- Administer health insurance policies, ensuring accurate implementation and adherence to CGHS guidelines.
- Oversee the claims submission and processing workflow, ensuring timely and accurate handling of claims.
- Provide assistance to beneficiaries regarding their health insurance queries, claims, and services.
- Maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and improve processes.
- Ensure compliance with regulatory standards and internal policies related to health insurance.
- Liaise with healthcare providers and hospitals to facilitate smooth processing of claims and services.
Skills:
· Excellent people management skills
· Ability to use technology to improve outcomes
· Good Excellent oral and written communication, negotiation and decision-making skills.
· Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.
Experience: At least 2 years' experience in CGHS Health insurance/Insurance Brokering/TPA
Languages: English, Hindi
Preferred: Immediate Joiners only.
Industry
- IT Services and IT Consulting
Employment Type
Full-time
Job Type: Full-time
Pay: ₹13,252.83 - ₹30,000.00 per month
Schedule:
- Day shift
Experience:
- CGHS claim processing : 1 year (Preferred)
Work Location: In person