Walk-in || Claim Processor

Role & responsibilities

• Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
• Scrutinize the claims, as per the terms and conditions of the insurance policy
• Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
• Verify the required documents for processing claims and raise an IR in case of an insufficiency.
• MOU deductions
• Approve or deny the claims as per the terms and conditions within the TAT.

Preferred candidate profile- Computer Knowledge mandatory

• Error-free processing (100% Accuracy)
• Maintaining TAT
• Productivity (Achieve the daily targets)