Job Description

Job Designation-: Insurance TPA, 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 - ?24,862.52 per month

Benefits:

Health insurance Provident Fund
Experience:

total work: 1 year (Preferred)
Work Location: In person