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Manager- Claims

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Centrum Leap hiring for One of the Reputed Insurance Company

3 – 7 yrs Hyderabad / Secunderabad , Gurgaon

Job Description:

Only preferred candidate from MBBS/BPT/BDS/Nursing.
To do scrutiny of claim files and give opinion on decision.
To ensure timely processing of claims and accurate payments of claims.
To ensure adherence to TAT in various sub processes in claims department.
To review IRs/rejections of claims and implementation of actionable periodically.
To monitor and control error rates and consistency in processing.
To Monitor Productivity in Claims processing and Cashless processing.
To review SOP for claims processing and to develop & execute better processes.
To manage individual KRAs for achieving organizational goal.
To monitor and appraise performance of doctors working under vertical.
Review of Daily MIS to manage inflows and outflows of claims
To monitor customer complaints, trend and timely resolution.

Salary:INR 5,00,000 – 7,00,000 P.A
Industry:Insurance
Functional Area:Medical , Healthcare , R&D , Pharmaceuticals , Biotechnology
Role Category:Medical Professional
Role:Medical Officer

Keyskills:

Claims Processing TPA Insurance Claims Medical Officer RMO Medical Claim Claims BDS BPT MBBS Nursing

Desired Candidate Profile:

Education-

UG: BDS – Dentistry, MBBS – Medicine
PG:Any Postgraduate – Any Specialization
Doctorate:Any Doctorate – Any Specialization

Experience of health insurance claims management inclusive of claims processing.

Good medical knowledge, updated with latest medical advancements.

Good communication and writing skills.

Company Profile:

Centrum Leap
One of the Reputed Insurance Company
Centrum Leap is an independent selection and search boutique, with traditional values, integrity, an advanced outlook and superlative record of success in recruiting the right people for a diverse and growing client base. We are committed recruitment & search specialist with adaptive intelligence. Centrum Leap holds the belief that our customers’ needs are of the utmost importance.

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