Claims Verification: Review and verify dental treatment claims submitted by CGHS beneficiaries for accuracy and completeness.
Ensure that all required documentation, including dental records and invoices, are attached to the claims.

CGHS Guidelines Compliance: Ensure that all claims adhere to CGHS guidelines and policies.
Stay up-to-date with any changes in CGHS regulations related to dental claims.

Communication: Maintain effective communication with dental providers to resolve any discrepancies or obtain additional information related to claims.
Address inquiries from beneficiaries and provide assistance with claim-related questions.

Data Entry:Accurately input claim information into the CGHS claims processing system.
Maintain organized records of all processed claims and associated documentation.

Quality Assurance:Conduct periodic audits of dental claims to identify errors or irregularities and take corrective actions as needed.
Ensure that claims are processed in a timely manner and meet quality standards.

Reporting:Generate and prepare reports on claim processing metrics,



including turnaround times and accuracy.
Provide regular updates to the Dental Department Manager regarding claim status and performance.

Training and Support:Assist dental providers in understanding CGHS claim submission requirements.
Offer guidance to CGHS beneficiaries on the claim submission process.

Compliance and Ethics:Uphold strict ethical standards in handling confidential patient information and claims data.
Ensure compliance with all relevant healthcare regulations and privacy laws.

Qualifications:
- Any Graduate.
- Prior experience in healthcare claims processing, preferably in a dental setting.
- Familiarity with CGHS guidelines and procedures (training can be provided).
- Robust computer skills, including proficiency in MS Office and claim processing software.
- Excellent organizational and time-management skills.
- Attention to detail and accuracy in data entry and docum

📌 Claims Manager( CGHS (Chandigarh)
🏢 Dr.Kochar's House of smiles
📍 Chandigarh