Health Claim processing ll Mumbai

1 week ago


Mumbai, Maharashtra, India HDFC ERGO Full time ₹ 40,00,000 - ₹ 80,00,000 per year

Role & responsibilities

  • Processing of pre-authorization/cashless claim.
  • Maintain processing TAT for pre-auth/cashless claim
  • Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data
  • Must have previous experience of conducting audit, sampling and preparing reports
  • Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim.
  • Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment.

Preferred candidate profile

  • Any Medical degree (Mandatory)
  • Good communication skills
  • Ability to multi-task
  • Good interpersonal skills
  • Should know internal systems
  • Good understanding of processes
  • Problem Solving ability and Positive Attitude


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