Officer Mediclaim Job in Shalby
Officer Mediclaim
Shalby
4+ weeks ago
- Jabalpur, Madhya Pradesh
- Not Disclosed
- Full-time
- Permanent
Job Summary
Qualification : BHMS
- Determines covered medical insurance losses by studying provisions of policy or certificate.
- Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.
- Documents medical claims actions by completing forms, reports, logs, and records.
- Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.
- Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
Qualification : BHMS
Experience Required :
Minimum 5 Years
Vacancy :
1 Hire
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