An AI agent that applies to roles like this on employers' own sites. 25 applications free, no card needed.
Posted over 15 days ago, so the role may have closed. Confirm on the employer's page when you apply, or see similar jobs.
Job Description
Role Description
- This is a full-time on-site role for a Claims Associate located in Ahmedabad
- Processing of health claims as per SOP/guidelines shared.
- Day to day achievement of expected productivity without compromising on the quality parameters.
- Identification of Fraud triggers and possible leakage
- Complete understanding of health claims processing
- Aware of latest regulations and its implications
- Adherence to the prescribed TATs for each category
- Thorough medical knowledge, clinical efficacy of the treatment protocols given
- Able to read, interpret and question the information on the medication and relation to the diagnosis
- Clear understanding on ICD code and procedure codes
- Case management where there is possibility of inflation/abuse
- Interpretation of the product wordings for appropriate claims decision
Qualifications
4-8 years experience of handling health claims in an insurance company/TPA
Skills
InsuranceHealth InsuranceIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
Similar Jobs
View all
New Insurance- General Insurance roles in Ahmedabad.
One email a day. Unsubscribe any time.
