Junior Executive Health Claims Assessment
Insurance- General Insurance
93+ Applicants
Posted: 7 months ago
0-1 years
India
work from office
Posted: 7 months ago
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Applicants: 94+
Job Description
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Job Description
- Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents
- Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents
- Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc. NEFT Updation Updation of customer/insured NEFT details on system while processing the claims
- Medical Processing claims which has been assigned for processing for Health/OPD.PA etc. decided the Medical Admissibility of Claim Based on the Documents and policy terms and conditions of claims, mentioning the ICD/PCS codes against the diagnosis
- Quality Audit/Open/Close file review on daily basis Need to review the claims and process the audited claims those fall under deficient bucket
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- Co-ordination with Branch Offices/Clients/Hospitals for requirements Need to have follow up with branches office/clients/hospitals for additional documents whenever require
- Travelling/Relocation Candidate should be open for travelling whenever require for official work and also ready to relocate based on the organization or business requirement.
Skills
AuditQuality AuditIf an employer asks you to pay any kind of fee, please notify us immediately. Jobaaj does not charge any fee from the applicants and we do not allow other companies also to do so.
Important dates & deadlines?
Application Deadline
23 Nov 25, 02:36 PM IST
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