Hiring Claims Executive - TPA Experienced Ericson Insurance

2.0 - 7.0 years

1 - 3 Lacs

Mumbai, Navi Mumbai, Mumbai (All Areas)

Work from Office

Process health insurance claims. Should have knowledge of cashless and reimbursement. Location - Chembur. Should have knowledge of excel. Graduation mandatory. Call or send your resumes on 8097516521. TPA experience Mandatory

Posted 2 weeks ago

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Associate Group leader - Claims Operations MD India Health Insurance TPA Pvt Ltd

1.0 - 6.0 years

0 - 3 Lacs

Pune

Work from Office

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolution

Posted 4 weeks ago

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