Medical Claims Analyst
Job Description
To assist in the
processing of medical claims with a focus on cost control and management of
member benefits through linking and coding of inpatient and outpatient bills
and capturing them in the company medical business operating system(s).
- Capturing of claims as per set rules/guidelines and
validating a claim against policy/scheme/guidelines, agreed, etc.
- Organizing trainings on document uploads in liaison with key
partners and ensuring compliance with the corporate document management
policy
- Clean up of the medical claims electronic data management
system to ensure an efficient document management system.
- Proactive management of member benefits and reporting of any
unusual trends as per the agreed SLA with suppliers and partners.
- Offer Resolution of any missing information required to fully
capture a claim by reaching out to the finance payables team.
Education
- Qualification- Bachelor’s degree in any medical-related
field, Insurance field, or Business field.
How To Apply
Apply before or on 16th
Jan 2024
