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Claims Assessor

JobsCafe.com
Experience:0 - 4 Years

Location:Chennai

Industry Type:Insurance

Role:Claims Exec.

Functional Area:Banking, Insurance

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Desired Candidate Profile

Fresher from B.Pharma. BAMS, BHMS & Law fresher. Candidate with Medical/Life Insurance Cliams experience are preferred.

Job Description

The claims assessor would be a team member of the claims department

handling death claims and rider benefit claims.

He /She would be responsible for the following jobs viz;

Courteous and polite to both external and internal customers

• Sensitive to the job profile which requires tact, discretion and empathy

• Ensuring the validity of the intimated claim with high degree of precision and accuracy

• Processing of intimations and forwarding the requirements accordingly based on validity of claim along with the condolence letter.

• On receipt of complete requirements analyzing and processing the claim within the agreed TAT .

• In case of receipt of incomplete requirements regular follow-up with claimants via reminders, telephonic talk, branch ops officers, sales force etc. within the time frame as specified in the Claims process guidelines

• Seeking legal, medical under-writing and reinsurer’s opinion wherever necessary to arrive at a decision as to accept/reject the claim.

• Coordinating with other departments viz ; ops,actuarials,underwriting, legal etc to expedite processing of claims.

• Laisoning with concerned depts. for claims statistics for valuation/accounting purpose

Candidate Profile :

Fresher from B.Pharma. BAMS, BHMS & Law fresher. Candidate with Medical/Life Insurance Cliams experience are preferred.
 
Keywords :  medical claims, insurance claims


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