Claims Processing Expert

3 days ago


Noida, Uttar Pradesh, India HDFC ERGO General Insurance Full time
Job Details:

Role & Responsibilities:
- Minimum 3 years experience in health insurance claims processing specifically the cashless and hospital payment claims.
- Sound understanding of health insurance processing terminologies/concepts/guidelines.
- Moderate proficiency level in MS Excel/Word.
- Preferred experience of audit/QC of claims, ability to identify reasonable/un-reasonable expenses of bills in relation to T&Cs applicable.
- Good knowledge of hospital billing patterns, and understanding of claims adjudication for payment.
- Maintain productivity reports, and good communication skills.
- Agile ability to adopt as per business need/process dynamics.

Preferred Qualifications:
- Medico (BHMS/BAMS) for hospital provider payment claims including cashless.

Location: Noida-2 (Sector 62).

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