Job Details

Job Title
Claim Facilitator – Field Operations_ Ahmedabad/Surat
Location
Ahmedabad/Surat
Job Description

Hi Team,

 

Greetings of the day!

 

We are currently witnessing urgent hiring requirements for position of Claim Facilitator Representative- Field Operations across below locations. We request you to kindly share relevant CVs on a daily basis for timely screening and shortlisting.

 

Additionally, please ensure the candidate tracker is shared a day prior to the scheduled interviews. Given the urgency of hiring, we look forward to your immediate support and consistent daily CV flow to close the requirements within timelines

 

 

Position: Claim Facilitator Representative

 

Designation: Sr. Executive/ Executive (as per requirement)

 

Profiles: Non-Doctor & Doctor candidates

 

Selection Process: VC Panel Interview

 

Average CTC Bracket: 3.20-4.00 Lpa per annum

 

 

 

Open Locations

 

Role

Locations

No. of positions

Claim Facilitator Representative (Sr. Executive/ Executive)

Ahmedabad

04

Surat

02

 

 

Key Roles and Responsibilities:

 

  • Responsible to Investigate Cashless/Spot and Reimbursement Claims in field.

 

  • Cashless & Spot cases need to be investigated within 24 hours from the allocation date.

 

  • Reimbursement cases need to be investigated within 15 days from the allocation date.

 

  • Pre Quality Check of Cashless and Reimbursement Claims for further investigation and Closure of his own cases.

 

  • Need to check Previous claims documents also before doing the investigation.

 

  • Adhere to agreed TAT and accuracy.

 

  • Should highlight Central team with Fraud Proven Hospital names on basis of his findings and market feedback.

 

  • Cases reports to be Prepared with Quality.

 

  • Maintain Daily Sheet of all the Investigation Cases.

 

  • Coordination with within different function.

 

  • Ability to work in highly competitive & demanding environment

 

 

Education: Any Graduate from any Background (Medical Background Preferred)

 

 

 

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