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4.0 - 8.0 years
15 - 20 Lacs
noida
Work from Office
Key Responsibilities Define the product roadmap for the Insurance Claim Inspection & Field Investigation platform. Convert fragmented insurance SOPs into a templatized, digital, rules-driven workflow engine. Identify automation opportunities to reduce manual decision-making in claim inspections. Build dynamic checklists, inspection templates, rule engines, escalation logic, and configurable workflows. Enable inspection formats for property, motor, health, travel, and specialized categories. Design fraud-prevention flows (geo-fencing, timestamping, image/video validations Build dynamic checklists, inspection templates, rule engines, escalation logic, and configurable workflows. Enable inspect...
Posted 1 week ago
1.0 - 5.0 years
0 Lacs
tamil nadu
On-site
You are required to join our Hospital Insurance Team and play a crucial role in coordinating with patients, insurance companies, and internal departments to ensure seamless processing of insurance claims and approvals. - Collect and verify insurance documents from patients during admission. - Coordinate with TPA (Third Party Administrator) and insurance companies for pre-authorization and final approval. - Submit necessary medical documents and discharge summaries for claim processing. - Maintain accurate records of insurance cases and regularly update claim status. - Assist patients and their families with insurance-related queries. - Follow up on pending approvals or claim rejections with ...
Posted 2 months ago
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