Heritage Health Insurance TPA pvt ltd jobs - Claim processing doctor

Claim Processing Doctor

Heritage Health Insurance TPA pvt ltd
experience Fresher
salary Salary not disclosed
qualification
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Posted: 2 Months ago
Views: 1
Applications: 1
Openings: 1

Job Description

  • Claim processing doctor for mass scheme. 
  • He/ she has to process mass scheme claims online. 
  • Based on the documents uploaded in the portal needs to verify and process accordingly.
  • Either approve or reject  the claim . 
  • Interviewing insurance claimants to obtain pertinent information about their claims
  • Reviewing insurance policy documents to determine coverage limits, exclusions, and other provisions that may affect the claim
  • Calculating damages and determining the amount of compensation due to the claimant
  • Communicating with attorneys on behalf of the insurance company or agent during litigation of claims
  • Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment
  • Processing settlement offers made by the insurance company to settle claims on behalf of the insurance company
  • Reviewing claims for errors and discrepancies, such as incorrect dates or incorrect amounts
  • Determining whether claims are valid based on policy provisions and state laws
  • Calculating loss amounts using data from multiple sources such as medical records, police reports, and property appraisals
  • Communicating with claimants to answer questions regarding their claim status and process
  • Preparing reports detailing claim settlements or denials

Job Particulars

EducationBDS, BAMS, BHMS
Who can applyFreshers
Hiring Process Face to Face Interview
Employment TypeFull Time
Job Id1484877
Locality Address Dalhousie
StateWest Bengal
Country India

About Company

Heritage Health Insurance TPA pvt ltd
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