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2.0 - 5.0 years
0 - 0 Lacs
indore
On-site
Key Responsibilities: Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure accuracy in claims decision-making. Customer Interaction & Support: Communicate with policyholders, hospitals, and third-party administrators (TPAs) to explain claim decisions in a clear and professional manner. Handle escalated or complex customer service issues involving medical claims. Offer support and guidance on claim submission processes and documentation requirements. Compliance & Documentation:...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
pune, maharashtra
On-site
Job Description: As bp transitions to an integrated energy company, you must adapt to a changing world and maintain driven performance. The Customers & Products (C&P) business area of bp is establishing a Business and Technology Centre (BTC) in Pune, India, to enhance customer experience and drive innovation. The BTC will focus on building global capabilities at scale, utilizing technology, and developing deep expertise. It will play a core and connected role in the business, bringing together colleagues from various parts of C&P and collaborating with other functions across bp. This is an exciting opportunity to join bp and the Customers & Products BTC. About the role: As a Claims Adjuster,...
Posted 3 months ago
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