Candidates should have worked in Hospital Insurance desk (Most Important)
Provide Medical opinion for Health Insurance Claims
Processing of Cashless Requests & Health Insurance Claim Documents
Proficient with medical term
Understanding of Policy terms & conditions & Various Protocols / Guidelines
Understanding of Claims adjudication / Claims Processing
Maintaining & Ensuring Standard Operating Procedures & Protocols
Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
VIP Claims Processing and TAT Maintenance
Claim Case Management / Cost Management