To proceed a challenging career in your esteemed and prestigious organization and go to professionally and need an opportunity to employ My skills, knowledge, time, and energies for your organization.
Health Insurance- Claims department
JD's are
1-Examine/ Scrutinize Non Panel claims
2-Settlement of Non panel claims after comprehensive scrutiny
3-Examine/ Scrutinize and settlement of Panel claims(Need basis)
4-Response against outstanding claims,Reconciliation of outstanding cases
5-Handling Requirements, Rejections and Verification(telephonic)
6-To prepare payment sheet and coordinate with finance department
7-Decline letters preparation of Non panel claims
8-To share MIS with clients on monthly basis
9-Coordination with client associates regarding queries
10-Coordination with underwriting and policy admin department regarding additions.
11-To take care of the additional responsibilities as and when assigned by the Manager/Supervisor
12-To prepare reports monthly, quarterly, biannually and annually
13-Work closely with GM and management team to set and/or implement policies, procedures and systems and to follow through with implementation
14-Communicate all operating policies and/or issues at department meetings
15-Communicate customer issues with operations team and devise ways of improving the customer experience, including resolving problems and complaints
16-Update job knowledge by participating in educational opportunities reading professional publications maintaining personal networks participating in professional organizations
Worked as Assistant Executive
Worked as Data Management Executive