Support hospital insurance patients with clear, timely claim updates.
Review documentation for smooth claim approvals.
Educate patients on claim deductions and reimbursement processes.
Raise awareness about pre- and post-hospitalization claims.
Address grievances and ensure smooth communication with internal teams
To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.)
Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company.
Send the pre auth request and follow up on cashless approval form insurance company.
Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary.
Follow-up and Updates to be given to the clients.
Skills & Qualifications:
· Education: Any Diploma, Graduation, or Under Graduation.
· Experience: 6 months to 2 years in hospital or insurance roles (preferred).
· Strong communication and problem-solving skills.
· Ability to multitask, prioritize, and work efficiently.
· Detail-oriented with a professional and confidential approach.