Sr. Executive Doctor Tpa Claims (bams/ Bhms ) Job in Axiom Pursuits
Sr. Executive Doctor Tpa Claims (bams/ Bhms )
- Pune, Pune Division, Maharashtra
- Not Disclosed
- Full-time
- Permanent
What You Will Do Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges Standard deductions of co-payment as per the policy terms and conditions On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non- Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc. Co-ordination with Branch Offices/Clients/Hospitals for requirements Need to have follow up with branches office/clients/hospitals for additional documents whenever require NEFT Updation Updation of customer/insured NEFT details on system while processing the claims Skills Required: Should have fair knowledge of health insurance and have fair knowledge of health Products and Personal Accident products Good Communication Skill Read, Write and Speaking Good Knowledge of MS Office/Excel/Power point Desirable Skills: 1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills.
2 to 4 Years
2 - 4 Hires
