AM- Claims ( Thane)
AM- Claims ( Thane)
aditya birla health insurance company limited- Posted 16 hours ago
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Job Description
Job Purpose
- Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products
- Understanding of Claims systems (process flow & System fields) – Health, PA & Travel
- Experience in measurement of performance (TAT, accuracy in claims adjudication)
- Expectations management of the Claims team
- TAT & expectations management for specialized business handling.
- Ensure uniformity in quality & maintain TATs of Claims decisions
- Create & maintain standards/protocols for Claims team
- Audit claims decisions in adherence & compliance with the Claims guidelines, uniformity in decisions, and approval authority limits (In house and TPA claims)
More Info
Key Skills
Claims systems process flow
Health PA
Claims processes
TAT accuracy in claims adjudication
About Company