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    Claims Manager - Thane, India - Satvam Consulting Private Limited

    Satvam Consulting Private Limited
    Satvam Consulting Private Limited Thane, India

    Found in: beBee S2 IN - 3 days ago

    Default job background
    Full time
    Description
    Job profile:Accurate and timely submission of periodic and ad-hoc reports related to Claims Trainings to the partner claim processors regarding policy T&Cs, Time management, DelegationDebit note supervision for all the payments from TPAs & OPD Partners Viz.Coordinating with Partner leadership teams /tech teams for MVP implementations vizIn health check-ups utilization should be driven towards home collection instead of hospitals.FWA investigations are to be conducted in the agreed percentage of claims. (Partner end)The reimbursement claims adjudication rule engine (automated) should be aligned with the company processReal time client Dashboard for client reviews.Query management Medicos to process OPD claimsMaintain daily MISTechnical skills: Reimbursement claims, MIS , Insurance, health insurance, medical insuranceSoft skills: Good communication skills, leadership skills, interpersonal skills, analytical skills, , interpersonal skillsEducational Qualification: Any GraduateExperience: 2 or more years of relevant experience in insurance or third party administrator

    Experience : 2 - 5 Years

    No. of Openings : 10

    Education : Advanced/Higher Diploma, Any Bachelor Degree

    Role : Claims Manager

    Industry Type : Insurance / Claims

    Gender : [ Male / Female ]

    Job Country : India


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