Job Description
Roles and Responsibilities
All immediate Hiring
Semi calling / Process Executive
Open Positions 5
Salary 11,000/- take home per month
Location ICICI Bank towers, Nanakramguda, Gachibowli, Hyderabad
Job Profile
- Should be good in English and Hindi
- Processing of Personal Accident claim files
- Data Entry and semi calling
Should be Graduate
Preferred Science background graduates
Process Executive Health Claims
Open Positions 6
Salary 15k to 25k take home per month
Location ICICI Bank towers, Nanakramguda, Gachibowli, Hyderabad
Prerequisite: Science graduate like B.Pharmacy, M.Pharmacy, B.Sc., etc. with minimum of about 1-2 years’ experience in health Insurance domain.
Job Responsibility:
- Required knowledge, skills, abilities, and attributes are knowledge of medical terminology and insurance industry terminology.
- Knowledge of medical provider billing and payment procedures.
- Working knowledge of non-medical admissibility and eligibility of the customer.
- Knowledge of Policy T&C. Knowledge of various Corporate and Retail health insurance products.
- Technical knowledge of various health claims processing platforms
- Ability to communicate and coordinate with internal and external stakeholders.
- Should be fast learner and
- Expectation is to process at least 40 error-free claims per day
Job Description:
- Understanding terminology of health insurance like UHID, DOA, DOA, DOJ, DOC.
- Identifying type of documents like fresh, pre-post addendum, OPD and process accordingly.
- Cross checking parameters like policy tagging, UHID tagging, hospital tagging, DOA, DOD captured by data entry and correct if required.
- Checking Balance Sum Insured (BSI)
- Checking name and bill date on every bill and deduct bills without name/different name and out of pre-post bills.
- Separation of claim if received claims of more than one person or more than one admission and send for tagging.
- Checking previous policies and previous claim history of claimant.
- Verifying claim documents and determine insurance eligibility as per policy terms and conditions like sublimit and room eligibility.
- QC proper bifurcation of bill tabs and apply deductions where ever required like IRDA non payables, deductible, Co-Pay, proportionate deductions, discounts (based on policy)
- Trigger for PMT, CF as and when required.
- Tagging to top up policy/base policy if required.
- Verifying payment details for payment to happen to proposer of policy.
- Querying for deficient documents in case any deficiency noted for claim processing.
- In case of payable, capturing proper reasons of deductions happened.
- Sensitivity and other deviation approvals for CF and others.
- Inter-team (CPMT, PMT) and intra-team (CRM) communication and coordination
Job Role :
Back Office Executive
Industry :
IT-Software / Software Services
Qualification Required :
Graduation
Experience Required :
0 - 1 Years
Location :
Hyderabad
Gender Preference :
Any
Required Skills :
Job Detail:
Job Timing :
9:30 am - 6:30pm | Monday to Saturday
Interview Details :
11:00 am - 4:00pm | Monday to Saturday
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