Job Designation: Insurance TPA, Claim Specialist
Roles & Responsibilities-:
Candidates should have worked in Hospital Insurance desk (Most Important)
Provide medical opinions for Health Insurance Claims
Processing of Cashless Requests & Health Insurance Claim Documents
Proficient with medical terms & systems.
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 for processing cases
Claim Case Management / Cost Management
Requirements-:
At least 2-3 years' experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.
Immediate Joiner