TPA

Opening for Executive - claim Process Job Role- Claims Executive   Verifies the claim document. If found any necessary document missing then keep it for pending and seek the document from Verifies the Pt. enrollment details and on bed photo & Online Card verification. If found discrepancy, confirming with the Arogyamitra/ MCO by keeping case pending . Coordinating with field team regarding Ration card/Health card verification. After receiving all documents, process the claim in real time basis. Only Male Candidate Required Location -Worli  Salary -12191 More details share cv -chaitrali.angane@paramounttpa.com call - 8275094606 Regards Chaitrali  HR Executive

Ensure using self login ID Verifies all necessary document and technical details mandatory for claims processing Verifies Previously Consumed amount Verifies enrollment details and Duration of patients Stay in Hospital Skills- Qualification - BAMS /BHMS Location : Worli  Salary Range : 1.00 - 3.20 lpa Keeping claim pending if any document is missing and need to keep pending twice Ensure compliance all mandatory documents Ensure Communicating with Network hospitals regarding pending cases Monitor fraudulent activity/ practices of NWH Analysis and reporting claims data Ensure claims processing as per Adjudication guidelines Ensure Claim settled within TAT Any work assigned by the Mahatma Jyotibha Phule Jan Arogya Yojana from time to time. Interested Candidate Forward cv - chaitrali.angane@paramounttpa.com Skill- BAMS/BHMS Salary Range : 1.00-3.20 LPA Location : Worli (Lower Parel)