Executive - Accident & Health Claims Jobs in Delhi,Faridabad,Gurgaon - Talent Integrators

Executive - Accident Health Claims

Talent Integrators

300000 - 450000 Monthly

Expired

Posted: 06 Dec 19

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.