Claim representative
BengaluruFull-time1–2 yrsPosted yesterday
Junior banking role at IN1 Cigna Health Solutions in Bengaluru. Needs 1–2 years and a B.Com.
About the role
The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of benefits. He/She should provide accurate and relevant medical coverage details and maintain pre-approvals and claims processing as per the defined terms and policies of the organization.
What you'll do
- Processes claims from members and providers
- Assists queries from providers and payers via phone calls or e-mails
- Maintains files for authorizations and other reports
- Assesses and processes claims in line with the policy coverage and medical necessity
- Be fully versed with medical insurance policies for various groups / beneficiaries
What you need
- Claims processing
- Reconciliation
- Insurance
- Compliance
- Audit
- SOP writing