Executive Health Claims Assessment
2 weeks ago
:
**Provider Management**:Provider Relationship Management to achieve goal and objective as set including negotiation tariff, designing packages, customer service, maintaining a good relationship with existing providers for Kerala location
Identification of Important Providers based on the requirements for Hospital Empanelment and works on strengthening relationships through value added activities and timely resolutions support on hospital claims related queries.
**Wellness and administrative activities** : Coordination for Health camps, business promotion activities through various value added services.
**Preparation of Tariff renewal**: Preparing and Analysis of claims backed with data pointers for Existing Tariff renewal process negotiation, support team for audits.
All calls received from stakeholder are attended and solution is provided.
Meetings with all stake holder including Brokers / IMD / Agency / Banca channels for claims feedback and implementation of their feedback
Internal co-ordination for Query Resolution, and response to stakeholders with complete resolution
Review of Deficient claims for own locations on daily basis & follow ups.
Attending walk-in customer at some location where customer care not available.
**Department**
:
South
**Open Positions**
:
1
**Skills Required**:
:
- Should be well versed with “health insurance” (In terms of Coverage’s), -Provider Networks & Wellness & Claims ;
- Strong communication skills (Verbal as well as written) ;
- Should possess excellent soft and negotiation, - Marketing skills;
- Thorough knowledge of MS-Office especially MS-Excel & MS power point ;
- Strong in calculations & logical thinking and relationship management;
- Willing to travel is must.
**Location**
:
Cochin, Kerala, India
**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**
:
- 24-Mar-2023**Designation**
:
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