Job Description

Job Designation-: Insurance TPA, Medical Officer/ Claim Specialist

Roles & Responsibilities-:

• 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 terms & system.
• Understanding of Policy terms & conditions & Various Protocols / Guidelines
• Understanding of Claims adjudication / Claims Processing
• Maintaining & Ensuring Standard Operating Procedures & Protocols
• Ailment Wise ICD & Procedure Coding
• Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
• VIP Claims Processing and TAT Maintenance
• Claim Case Management / Cost Management

Requirements-:

• At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
• Good Excellent oral and written communication, negotiation and decision-making skills.
• Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.

Immediate Joiner

Job Type: Permanent

Pay: ?18,110.25 - ?26,862.52 per month

Benefits:

• Health insurance
• Provident Fund

Schedule:

• Day shift

Experience:

• total work: 1 year (Preferred)

Work Location: In person

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Job Detail

  • Job Id
    JD3386228
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    TN, IN, India
  • Education
    Not mentioned
  • Experience
    Year