Health Insurance Auditor

5 days ago


Noida, Uttar Pradesh, India HDFC ERGO General Insurance Full time
Company Overview:
HDFC ERGO General Insurance is a trusted name in the Indian insurance industry, committed to providing innovative solutions that address the diverse needs of our customers. As a Medical Claims Specialist, you will be part of a dynamic team that strives to deliver exceptional customer experiences while upholding the highest standards of professionalism and integrity.

Job Summary:
We are seeking an experienced Medical Claims Specialist to join our team. In this role, you will be responsible for reviewing and processing medical claims, ensuring timely and accurate payments to policyholders. Your strong analytical skills, attention to detail, and excellent communication abilities will enable you to work closely with internal stakeholders and external partners.

Key Requirements:
- At least 3 years of experience in health insurance claims processing, preferably in cashless and hospital payment claims.
- Strong knowledge of health insurance processing terminologies, concepts, and guidelines.
- Proficient in MS Excel and Word with moderate proficiency level.
- Experience in claim audits and quality control would be an added advantage.
- Ability to communicate effectively with colleagues and external partners.
- Familiarity with hospital billing patterns and claims adjudication processes.

What We Offer:
As a Medical Claims Specialist at HDFC ERGO General Insurance, you will enjoy a competitive salary package, opportunities for growth and development, and a collaborative work environment that values diversity and inclusion.

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