewing referrals and pre-authorizations. - Monitoring and recording late payments. -...
-
Tpa Executive
2 months ago
Vadodara, India Ravistar Job Placement Consultancy Full time**TPA** **(Third Party Administration & Investigation)** - Willing to work with Doctor’s as well as Patient’s. - Contact to the Doctor’s and approach them to for CASHLESS Claim settlement. (Regarding for Health Insurance Policies Claim Part) - Tie - up with Doctor’s for CASHLESS Facilities. - Willing to do documentation when Doctor is ready to...
-
Associate, Health Economics and Outcome Research
2 weeks ago
Vadodara, Gujarat, India KMK Consulting, Inc. Full timeKMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions.Our data analytics and software platforms support data science, commercial operations, real world evidence, and cloud information management. We help to optimize business strategy and operations by...
-
Systems Assessment Incharge
3 weeks ago
Vadodara, Gujarat, India Aarti Industries Full timeStructure- System Assessment_Team 1- Job posted on- Feb 20, 2024- Employee Type- Full Time- Experience range (Years)- 3 years - 7 years**Job title** Systems Assessment Incharge **Span** Central **Function** Information Systems **Job Family** Officer **Reporting to (position)** Systems Assessment Manager **Direct Reportees** 0 **Purpose Statement** 1....
-
Health Economics
4 weeks ago
Vadodara, Gujarat, India KMK Consulting, Inc. Full timeKMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions. Our data analytics and software platforms support data science, commercial operations, real world evidence, and cloud information management. We help to optimize business strategy and operations by...