Job description: * Complete scrutiny of claim documents. * Corelating the clinic finding mentioned in the ICP's/ hospital documents with the customer while calling. * Identification of suspected cases and case assignment for investigation * Ensuring the cases sent for investigation are closed within the defined TAT * Maintenance of minimum 30*%Hitrate. * Assists desk-top investigation staff to conduct claim investigation * Participate in team meetings share information and make suggestions for improvements in the process * Report risk information and findings to the immediate supervisor in a timely manner * Recommended new software tool used for fraud detection, prevention and reporting activities Qualification: BDS, MBBS, BHMS, BSMS, D PHARM, MDS, BPT, MPT Experience: 1 to 3 years in Health Insurance For direct Walk-in: 7th Jul to 11th Jul Star health and allied insurance co Ltd No15, Ground floor, Sri Balaji Complex Whites Lane, Royapettah, Chennai-600014 Landmark - Sathiyam Theatre Back side
As a Claim Investigator at Star Health and Allied Insurance Co Ltd, your main responsibilities will include: - Conducting a thorough scrutiny of claim documents to ensure accuracy and completeness. - Matching the clinic findings mentioned in the ICPs/hospital documents with the customer during calls. - Identifying suspected cases and assigning them for investigation. - Ensuring that cases sent for investigation are closed within the defined turnaround time (TAT). - Maintaining a minimum hit rate of 30%. - Assisting desktop investigation staff in conducting claim investigations. - Actively participating in team meetings, sharing relevant information, and providing suggestions for process improvements. - Reporting risk information and findings to the immediate supervisor promptly. - Recommending new software tools for fraud detection, prevention, and reporting activities. Qualifications required for this role include BDS, MBBS, BHMS, BSMS, D PHARM, MDS, BPT, or MPT degrees. Additionally, candidates should have 1 to 3 years of experience in the health insurance industry. If you are interested in applying for this position, you can walk in directly from 7th July to 11th July at the following address: Star Health and Allied Insurance Co Ltd No. 15, Ground Floor, Sri Balaji Complex, Whites Lane, Royapettah, Chennai-600014 Landmark - Sathiyam Theatre Backside We look forward to welcoming qualified and dedicated individuals to join our team and contribute to our mission of providing exceptional health insurance services.,
As a healthcare consultant at Star Health and Allied Insurance Co. LTD, your primary responsibility will be to honor the client with the best consultation services. You will be required to handle customer claims, provide clarification and address queries in a timely and efficient manner. Additionally, you will ensure the safekeeping of client records and handle client problems with a high level of professionalism. Qualifications: - BDS/ BAMS/ BHMS Experience: - Freshers or experienced professionals are welcome to apply Language Proficiency: - Proficiency in Tamil, English, or Hindi If you are interested in this position, please contact Sophia at 8825984406. You can also walk-in for an interview at the following address: Star Health and Allied Insurance Co. LTD No 15, Ground Floor, Sri Balaji Complex Whites Lane, Royapettah, Chennai - 600014 We look forward to welcoming dedicated and skilled candidates to join our team and contribute to providing exceptional healthcare consultation services to our clients.,