Tpa Executive - Chembur, Mumbai, Maharashtra, India - ClaimBuddy Technologies Pvt Ltd

ClaimBuddy Technologies Pvt Ltd

Verified Company

Chembur, Mumbai, Maharashtra, India

3 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

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

Roles & Responsibilities-:

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 23 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
Good Excellent oral and written communication, negotiation and decisionmaking skills.
Good customer service/relationship skills and ability to work effectively in a fastpaced environment with shifting priorities.

Immediate Joiner

Job Type:
Permanent

Pay:
₹18, ₹26,862.52 per month

Benefits: