Job Overview
A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA.
Key Responsibility
Key Skills
Reporting Structure
Sr Executive – Team Leader – Manger Operations.
Qualification & Experience
Graduation: Arts & Science/Diploma (Any discipline – 3 years) without arrears. (BE/B.Tech & Masters are not eligible)
Good Comprehension skills.
Typing speed of 24 WPM 90% Accuracy
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