Claims Specialist
2 days ago
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
· Understanding of Claims Adjudication / Claims Processing
· Maintaining & Ensuring Standard Operating Procedures & Protocols
· Ailment-Wise ICD & Procedure Coding
· Manage volumes effectively & efficiently to maintain the Turnaround time of processing cases
· VIP Claims Processing and TAT Maintenance
· Claim Case Management / Cost Management
Requirements-:
· At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
· 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.
Immediate Joiner
Job Types: Full-time, Permanent, Fresher
Pay: ₹19, ₹27,823.43 per month
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
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