Job Description

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• Taking decision on Medical condition claims.
• Work on cost avoidance by auditing claims
• Implementing changes on the reference guidelines
• Identify and comprehend medical terms, treatments on medical documents, AXA applications and Claim Forms.
• Creating basic awareness within the team on medical conditions relating to different treatments
• Medical training for teams in the process
• TAT Management and Daily work allotment
• Train new Paramedics in the team on the process

Key Accountabilities

In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.

Skills Required

• Good communication skills to communicate with onshore clients.
• Face challenges on claim rejection
• Good written communication
• Eye for detail and comprehension skills

Additional Requirements

• Basic knowledge of Health Insurance
• Knowledge of Health care process

Designation: Analyst

Shift Timing: Morning Shift & Afternoon Shift

Weekly Off: Saturday & Sunday

Work Location: Bangalore & Pune

Interested candidates can send their Updated CVs to philarity.philarity.ext@axa.com