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Medi Assist
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Senior Medical Officer (Non Clinical) - Noida

Senior Medical Officer (Non Clinical) - Noida

Medi Assist

2 - 4 years

4 - 5 Lacs

noida

Posted:1 day ago| Platform:

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Skills Required

health claims insurance claims bams doctor tpa bhms doctor nursing tat bpt claim settlement claims adjudication supervision claims processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Designation: Senior Medical Officer

Function: Claims PA/RI Approver

Reporting to:

Location:

Educational Qualification:

Additional Qualification:

Specialization:

Related courses attended:

Management Level:

Industry Type:

Roles and Responsibilities :

Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy.
Handle escalations, customer queries and responding to mails accordingly
Effectively manage the team so that the targets are met while reducing the no. of IRs raised.
Ensure that the claims are approved or denied as per the terms and conditions within the TAT.
Provide supportive and positive experience to the new joiners and train them.
Gather inputs from various sources and keep up-to-date on the new policies or changes in
existing policies and intimate the Configuration team and the CRM team
Manage a group of claim processors, guide and coach them to meet their targets.

Key Results and Outcomes driven by this role:

Zero penalty from insurers
Error-free processing (100% Accuracy)
Maintaining TAT
Productivity (Achieve the daily targets)

Relevant Experience:

No of years of experience:

Demonstrated abilities, if any:

Technical Competencies

Analytical Skills
Basic Computer knowledge
Type writing skills
Process and Domain Knowledge

Behavioral competencies

Flexibility
Time Management
People Management
Communication skills
Decision Making

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