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| Job Location | Bangalore |
| Education | Not Mentioned |
| Salary | Not Disclosed |
| Industry | Recruitment Services |
| Functional Area | Corporate Legal Department |
| EmploymentType | Full-time |
Processing of Life claims (Claim file and system including preparation of necessary process documents)Assist the team with respect to analyzing and interpreting medical documents and understanding diseases (their etiology, symptoms, treatment and prognosis)Coordination with external medical entities like doctors, clinics, pharmacies, hospitals and visits where neededCoordination with internal departments like Underwriting, Legal, etc as required in the process of each claimCoordination with external investigatorsRegular follow up on the pending claims (coordinate and communicate with branches, advisors and claimant for completion of documentation) and reporting on the sameHealth claims coordination with TPA, visits to TPA, audit of Health claimsReview of rejected health claims and its ratificationBe within prescribed TAT s for all processes , Desired ProfileAny GraduateExperience in LIC is mandatoryExposure to managing Early and non- early claimsCompliance and law knowledgeVendor management of claims investigatorKnowledge of demography
Keyskills :
compliance pa claims vendrep ting prognosis hospitalsmanagement demography completion preparation