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Assistant Manager - Claims Legal

1 - 5 years

5 Lacs

Posted:6 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Tile Assistant Manager List of Responsibilities Team Handling: FLP, Billing, Combined, FA, DMS Specific Geography Responsibility for Coordination and Claims Processing/ Marketing Escalations/ Claims Escalations from All Verticals / IT Co ordination DAC/Audit: Response /Rectification /Counselling along with OH Payment query Pending TAT Monitoring Reimbursement Claims Processing Tabulation / Arithmetic Calculations checks as per the agreed Terms/Policy Terms of Reimbursement File Coordination with Medical Processors Referring back for insufficient documents /Rejection Cashless Claim Processing Tabulation / Arithmetic Calculations checks as per the agreed Terms/Policy Terms Coordination with Medical Processors Job Description: Communicating with insurance agents and beneficiaries. Preparing claim forms and related documentation. Reviewing claim submissions and verifying the information. Recording and maintaining insurance policy and claims information in a database system. Determining policy coverage and calculating claim amounts. Processing claim payments. Performing other clerical tasks, as required. Job Qualifications and Requirements Any Degree At least 4 years of experience as a claims processor or in a related role. Working knowledge of the insurance industry and relevant federal and state regulations. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Good administrative and organizational skills. Strong customer service skills. Ability to work under pressure. High attention to detail.

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Star Health Insurance
Star Health Insurance

Health Insurance

Palghar

2000+ Employees

31 Jobs

    Key People

  • Dr. S. Prakash

    Managing Director
  • Mr. B. S. Natarajan

    CEO

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