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Senior Claim Executive (Insurance )
Daryaganj, Delhi, Delhi
₹45,000 - ₹60,000 a month
Full-time

Job details

₹45,000 - ₹60,000 a month
Flexible schedule
Full-time
Daryaganj, Delhi, Delhi

Full job description

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.

· Understand the process difference between PA and an RI claim and verify the necessary details accordingly.

· Verify the required documents for processing claims and raise an IR in case of an insufficiency.

· Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff.

Pay: ₹45,000.00 - ₹60,000.00 per month

Benefits:

  • Flexible schedule

Work Location: In person

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