TPA Executive ClaimBuddy Technologies Pvt Ltd

2.0 - 6.0 years

0 Lacs

raipur

On-site

As an Insurance TPA Claim Specialist, your role involves working in a Hospital Insurance desk, providing medical opinions for Health Insurance Claims, processing Cashless Requests and Health Insurance Claim Documents, and demonstrating proficiency with medical terms and systems. You will be required to understand Policy terms, various Protocols, and Guidelines, as well as Claims adjudication and Processing. It is essential to maintain and ensure Standard Operating Procedures and Protocols, perform Ailment Wise ICD and Procedure Coding, manage volumes effectively to maintain Turnaround time, process VIP Claims efficiently, and manage Claim Case and Cost effectively. Qualifications Required: -...

Posted 1 day ago

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Claims Specialist ClaimBuddy Technologies Pvt Ltd

2.0 - 6.0 years

0 Lacs

all india, gurugram

On-site

As a Medical Officer specializing in Claims Processing at the Hospital Insurance desk, your role includes: - Providing medical opinions for Health Insurance Claims - Processing Cashless Requests and Health Insurance Claim Documents - Demonstrating proficiency with medical terms and systems - Understanding Policy terms, conditions, and various Protocols/Guidelines - Familiarity with Claims Adjudication/Processing - Maintaining and ensuring adherence to Standard Operating Procedures and Protocols - Performing Ailment-Wise ICD and Procedure Coding - Managing volumes effectively to maintain turnaround time for processing cases - Handling VIP Claims Processing and maintaining Turnaround Time (TAT...

Posted 4 days ago

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