Medical officer (Non clinical) Fresher's job
1 year ago Medical & Healthcare Bengaluru 136 views Reference: 27326Job Details
DIVISION SUMMARY DEPARTMENT SUMMARY Settlement of Mediclaim's o policy holders as per the prescribed manner within the TAT.
POSITION REQUIREMENTS
Education Minimum:
Graduate in Science/Medical (BSc/MSc Microbiology, Bio-info, Bio-Chem, BSc Nursing. Dip.MT, Dip.Nursing, Dip. X-Ray). BAMS, BDS, BUMS, MBBS, PGDHA, D Pharma, B. Pharma, MSc Genetics/Bio- tech, BPT, MPT.
Other Requirements Preferred: Medical Graduates
Clinical experience/TPA experience Experience Minimum: 0-6 years
Industry: Healthcare domain
2 PURPOSE OF THE POSITION
To monitor & support claims process. Maintain quantity & quality within TAT.
3 SCOPE AND IMPACT OF THE POSITION (Scope applies to the organizational extent or range of operation of a positions primary responsibilities. Impact refers to the effect of the positions actions on the organization ,i.e. the consequences of actions taken by this position on the group that is covered in the scope)
Settlement of Mediclaim's as per/within policy conditions as per the given timelines.
4 DUTIES/ RESPONSIBILITIES & MAJOR ACTIVITIES
FINANCIAL ADMINISTRATIVE To see to that there is no adverse financial implication for the organization while settlement of claims.
To see to that there is no adverse financial implication for the organization while settlement of claims.To see to that there is no adverse financial implication for the organisation while settlement of claims.
To monitor the assigned tasks of claims teams:
Work in progress
Turnaround Time
Productivity of the team
Productivity of the team members
To plan the resources required for processing claims
To monitor the claims of the clients.
To handle escalation.
To attend to any other assignments assigned from time to time
Please contact MS Disha Raman HR 'Mobile no' Gieven below.
