Claim Facilitator Representative (India)

- 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 workplace KEY STAKEHOLDERS Internal: - Customer Service and Operations Team - Claims Team Education - Any Graduate from any Background (Medical Background Preferred) Experience - 1-2 Years Experience in Field Investigation - Fresher can also be consider with Medical Knowledge but willing to work in field. - Knowledge of Insurance Industry - Knowledge in Computer & MS Office - Excellent Interpersonal and team working skill .