Claims Specialist

Roles & Responsibilities-:

· Candidates should have worked in the Hospital Insurance desk (Most Important)

· Provide Medical opinion for Health Insurance Claims

· Processing of Cashless Requests & Health Insurance Claim Documents

· Proficient with medical terms & systems.

· Understanding of Policy terms & conditions & Various Protocols / Guidelines

· Understanding of Claims Adjudication / Claims Processing

· Maintaining & Ensuring Standard Operating Procedures & Protocols

· Ailment-Wise ICD & Procedure Coding

· Manage volumes effectively & efficiently to maintain the Turnaround time of processing cases

· VIP Claims Processing and TAT Maintenance

· Claim Case Management / Cost Management

Requirements-:

· At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital

· 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.

Immediate Joiner

Job Types: Full-time, Permanent, Fresher

Pay: ₹19,664.02 - ₹27,823.43 per month

Benefits:

• Health insurance
• Provident Fund

Work Location: In person