Field Officer - Claims processing

Family Health Plan (FHPL)

2 - 5 years

2 - 4 Lacs

hyderabad chennai

Posted:2 hours ago| Platform:

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Skills Required

health claims insurance claims field operations field work

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Organize, file, and archive large volumes of physical and digital documents, including insurance applications, policies, claims forms, medical records, and legal contracts.
Review and audit documentation for completeness, accuracy, and adherence to company policies and industry regulations.
Accurately enter client and policy data into insurance management systems and databases, ensuring all records are up-to-date.
Assist the claims department by collecting necessary documentation, verifying facts of loss, and ensuring all required paperwork for claim settlement is complete and accurate.
Collaborate with insurance agents, underwriters, claims adjusters, clients, and other departments to gather information, resolve discrepancies, and ensure a smooth workflow.
Identify opportunities to streamline documentation processes, implement efficient workflows, and assist in developing standard operating procedures (SOPs) and templates.
Participate in internal and external audits and regulatory inspections, providing necessary documentation upon request and ensuring all practices meet legal and regulatory requirements.
Respond to inquiries from clients or other stakeholders regarding policy details, claims status, and documentation requirements in a professional and timely manner.

Preferred candidate profile

Any enthusiastic graduate who has experience in Health Insurance claims processing and willing to travel.

Moulika @9177141222, moulika.r@fhpl.net

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