Insurance Claims- Tpa

1 day ago

Pune Maharashtra, India Stalwarts Servicios Full time

**Responsibilities and Duties.**
- Serve as a point of contact for Insurance related inquiries
- Create a consistent, positive work atmosphere through the communication
- Close interaction with respective department at hospital
- To interact with hospital insurance patients.
- Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital
- To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.)
- Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company.
- Be available at the assigned hospital for six days a week from 9.30am to 6.30pm
- Send the pre auth request and follow up on cashless approval form insurance company.
- Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary.
- Follow-up and Updates to be given to the clients

**Required Skills and Experience**
- Bachelor’s Degree or Diploma (or equivalent experience)
- Excellent written & spoken English and business communication skills
- Should have good analytical skills that helps Planning, forecasting & execution
- Should be a confident with the ability to build and maintain constant rapport with the business and be hands-on where required
- Working knowledge of HR practices (employment laws, compliance, benefits, etc.)
- Positive attitude with strong communication skills and approachable demeanour when working with all levels of staff
- Ability to work independently, quickly learn organizational structure, and demonstrate excellent time management skills

Pay: ₹100,000.00 - ₹200,000.00 per year

Schedule:

- Day shift

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

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