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A world leader in the field of health insurance. The company have become synonymous in the Indian subcontinent, a fact reiterated by global healthcare experts and international accreditation bodies. The company provide varied plans in the health insurance. We are in the business to pay claims and the only process that we follow is paying every genuine claim. Our claims team is trained to process all medical insurance claims compassionately, yet professionally. We have offices across the country to provide quick claims settlement. For health claims, we offer cashless settlement at preferred hospitals. In addition to that we also offer claims registration facility online, so no matter where you are, you can get in touch with us promptly.

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Designation Claim Processing Manager
Job Description Job description: • To do scrutiny of claim files and give opinion on decision. • To ensure timely processing of claims and accurate payments of claims. • To ensure adherence to TAT in various sub processes in claims department. • To review IRs/rejections of claims and implementation of actionable periodically. • To monitor and control error rates and consistency in processing. • To Monitor Productivity in Claims processing and Cashless processing. • To review SOP for claims processing and to develop & execute better processes. • To manage individual KRA’s for achieving organizational goal. • To monitor and appraise performance of doctors working under vertical. • Review of Daily MIS to manage inflows and outflows of claims • To monitor customer complaints, trend and timely resolution. Purpose of role: • Scrutiny of claim files and cashless request • Medical decision on admissibility • Delivering on Customers commitments • Adherence of Stated process, Policy T & C Qualification: • Medico MBBS/BDS/Physiotherapist Skills & work experience: • Should have worked in hospital for 1-2 years • Experience of health insurance claims management inclusive of claims processing. • Good communication and writing skills. Desired Competency: • Good medical knowledge, updated with latest medical advancements.
Desired Profile Please refer to the Job description above
Experience 1 – 2 yrs
Location Gurgaon, Haryana
Qualification Medico MBBS/BDS/Physiotherapist
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