Health Insurance Executive/Clam Processing

1 - 5 years

0 Lacs

Posted:1 month ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As an individual responsible for administering health insurance policies, your role will involve ensuring accurate implementation and adherence to insurance guidelines. You will oversee the claims submission and processing workflow to guarantee timely and precise handling of claims. Your assistance will be crucial in addressing beneficiaries" health insurance queries, claims, and services. Additionally, you will maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and enhance processes. It is essential to ensure compliance with regulatory standards and internal policies concerning health insurance. Collaboration with healthcare providers and hospitals will be necessary to facilitate the smooth processing of claims and services. Key Responsibilities: - Administer health insurance policies accurately - Oversee claims submission and processing workflow - Provide assistance to beneficiaries regarding health insurance queries and claims - Maintain and analyze data related to claims, policy renewals, and beneficiary services - Ensure compliance with regulatory standards and internal policies - Liaise with healthcare providers and hospitals for smooth processing of claims and services Qualifications Required: - Minimum 1 year of experience in health insurance/claim processing - Strong understanding of health insurance guidelines and policies In addition to the job role, the company provides benefits such as health insurance, paid time off, and Provident Fund. The work schedule is during the day shift, and the work location is in person. (Note: No additional details about the company were mentioned in the job description.),

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