Claims Specialist

As a Medical Officer specializing in Claims Processing at the Hospital Insurance desk, your role includes: - Providing medical opinions for Health Insurance Claims - Processing Cashless Requests and Health Insurance Claim Documents - Demonstrating proficiency with medical terms and systems - Understanding Policy terms, conditions, and various Protocols/Guidelines - Familiarity with Claims Adjudication/Processing - Maintaining and ensuring adherence to Standard Operating Procedures and Protocols - Performing Ailment-Wise ICD and Procedure Coding - Managing volumes effectively to maintain turnaround time for processing cases - Handling VIP Claims Processing and maintaining Turnaround Time (TAT) - Managing Claim Case and Cost Management effectively Qualifications required for this role are: - Minimum 2-3 years of experience in Medical Officer Claims Processing for Cashless/Reimbursement cases in any hospital - Excellent oral and written communication, negotiation, and decision-making skills - Strong customer service and relationship-building skills - Ability to work effectively in a fast-paced environment with shifting priorities - Immediate availability for joining Additionally, the job offers benefits such as Health Insurance and Provident Fund. The work location is in person. Please note that this is a Full-time, Permanent position, and Fresher candidates are also considered for this role. As a Medical Officer specializing in Claims Processing at the Hospital Insurance desk, your role includes: - Providing medical opinions for Health Insurance Claims - Processing Cashless Requests and Health Insurance Claim Documents - Demonstrating proficiency with medical terms and systems - Understanding Policy terms, conditions, and various Protocols/Guidelines - Familiarity with Claims Adjudication/Processing - Maintaining and ensuring adherence to Standard Operating Procedures and Protocols - Performing Ailment-Wise ICD and Procedure Coding - Managing volumes effectively to maintain turnaround time for processing cases - Handling VIP Claims Processing and maintaining Turnaround Time (TAT) - Managing Claim Case and Cost Management effectively Qualifications required for this role are: - Minimum 2-3 years of experience in Medical Officer Claims Processing for Cashless/Reimbursement cases in any hospital - Excellent oral and written communication, negotiation, and decision-making skills - Strong customer service and relationship-building skills - Ability to work effectively in a fast-paced environment with shifting priorities - Immediate availability for joining Additionally, the job offers benefits such as Health Insurance and Provident Fund. The work location is in person. Please note that this is a Full-time, Permanent position, and Fresher candidates are also considered for this role.