Claim Facilitator Representative I Field Operations

Key Roles and Responsibilities:

• Responsible to Investigate Cashless/Spot and Reimbursement Claims in field.

• 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 environment

Education: Any Graduate from any Background (Medical Background Preferred)