18 Aug
|
Smart-tech
|
Daryaganj
18 Aug
Smart-tech
Daryaganj
Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
- Scrutinize the claims, as per the terms and conditions of the insurance policy
- Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
- Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
- Verify the required documents for processing claims and raise an IR in case of an insufficiency.
- Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff.
Pay: ₹45,000.00 - ₹50,000.00 per month
Perks:
- Flexible schedule
Work Location: In person
📌 Senior Claim Executive (Daryaganj)
🏢 Smart-tech
📍 Daryaganj