Role & responsibilities

- Regular meeting and coordinating with the insurance health department.
- Monitoring daily outstanding of claims.
- Clarifying queries of CRM and billing teams.
- Providing coverage details to the customers through info mails.
- Providing clarifications to CS team wherever required.
- Responsible for assisting customers and effectively resolving their concerns.
- Works closely with the senior management to ensure smooth operations.
- Replying to the audit queries raised by the insurers.
- Clarifying queries related to medical aspects to the customers and corporate.
- Identify & plan training needs for recruits & existing employees.
- Monitoring and guiding on the medical audit.
- Guiding Medical Officers in scrutiny work whenever and wherever needed related to policy conditions and medical aspects.
- Interaction with all the department HOD's as & when required.

Preferred candidate profile

BAMS/BHMS/BUMS/BDS graduates with registration and relevant experience in Claims Adjudication is must.

Experience in handling team of medical officers.

Excellent communication and managerial skills.

Interested candidates can call or refer to Moulika @(phone hidden)

📌 Claims Manager (Hyderabad)
🏢 Family Health Plan (FHPL)
📍 Hyderabad