Job Description

To assist in the processing of medical claims with a focus on cost control and management of member benefits through linking and coding of inpatient and outpatient bills and capturing them in the company medical business operating system(s).

• Capturing of claims as per set rules/guidelines and validating a claim against policy/scheme/guidelines, agreed, etc.
• Organizing trainings on document uploads in liaison with key partners and ensuring compliance with the corporate document management policy
• Clean up of the medical claims electronic data management system to ensure an efficient document management system.
• Proactive management of member benefits and reporting of any unusual trends as per the agreed SLA with suppliers and partners.
• Offer Resolution of any missing information required to fully capture a claim by reaching out to the finance payables team.

Education

• Qualification- Bachelor’s degree in any medical-related field, Insurance field, or Business field.

How To Apply

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Apply before or on 16th Jan 2024