Administration and Queue Management Specialist Manipal Cigna Insurance Group

1.0 - 5.0 years

1 - 5 Lacs

bengaluru, karnataka, india

On-site

Accurately assess and categorize cases based on their nature and urgency. Sorting and allocation of claims first hand ensuring they are accurately assigned. Classification of data and support with reporting to line manager. Route cases to the correct queues within the queue management system. Ensure efficient and timely case assignment to the appropriate customer service and claim s handlers. Identify and escalate any potential SLA breaches across various queues. Monitor case volume and workload within the operational queues. Maintain accurate and up-to-date records within the system. Collaborate effectively with Team leaders and sites leads across all GIH sites Identify opportunities for process improvement within the Queue management workflow. Participate in team meetings and contribute to discussions on improving team efficiency and effectiveness. Able to work on night shift.

Posted 2 days ago

Apply

Desktop investigation (Doctor) StarHealth Insurance

1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

As a Claim Investigator at Star Health and Allied Insurance Co Ltd, your main responsibilities will include: - Conducting a thorough scrutiny of claim documents to ensure accuracy and completeness. - Matching the clinic findings mentioned in the ICPs/hospital documents with the customer during calls. - Identifying suspected cases and assigning them for investigation. - Ensuring that cases sent for investigation are closed within the defined turnaround time (TAT). - Maintaining a minimum hit rate of 30%. - Assisting desktop investigation staff in conducting claim investigations. - Actively participating in team meetings, sharing relevant information, and providing suggestions for process improvements. - Reporting risk information and findings to the immediate supervisor promptly. - Recommending new software tools for fraud detection, prevention, and reporting activities. Qualifications required for this role include BDS, MBBS, BHMS, BSMS, D PHARM, MDS, BPT, or MPT degrees. Additionally, candidates should have 1 to 3 years of experience in the health insurance industry. If you are interested in applying for this position, you can walk in directly from 7th July to 11th July at the following address: Star Health and Allied Insurance Co Ltd No. 15, Ground Floor, Sri Balaji Complex, Whites Lane, Royapettah, Chennai-600014 Landmark - Sathiyam Theatre Backside We look forward to welcoming qualified and dedicated individuals to join our team and contribute to our mission of providing exceptional health insurance services.,

Posted 1 month ago

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.