CGHS Insurance Executive - Mumbai

• Job Description:

• Administer health insurance policies, ensuring accurate implementation and adherence to CGHS guidelines.
• Oversee the claims submission and processing workflow, ensuring timely and accurate handling of claims.
• Provide assistance to beneficiaries regarding their health insurance queries, claims, and services.
• Maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and improve processes.
• Ensure compliance with regulatory standards and internal policies related to health insurance.
• Liaise with healthcare providers and hospitals to facilitate smooth processing of claims and services.

Skills:

Excellent people management skills

Ability to use technology to improve outcomes

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.

Experience: At least 2 years' experience in CGHS Health insurance/Insurance Brokering/TPA

Languages: English, Hindi

Preferred: Immediate Joiners only.