Region/ State/CITY: Maharashtra
CITY/ TOWN: Pune
wanted executive health claims medical call andhra jobhub 9703909000
Non-Financial KPIs –
Coordination with internal & external stake holders. Stakeholder management.
Main Responsibility Key Result Area 1. Registration of claims, post verifying policy and insured’s details. Registration 2. To adjudicate claims and code them as per internal guidelines Claim adjudication 3. Error free claim adjudication/processing as per process norms. Quality adjudication 4. Assessing the claim on medical admissibility and enter relevant claims data in the system. Medical admissibility 5 Responsible for coordination with clients& providers to ensure faster turnaround time for claims. Faster settlement 6 To assign the claims to investigator and regular follow up with them to ensure TAT. Investigation 7 Provide regular inputs to enhance service quality Service improvement Qualification and Experience Requirement
Bachelor of Ayurveda/Homeopathy/Medicine from any recognized institute (BAMS, BHMS &MBBS)
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