Requirements For Claim @ Spectrum Talent

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Requirements For Claim

Spectrum Talent
1 - 6 years
Noida, Gurugram
3 years ago
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Job Description

Roles and Responsibilities

To ensure a settlement ratio of 100% by preventing unwarranted queries, and going for claim decision as much as possible (approval/ denial)
Claims should be processed wherever deduct and pay is applicable
Accuracy in claim processing with regard to admissibility, with not more than 2 error cases in a year
Target- Interdepartmental coordination: Ensure resolution of issue/tickets within the same claim TAT period
Claim adjudication to be judicious and accurate in line with the claimed amount, and the applicable benefits as per policy and product
Claims to be processed within the stipulated TAT oer shift:60 reimbursement/ cashless cases to be processed or 120 preauths to be processed
To ensure the reimbursement and Cashless claims are processed within the same day
Piecemeal queries to be avoided totally. To ensure all relevant missing details are raised as query in one go
Send backs should not be more than 5% of cases processed per shift.

Adherence to defined development plan - 5 Knowledge sharing sessions + attendance training programs + Identification of Learning ne

Desired Candidate Profile

BHMS/BAMS/BDS/BUMS Can only apply.
Male/Female both can apply
Minimum 1 year of experience of claim processing required.

Salary package - Upto 6LPA.

Interested candidates can call on 9811267*** or can email us on sh***********i@st**l.co.in

Job Classification

Industry: Insurance
Functional Area: Financial Services, Banking, Investments, Insurance,
Role Category: Operations/Processes
Role: Operations/Processes
Employement Type: Full time

Education

Under Graduation: BAMS in Ayurveda, BHMS in Any Specialization, BDS in Dentistry, B.U.M.S in Unani Medicine
Post Graduation: Any Postgraduate in Any Specialization
Doctorate: Doctorate Not Required

Contact Details:

Company: Spectrum Talent Management Pvt. Ltd
Location(s): Noida, Gurugram

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Keyskills: Claim Payment Claims Adjudication Claims Processing

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₹ 2,00,000 - 6,00,000 P.A

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Your name (*)

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Mobile (*)

Preferred City (* max. 2 w/comma)

Designation / Expected Role

Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

Create password

I agree with website service terms and conditions

Spectrum Talent

Spectrum Talent Management Client of Spectrum Talent Management

Requirements For Claim @ Spectrum Talent

Home > Operations/Processes