Executive – Accident & Health Claims

Full Time
Delhi NCR
Posted 2 months ago

Qualification: BAMS/BHMS/BUMS/MBBS/BDS 2019 Batch
CTC – Upto 3.5 LPA
Job Description:

  • Ensure accurate claim payout – 100% compliance.
  • Being updated with policy ¬†terms and conditions to ensure prudent adjudication of claims.
  • Attention to detail with regards to identification of fraud triggers in day to day claim processing.
  • Verifying the tariff from providers in cashless payments.
  • Logical and technical reasoning for high value claims.
  • Ensure good inter and intra departmental rapport with all stakeholders to ensure seamless processing.
  • Minimizing customer grievance by avoiding improper technical opinion.
  • Being updated with the latest claim processing guidelines issued from time to time.
  • Knowledge of day to day market trends in health Insurance, particularly in the line of claim processing.
  • Stringent process related compliance ensuring the correct hospital details, member details and so on.
  • Ensure compliance and adhering to defined turnaround time (TAT).
  • All queries to be raised in one go barring exceptional claims or situations.
  • All queries to be raised in one go barring exceptional claims or situations.
  • Getting updated with latest developments in field of medicine & health insurance.

Job Features

Job CategoryBFSI
LocationNoida
CompensationUpto 3.5 LPA
Age30

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