
Cashless Insurance Claim Manager
20 hours ago
Claims Management
Job Overview:The Claims Management Specialist is responsible for efficiently and accurately processing cashless insurance claims.
Key responsibilities include verifying policy coverage, providing customer service, coordinating with healthcare providers, resolving issues, maintaining records, adhering to service level agreements, and achieving high levels of customer satisfaction.
Responsibilities:- Manage end-to-end cashless claims of employees, including verifying policy coverage and ensuring accurate and efficient processing.
- Verify policy details to ensure claim eligibility for cashless processing according to the terms and conditions of the insurance policy.
- Respond to inquiries from employees and stakeholders regarding claim status and related queries.
- Communicate with healthcare providers to obtain additional information or clarify details.
- Investigate and resolve discrepancies, errors, or issues arising during claim processing to ensure timely and accurate resolution.
- Maintain detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.
- Meet or exceed established service level agreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction.
- Achieve high levels of customer satisfaction by delivering excellent service and support.
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