Insurance Executive-tpa

2 days ago


Gurgaon, India PharmEasy Full time

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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