Medical Claims Executive

Job ResponsibilitiesCase Management, Client & Customer Services To provide advice, sound judgment and recommendation on case that surpasses the authority of a Senior Officer. Provideadvice with appropriate referrals/ escalations as and when needed.To authorize, deny and determine extent of insurers liability on case of discharge that surpasses the authority...

Responsibilities: - Processing admission/interim/discharge/post hospitalization claims up to the given endorsement limit. - Liaising with internal and external parties on issues pertaining to guarantee letter issuance when needed. **Requirements**: - Diploma, Advanced/Higher/Graduate Diploma, Degree in any Science related field. - At least 1 year of...

We are looking claims personnel who is committed to processing claims accurately, fairly and efficiently, upholding our promise to our policyholders. This position is for 6-month contractual term.Job Descriptions:Verify and approve cases within specific guidelinesFollow-up and send reminders for pending casesMonitor and ensure that productivity and Service...

**Responsibilities**: - Processing admission/interim/discharge/post hospitalization claims up to the given endorsement limit. - Liaising with internal and external parties on issues pertaining to - guarantee letter issuance when needed. **Requirements**: - Diploma, Advanced/Higher/Graduate Diploma, Degree in any Science related field. - At least 1 year of...

ROLE SUMMARY Overseeing the Medical Claims unit and ensuring that all the administrative functions in this section are properly processed and promptly settled in accordance with established corporate policies, rules, regulations and guidelines. Including processing and approval of medical claim. Additional responsibilities include new product and project...

Review and process claims submissions accurately and promptly according to company standards. - Verify claim details with healthcare providers, ensuring all necessary information is received. - Ensure all claims meet regulatory and compliance requirements within the healthcare industry. - Handle customer inquiries and provide clear and helpful information...

**Key Responsibilities**: - Processing admission/interim/discharge/post hospitalization claims up to the given endorsement limit. - Liaising with internal and external parties on issues pertaining to guarantee letter issuance when needed. **Requirements**: - Diploma/Advanced/Higher/Graduate Diploma, Degree in any Science related field. - At least 1-3...

We are a third party claims assessor for insurance companies. We assess travel and medical claims in accordance with the insurance companies' guidelines. **Job duties and responsibilities**: - Process travel and medical insurance claim - All claims are appropriately handled, documented, evaluated and investigated within the Guidelines. - Identify potential...

**KEY TASKS & ACCOUNTABILITIES** - Processing SP claims by assessing and keying in hospital invoices into CIS with reference to the client’s policy (SOB). Ensuring final diagnosis / consultation / medications are correct with supporting documents. - Follow up with hospitals for unanswered queries. - To adhere to the Company's procedure in accordance with...

**Job Overview** Greeting from AAA !! This team is designated to support the Claims Department of a US based client (On Call International). For more than two decades, On Call International, a leading provider of travel risk management and travel assistance services, has helped millions of people with their travel problems, big and small. From serious...