Executive - Health Claims

Review & assess group health insurance claims Verify claim eligibility & coverage . Adjudicate claims Ensure all claims processing adheres to company policies Maintain detailed records of claims, submit reports and documentation Required Candidate profilemust have experience in group health should have experience in employee benefits.

Job description:Vidal is hiring for the position of Medical Officer (non-clinical role).Qualification: BHMS/BAMS/BDS/BUMS only with Claims processing experience of minimum 2-3yrsWork from office & Immediate Joiner will be preferredLocation: Gurgaon, Udhyog ViharDepartment- ClaimsShifts: Monday-Saturday(9.30am to 5:30pm).Roles and Responsibilities:*...

Claims Executive Responsibilities:Receiving and answering emails, telephone calls related to claimsAdvice policyholders on claim procedureEnsure fair settlement of a claim with TATManage all administration aspects of the claimAdhere to legal requirements, industry regulations and customer quality standards set by the company.Handle any complaints associated...

Ensure the claim is registered and adequacy of reserve provision.To appoint Adjusters or Solicitors on a case to case basis.Closely monitor the submission of the Adjuster report in accordance to the Internal/ External guidelines.To attend incoming phone calls/ emails from customers/ agents/ solicitor/ internal parties.To monitor on the fraud elements and...

Roles & Responsibilities-:· Candidates should have worked in the Hospital Insurance desk (Most Important)· 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·...

Primary ObjectiveResponsible to handle the following (listed) portfolios and ensure all the related claims are fairly & promptly settled in accordance with the Company's guidelines / Claims Manual, BNM & PIAM guidelines.Personal Accident and Medical claims​Key ResponsibilitiesEnsure prompt processing of claims including appointment of adjusters.Arrange...

Claim Calculation in company format Dr Note / Cr Note entries Checking the claim submission and settlements. Follow up with Company Field Person & Depot Keeping records of Approvals and Claim files/calculations. **Salary**: ₹15,000.00 - ₹20,000.00 per month **Benefits**: - Provident Fund Schedule: - Day shift Supplemental pay types: - Yearly...

1. Adjudication / Examining of US Healthcare claims (Medical, Dental, Hospital etc.) 2. Conduct data entry, review, research, investigate, process & adjust claims 3. Client communication (mix of non-voice & voice process) 4. Providing training to new joiners **Salary**: ₹20,000.00 - ₹24,000.00 per month Schedule: - Day shift Ability to...

Company DescriptionStar Health & Allied Insurance Co. Ltd. is an Indian health insurance company headquartered in Chennai, established in 2006 as India's first standalone health insurance provider. They offer a range of innovative insurance products in health, personal accident, and both overseas and domestic travel insurance. With a focus on unique health...

**Designation :Duck Creek Claims Technical Lead** **Location : Bangalore, PUNE ,Noida ,gurugram** **Qualifications**: Bachelor's or Masters Degree in Computer Science or equivalent work experience. **Key Requirement for the Position**: - Strong Duck Creek claims expertise V11 - preferably V12 - Hands on development experience in Microsoft.NET including...