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Health Claims Processing (TPA) Doctors

2 years ago   Medical & Healthcare   Hyderabad   522 views Reference: 15218
Job Details

Roles and Responsibilities

  • Comprehend and resolve every health claim raised by customer by gathering/recording an appropriate level of information to determine the nature of the query/request and action required
  • Evaluation of Health Claim policy, process it end to end for the closure within assigned task
  • Evaluation of Health Care Treatment & Associated Costs
  • Documenting / Recording transactions and the necessary follow-up requests with other functions by completing forms and record logs
  • Provide/take relevant information/decision on claims as per the prescribed guidelines
  • Co-ordinate with multiple teams and stakeholders e.g. Underwriting, provider management team, internal fraud investigation team

Desired Candidate Profile

  • BAMS/BHMS/MBBS with 2-5 years TPA experience
  • Excellent Medical Knowledge
  • Good Analytical Skills
  • Computer Savvy
  • Should be willing to work in rotation shifts including Sat, Sun, Public Holidays (24x7 Business Model).

Perks and Benefits

Not Disclosed

Contact - Pooja Dhingiya - HR - Mobile number given below

This is a walk-in to proceed further contact HR at the venue on date and time mentioned.

Please contact the HR on the mobile number mentioned below.

Company Description
ICICI Lombard GIC Ltd. is one of the leading private sector general insurance companies in India. We are a joint venture between ICICI Bank Limited and Fairfax Financial Holdings Limited, a Canada based diversified financial services company. We have won many accolades and awards on various platforms, including the recently won €Best Social Media Integrated Campaign Award€ and €'Non-Life Insurer of the Year'. We are well known for our innovative products, marketing strategies, focus on technology and exemplary customer services.