Claims Manager-A&H Liberty General Insurance

7.0 - 11.0 years

0 Lacs

thane, maharashtra

On-site

Role Overview: You will be responsible for conducting closed file review and audits, both for third party administrators and in-house claims processing. Your duties will include identifying areas for improvement, recovering funds from third party administrators for error-prone claims, and generating monthly reports. Key Responsibilities: - Conduct closed and open file reviews for third party administrators and in-house claims - Identify and recover funds from third party administrators for claims processed with errors - Highlight areas for improvement in the claims processing workflow - Publish monthly reports summarizing audit findings Qualification Required: - Degree in medicine (BHMS/BAMS...

Posted 2 days ago

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Claims Manager-A&H Liberty General Insurance

7.0 - 11.0 years

0 Lacs

thane, maharashtra

On-site

You will be responsible for conducting closed file review and audit processes, including handling closed and open files for third party administrators and in-house claims. You will be tasked with recovering funds from third party administrators for claims that were processed with errors. Your role will also involve identifying areas for improvement and compiling monthly reports for publication. To excel in this role, you must possess a deep understanding of medical cases, including knowledge of ailment treatments and policy coverages for OPD, hospitalization, personal accident, and travel claims. Strong interpersonal skills are essential, along with a proactive and effective learning attitud...

Posted 2 months ago

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