Executive-claims Department

Opening: 1 Nos. Job ID: 76996 Employment Type: Full Time Reference: Work Experience: 2.0 Year(s) To 5.0 Year(s) CTC Salary: 3.00 LPA TO 4.20 LPA Function: Consulting / Agent / Freelancer Industry: Insurance Qualification: Any - Any Graduation; Any - Any Post-Graduation **Location**: - Ahmedabad **Responsibilities**: - Provide claims advice to...

: - Non-Motor Claims Scrutiny and claims processing for settlement Coinsurance Claims Process, Reconciliation of Incoming Coinsurance Claims Branch Office / Other Insurers Claims Query handling- Coordination with IT Department for Bugs and Developments Follow-up and Report Preparations and Co-ordination with MIS and Analytics Team Coinsurance Claims...

Conduct 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. -...

Manage and supervise a work process of insurance claims of motor insurance, providing guidance, coaching, and support to company's existing customers to facilitate the claim process. - Develop and implement strategies to streamline claims processes, improve efficiency, and enhance customer satisfaction. - Monitor claim volumes, turnaround times, and quality...

Non-Motor Claims Scrutiny and claims processing for settlement - Coinsurance Claims Process, - Reconciliation of Incoming Coinsurance Claims - Branch Office / Other Insurers Claims Query handling - Coordination with IT Department for Bugs and Developments - Follow-up and Report Preparations and Co-ordination with MIS and Analytics Team - Coinsurance Claims...

: **Business Development** - Conduct market mapping of the assigned location to identify potential business avenues, distributors Conduct VO launch activities, career seminars on regular basis at assigned location to increase distribution base & sourcing new business. Drive the business targets for the location as per functional priority (Motor / Non-Motor...

: - Co-ordination with zonal Medical managers and Govt authorities. Training of field medicos and non medicos for conducting medical and beneficiary audits Doing the hospital and live audits Attending the meeting with state and district officials for presenting the audit findings **MAJOR CHALLENGES** (Challenges faced on an on-going basis in carrying out...

: - Co-ordination with zonal Medical managers and Govt authorities. Training of field medicos and non medicos for conducting medical and beneficiary audits Doing the hospital and live audits Attending the meeting with state and district officials for presenting the audit findings **MAJOR CHALLENGES** (Challenges faced on an on-going basis in carrying out...

1. Advise appropriate service / repair requirements to meet client’s needs. 2. Provide clear estimation for insurance claims. 3. Liaise with insurance company for claims. 4. Monitor job progress and update customers on repair status. 5. Schedule daily appointments for accident and body repair. 6. Assign workshop loading / job control for body and...

Hello Everyone, I Hope Everyone is Doing Great, Currently We are looking for RCM Executive - AR Caller, Experience: 1 to 2 Years Location : Ahmedabad Key Responsibilities: - Review and follow up on outstanding claims with insurance companies for medical services provided. - Initiate timely and effective communication with insurance companies to expedite...

: **Desktop Investigation** - Trigger identification through data at intimation/Referral stage Social media searches Cold calling using digital platforms Identify key business people, link analysis - **Claim Investigation** - Allocation of assigned claims to respective vendors with case relevant triggers Follow up for IR and TAT management Level 1 QC...

Current Working experience within General Insurance Company or Insurance IMD / Agent or Insurance Brokers (and not in Life / Medical) - Their current role to be from Claims or Underwriting Dept (Please Exclude the Sales or Admin Department) - Ours is Claims Adjustment / Processing Job and not Sales Job - Minimum Qualification Bachelor's Degree in Mechanical...

We have an urgent opening for Hospital billing executive for a Multi Specialist Hospital. Designation: - Billing Executive Location: - Memnagar, Ahmedabad Qualification: - Any Graduation Experience: - 1 to 2 year in hospital billing **Salary**: - Up to 22k CTC Shift: - Rotational **Responsibilities: - ** Experience required on Hospital...

**Executive in Mediclaim / Cashless Department**. Education: Any Graduate Experience: Minimum 1 Year **Work Responsibilities**: - All documents prepared for MRD Records. - PM-Jay file submission on portal. - Cashless file prepared & submission. - Maintain all insurance cashless payment follow-up & deduction cases follow-up. - Maintain all PM-Jay &...

Hello Everyone, I Hope Everyone is Doing Great, Currently We are looking for RCM Executive - AR Caller, Experience: 1 to 2 Years Location : Ahmedabad Key Responsibilities: - Review and follow up on outstanding claims with insurance companies for medical services provided. - Initiate timely and effective communication with insurance companies to expedite...

**Responsible for**: - Shall be responsible for prepare / ensuring the timely reporting of all monthly financial information - Shall be responsible for data preparation / working of Service Tax, VAT, TDS, and filing of TDS return / statutory reports in stipulated timing. - Shall be responsible for maintaining & data preparation of all taxes TDS, WC-TDS,...

**We are looking for Executive in Mediclaim/Cashless Department.** Education: Any Graduate Experience: Minimum 1 Year Location: Excel Orthopedic and Kidney Care, Gota Ahmedabad **Salary**: Depends on Interview Work Responsibilities**: - All documents prepared for MRD Records. - PM-Jay file submission on portal. - Cashless file prepared & submission. -...

Handle billing for cashless/reimbursement - Processing of Cashless Requests & Health Insurance Claim Documents. - Process the admission & discharge of cashless/reimbursement patients - Understanding of Policy terms & conditions & Various Protocols / Guidelines Understanding of Claims adjudication / Claims Processing Maintaining & Ensuring Standard Operating...

CG Meditrans is an emerging healthcare support KPO Service provider that offers medical billing, Medical Coding and outsourcing services to health care providers. **Position: RCM AR** Executive **Location**: Ahmedabad **Timing**: Night shift only (8:00 PM To 5:00 AM) **Experience**: 6 Months - 1 Year Fresher Can Apply **Job Profile**: **Perform...

CG Meditrans is an emerging healthcare support KPO Service provider that offers medical billing, Medical Coding and outsourcing services to health care providers. **Position: RCM AR** Executive **Location**: Ahmedabad **Timing**: Night shift only (8:00 PM To 5:00 AM) **Experience**: 6 Months - 1 Year Fresher Can Apply **Job Profile**: **Perform...