Medical Officer (Non Clinical)
- Medi Assist
- 0 - 4 years
- Mumbai
- 1 month ago
- Email to a friend
- Report this job
Job Description
Roles and Responsibilities :
- Process health claims from patients, ensuring accurate and timely payment.
- Coordinate with TPA (Third Party Administrator) to resolve claim-related issues.
- Verify patient eligibility for coverage under various health insurance plans.
- Maintain accurate records of all claim transactions.
Job Requirements :
- Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy.
- Handle escalations, customer queries and responding to mails accordingly
- Effectively manage the team so that the targets are met while reducing the no. of IRs raised.
- Ensure that the claims are approved or denied as per the terms and conditions within the TAT.
- Provide supportive and positive experience to the new joiners and train them.
- Gather inputs from various sources and keep up-to-date on the new policies or changes in existing policies and intimate the Configuration team and the CRM team
- Manage a group of claim processors, guide and coach them to meet their targets.
Job Classification
Industry: InsuranceFunctional Area / Department: Healthcare & Life SciencesRole Category: Healthcare & Life Sciences - OtherRole: Healthcare & Life Sciences - OtherEmployement Type: Full timeContact Details:
Company: Medi AssistLocation(s): Mumbai+ View Contact
Keyskills: Claims Processing TPA Health Insurance
Fraud Alert to job seekers!
₹ -4 Lacs P.A
Similar positions
Medi Assist
Medi Assist is a third-party administrator (TPA) which provides a range of wellness programs and value-added services to corporate employees and individuals. It offers health benefits administration services including cashless claims management, reimbursements, pharmacy benefits. Medi Assist sends a...
Job Listings
We are in open beta version of website, please let us know if any issues, at: info(at)indigojobs.in