Insurance Claims Specialist

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)