
Claims lead-A&H High Salary
2 weeks ago
Role
- Closed file review and audit.
- Handling closed and open file reviews for third-party administrators and in-house claims.
- Recoveries from third-party administrators for claims processed with errors.
- Highlight areas of improvement.
- Prepare and publish monthly reports.
Candidate Must Have
- In-depth knowledge of medical cases with exposure to ailment treatments, policy coverages for OPD, hospitalization, personal accident, and travel claims.
- Good interpersonal skills.
- Must be proactive and an effective learner.
- Previous experience in audit.
- Good analytical, communication, and negotiation skills.
- Familiarity with basic Microsoft Excel and regulatory changes.
- Minimum 7 years of experience in general insurance Accident & Health claims.
Qualifications
- Degree in medicine (BHMS/BAMS/MBBS).
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