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0 years
0 Lacs
Chaukhutia, Uttarakhand, India
On-site
Risk Management ᄃ Assess risk parameters associated with various health products as per defined underwriting guidelines to ensure coverage of future liabilities and minimization of loss ratios for BAGIC’s retail health and PA business ᄃ Provide underwriting inputs for the allocated cases in the scrutiny policy processing module ᄃ Support the team in tackling rejection cases in terms of drafting responses and following up on the closure process ᄃ Review and identify any gaps/areas of improvement in undertaking decisions and accordingly coach the external partners ᄃ Prepare and analyze loss ratio data to identify trends and suggest process improvements, new initiatives, loss control measures in retail health & PA portfolio Query handling via Tele Underwriting ᄃ Address and resolve pan-India retail health and personal accident (PA) underwriting related queries coming from IMDs, agents for the retail health products within the set turnaround time (TAT) via the telephonic medium ᄃ Effectively utilize the telephonic and Whatsapp mediums to provide prompt advisory support to all external partners by coordinating with internal teams. ᄃ Assess the underwriting guidelines and case details thoroughly before approving any risk undertaking so as to minimize losses. ᄃ Own the official email id for health underwriting queries; monitor, address and revert to all medical queries on the platform ᄃ Evaluate and ensure timely action for all non-disclosure claims cases System Development ᄃ Advise on system changes required to bridge the gap between policy issuance and claims redressal processes ᄃ Provide inputs for technology upgrade of the underwriting system in terms of building the system logic and risk control measures ᄃ Document relevant data and inputs in the desired templates for technology implementations. Training ᄃ Conduct trainings for the internal teams/IMDs on underwriting guidelines, processes on a periodic basis for the allocated zone ᄃ Maintain and share periodic reports on trainings and their outcomes to the reporting authority. ᄃ Prioritization of requests and tactical handling of queries to avoid escalations ᄃ Coordinate with various internal teams and quickly retrieve data from the internal systems and platforms to provide a speedy response to queries Show more Show less
Posted 1 week ago
0 years
0 Lacs
Chaukhutia, Uttarakhand, India
On-site
ᄋ Claim registration – On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents ᄋ Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents ᄋ Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions – On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc. ᄋ Co-ordination with Branch Offices/Clients/Hospitals for requirements – Need to have follow up with branches office/clients/hospitals for additional documents whenever require ᄋ NEFT Updation – Updation of customer/insured NEFT details on system while processing the claims ᄋ Travelling/Relocation – Candidate should be open for travelling whenever require for official work and also ready to relocate based on the organization or business requirement. Show more Show less
Posted 2 weeks ago
0 years
0 Lacs
Chaukhutia, Uttarakhand, India
On-site
ᄋ Claim registration – On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents ᄋ Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents ᄋ Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions – On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc. ᄋ Co-ordination with Branch Offices/Clients/Hospitals for requirements – Need to have follow up with branches office/clients/hospitals for additional documents whenever require ᄋ NEFT Updation – Updation of customer/insured NEFT details on system while processing the claims ᄋ Travelling/Relocation – Candidate should be open for travelling whenever require for official work and also ready to relocate based on the organization or business requirement. Show more Show less
Posted 2 weeks ago
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