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Excellent Opportunity to Work with Countrys Best Private Life Insurer.



Designation: Senior Associate Health Insurance - Claims



JOB PROFILE:-



To Evaluate the system and ensure that the same is in tune with the requirements provided

To manage reimbursement claims including adjudication, QC and TAT

To manage cashless claims including adjudication, QC and TAT

To ensure that the claims guidelines are adhered to in adjudication of claims.

To ensure that the processes for TPA interface adhered to by all stakeholders

To review claims and provide a decision as per authority matrix

To ensure that the claims data received is adequately recorded and is made available for reference of stake holders

Measure the performance of the TPA with agreed standards and report deviations if any

Periodically analyze the claims received to identify any outliers

To ensure dissemination of claims guidelines to relevant TPA team members

To ensure that the claim guidelines are abided by the TPA

To manage the claim complaints & queries

To abide by IRDA regulation: policy holder's protection interest regulation, IRDA claim procedures, risk management process.



Interested candidates can walk-in as per the following details:



Educational Qualification :- Doctor,BAMS,BHMS,MBBS



Date of Interview: 8th January 2014 (Thursday)



Timing:- 2.00pm - 4.00pm



Contact Person: Supreeta Nair



Address: HDFC Life Insurance company Ltd.

HDFC Life , Corporate Office,

12th Floor, Lodha Excellus,

Apollo Mills Compound,

N.M.Joshi Marg, Lower Parel,

Mumbai .



Kindly carry any photo ID Proof and updated Resume. Mention Reference as Supreeta Nair



Thanks and Regards,

Supreeta Nair

Talent Acquisition Team

HDFC Life, Corporate office >

Senior Associate Health Insurance - Claims

Designation / Job Role : Medical Officer
Job Description :
Greetings from HDFC Life..!!


Excellent Opportunity to Work with Countrys Best Private Life Insurer.



Designation: Senior Associate Health Insurance - Claims



JOB PROFILE:-



To Evaluate the system and ensure that the same is in tune with the requirements provided

To manage reimbursement claims including adjudication, QC and TAT

To manage cashless claims including adjudication, QC and TAT

To ensure that the claims guidelines are adhered to in adjudication of claims.

To ensure that the processes for TPA interface adhered to by all stakeholders

To review claims and provide a decision as per authority matrix

To ensure that the claims data received is adequately recorded and is made available for reference of stake holders

Measure the performance of the TPA with agreed standards and report deviations if any

Periodically analyze the claims received to identify any outliers

To ensure dissemination of claims guidelines to relevant TPA team members

To ensure that the claim guidelines are abided by the TPA

To manage the claim complaints & queries

To abide by IRDA regulation: policy holder's protection interest regulation, IRDA claim procedures, risk management process.



Interested candidates can walk-in as per the following details:



Educational Qualification :- Doctor,BAMS,BHMS,MBBS



Date of Interview: 8th January 2014 (Thursday)



Timing:- 2.00pm - 4.00pm



Contact Person: Supreeta Nair



Address: HDFC Life Insurance company Ltd.

HDFC Life , Corporate Office,

12th Floor, Lodha Excellus,

Apollo Mills Compound,

N.M.Joshi Marg, Lower Parel,

Mumbai .



Kindly carry any photo ID Proof and updated Resume. Mention Reference as Supreeta Nair



Thanks and Regards,

Supreeta Nair

Talent Acquisition Team

HDFC Life, Corporate office
Speciality : Other
Number of Openings : 1
Hiring For : Not Disclosed
Location(s) : Mumbai
Country : India
Experience : 1 - 5 year(s)
Salary : Not Specified
Salary Remarks : Not Disclosed by Recruiter
Date Posted : 07-Jan-2015
Application Deadline : Not Specified
Requirements
Education : Any Graduate - Any Specialization, Graduation Not Required
Any Postgraduate - Any Specialization, Post Graduation Not Required
Any Doctorate - Any Specialization, Doctorate Not Required
Candidate Profile : Please refer to the Job description above
Company Profile
Posted By : Mr. DocLynk Admin
Organisation Name : Medigrity
Designation : Administration
Job Reference : Not Specified
 
 
   

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