
Insurance Executive-tpa
1 week ago
Urjently hiring for PharmEasy (Surgicare)
Work Experience: 2-4 years
TPA
**Responsibilities**:
- Provide Medical opinion for Health Insurance Claims
- Processing of Cashless Requests & Health Insurance Claim Documents
- Proficient with medical terms & systems.
- Understanding of Policy terms & conditions & Various Protocols / Guidelines
- Understanding of Claims adjudication / Claims Processing
- Maintaining & Ensuring Standard Operating Procedures & Protocols
- Ailment Wise ICD & Procedure Coding
- Manage volumes effectively & efficiently to maintain Turnaround time of
processing cases
- VIP Claims Processing and TAT Maintenance
**Requirements**:
- BAMS / BHMS /MBBS/ Graduation
- At least 2 to 4 yrs experience in Medical Officer Claims Processing Cashless.
- Good Excellent oral and written communication, negotiation and decision
- making skills.
- Good customer service/relationship skills and ability to work effectively in a fast
paced environment with shifting priorities.
Regards,
Surabhi
Sr.Executive-HR
**Job Types**: Full-time, Regular / Permanent
**Salary**: ₹400,000.00 per year
Schedule:
- Day shift
Ability to commute/relocate:
- Gurgaon, Haryana: Reliably commute or planning to relocate before starting work (preferred)
**Education**:
- Bachelor's (preferred)
**Experience**:
- TPA: 1 year (preferred)
- Insurance: 1 year (preferred)
- total work: 1 year (preferred)
**Speak with the employer**
+91
+91-XXXXXXXXXX
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