Role: Claims Specialist
Location: Chennai
Qualifications: BDS,BHMS, BSMS, BAMS, BPT.
Experience : Freshers/ Min 1yrs of experience in Claims specialist
- To medically adjudicate the claims that are being allotted adhering to the company policies and exclusions.
- Must escalate any over utilization or fraudulence in claims.
- Study claims trends and patterns.
- To process cases within TAT.
- Strictly adhere to policy T&C.
- Must follow the allocated schedule and complete within timeframe.
- Strong Communication Skills
- Problem-solving Skills.