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Senior Executive - Claims Facilitator Representative
Niva Bupa Health Insurance
Hinganghāt
Full-Time
1-4 Years experience
Description
| Primary Role Description: - · Responsible to Investigate Cashless/Spot and Reimbursement Claims in field. |
| Key Roles & Responsibilities: |
| · Cashless & Spot cases need to be investigated within 24 hours from the allocation date. · Reimbursement cases need to be investigated within 15 days from the allocation date. · Pre Quality Check of Cashless and Reimbursement Claims for further investigation and Closure of his own cases. · Need to check Previous claims documents also before doing the investigation · Adhere to agreed TAT and accuracy · Should highlight Central team with Fraud Proven Hospital names on basis of his findings and market feedback. · Cases reports to be Prepared with Quality. · Maintain Daily Sheet of all the Investigation Cases · Coordination with within different function · Ability to work in highly competitive & demanding environment KEY STAKEHOLDERS Internal: · Customer Service and Operations Team · Claims Team |
| Key Requirements – Education & Certificates |
| Education · Any Graduate from any Background (Medical Background Preferred) |
| Key Requirements - Experience & Skills |
| Experience · 1-2 Years' Experience in Field Investigation · Fresher can also be consider with Medical Knowledge but willing to work in field. · Knowledge of Insurance Industry · Knowledge in Computer & MS Office · Excellent Interpersonal and team working skills |
Eligibility Criteria
- Experience: 1+ year
- Seniority: Entry Level
- Education: Bachelor's degree required
- Languages: English
About Niva Bupa Health Insurance
Indian health insurance company founded in 2008, majority-owned by UK-based Bupa, offering retail and group health cover.
Industry: Insurance0Website