Insurance Claims Specialist

Job highlights

• ESI (ESIC)Job DescriptionJob Duties & Responsibilities To interact with hospital insurance patients. Create WhatsApp groups to provide/share information. Collecting necessary documents from the Patient /Hospital. Coordinate with internal medical and Ops team for initial approval. Cross-checking the files before sharing with the approval team. Educating patients about deduction. To create awareness about reimbursement claims. (Pre & Post Hospitalization) Collecting claim support documents from the patients/hospitals & coordinating with the back-end team to ensure smooth transfer of data to the TPA/Insurance company. Efficiently and effectively handle grievances/issues raised by hospital staff & patients, escalate issues to the team leader, as necessary. Follow up and provide Updates to the clients Efficiently and effectively handle grievances/issues raised by hospital staff & patients, escalate issues to the team leader, Regional Manager Claims Assistance, Manager Operations

Job Duties & Responsibilities    To interact with hospital insurance patients.   Create WhatsApp groups to provide/share information.   Collecting necessary documents from the Patient /Hospital.   Coordinate with internal medical and Ops team for initial approval.   Cross-checking the files before sharing with the approval team.   Educating patients about deduction.   To create awareness about reimbursement claims. ( Pre & Post Hospitalization )   Collecting claim support documents from the patients/hospitals & coordinating with the back-end team to ensure smooth transfer of data to the TPA/Insurance company.   Efficiently and effectively handle grievances/issues raised by hospital staff & patients, escalate issues to the team leader, as necessary.   Follow up and provide Updates to the clients   Efficiently and effectively handle grievances/issues raised by hospital staff & patients, escalate issues to the team leader, Regional Manager Claims Assistance, Manager Operations, and Business Head as necessary.    Qualifications & Skills     Any Diploma, Graduation / Under Graduation   Should have good listening & analytical skills   Excellent interpersonal & communication skills   Experience    Worked in a Hospital or Insurance for 6 months to 02 years. ( added advantage )   Additional Skills    Strong verbal skills   Strong problem-solving skills and enthusiasm for new tasks and challenges   Relationship-building skills.   Ability to multitask and prioritize, with a strong work ethic and attention to detail   Ability to operate with a high level of confidentiality and professionalism   advantage )