Insurance Claim Specialist

• Serve as a point of contact for Insurance related inquiries
• Create a consistent positive work atmosphere through the communication
• Close interaction with respective department at hospital
• To interact with hospital insurance patients.
• Interact with Hospital Management Doctors Medical and nonmedical staff at the hospital
• To create awareness about insurance claims (reimbursement and cashless claims pre & post hospitalization claims etc.)
• Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company.
• Send the pre auth request and follow up on cashless approval form insurance company.
• Efficiently and effectively handle grievance / issue raised by hospital staff & patients escalate issue to the team leader as when necessary.
• Followup and Updates to be given to the clients

• Bachelor s Degree or Diploma (or equivalent experience)
• Excellent written & spoken English and business communication skills
• Should have good analytical skills that helps Planning forecasting &
• Should be confident with the ability to build and maintain constant rapport with the business and be handson where required
• Positive attitude with strong communication skills and approachable demeanor when working with all levels of staff
• Ability to work independently quickly learn organizational structure and demonstrate excellent time management skills

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