Job DescriptionJob Location: - Western Line in Mumbai
NPrimary Role Description: -
NResponsible to Investigate Cashless/Spot and Reimbursement Claims in field.
NKey Roles & Responsibilities:
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- Cashless & Spot cases need to be investigated within 24 hours from the allocation date. N
- Reimbursement cases need to be investigated within 15 days from the allocation date. N
- Pre Quality Check of Cashless and Reimbursement Claims for further investigation and Closure of his own cases. N
- Need to check Previous claims documents also before doing the investigation N
- Adhere to agreed TAT and accuracy N
- Should highlight Central team with Fraud Proven Hospital names on basis of his findings and market feedback. N
- Cases reports to be Prepared with Quality. N
- Maintain Daily Sheet ofall the Investigation Cases N
- Coordination with within different function N
- Ability to work in highly competitive & demanding workplace N
nKEY STAKEHOLDERS
NInternal:
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- Customer Service and Operations Team N
- Claims Teamn
nEducation
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- Any Graduate fromany Background (Medical Background Preferred) N
nExperience
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- 1-2 Years' Experience in Field Investigation N
- Fresher can also be consider with Medical Knowledge but willing to work in field. N
- Knowledge of Insurance Industry N
- Knowledge in Computer &MS; Office N
- Excellent Interpersonaland team working skill N