Health Claim Process

4 days ago

Bengaluru Karnataka, India Eteam Full time

Role - US Health Claims Handler

Role: Full timeExperience:
06months to 1yrSalary : L1: 3.3LPA,

L2: 5 LPA, 1+ Yrs

Location : Whitefield, Bangalore

Work from Office

Working Days : 5Days

Job description
- Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims.Exercise judgement to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.Exercise judgement to determine liability by gathering and analyzing relevant facts, images; utilizing applicable coverages.Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs.Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement.Assess damages by calculating applicable damage or range of damages.Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits.Meet quality standards by following best practices.Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements.Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. -Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions.Ensure legal compliance by following federal laws and regulations, and internal control requirements

**Job Types**: Full-time, Permanent

**Salary**: ₹20,000.00 - ₹40,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Night shift
- Rotational shift

Supplemental pay types:

- Joining bonus
- Performance bonus

Ability to Commute:

- Bangalore, Karnataka (required)

Work Location: In person

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