JD
Good Communication Skills
TPA Exposure candidates will be given preference.
They have good knowledge about TPA, Claims and Insurance.
Claims tabulation
Analyzing the claims data
Processing claim payout to customer and updating the payout details to customer as per request.
Resolving customer queries/complaints by email
Checking eligibility of the claims
Validating the claim documents and requesting required additional documents from customer for claim processing.
Processing the claim by referring terms and conditions of the insurance company.
Identifying the payable and non-payable claims
Liability check after tabulation
Assisting and coordinating with other claim departments
Maintaining quality check while processing the claim
Training and reviewing new hires work.
Processing urgent requests on priority basis.
Meeting TAT and SLAs as per company.
Interested candidates can send their resume at ma**********r@ra******a.com
Keyskills: Insurance Claims claims audit Claims Adjudication Health Insurance Claims Processing Communication Skills tabulation Quality Check
Raksha Health Insurance TPA Pvt. Ltd. Raksha Health Insurance TPA Pvt.Ltd. is one of the premier and most comprehensive Health service facilitator in the Indian Market.