Job Description
• Claim registration – On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents
• Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents
• Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions – On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc.
• Co-ordination with Branch Offices/Clients/Hospitals for requirements – Need to have follow up with branches office/clients/hospitals for additional documents whenever require
• NEFT Updation – Updation of customer/insured NEFT details on system while processing the claims
• Travelling/Relocation – Candidate should be open for travelling whenever require for official work and also ready to relocate based on the organization or business requirement.
• Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents
• Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions – On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the standard IRDAI list, Co-Payment deductions as per the policy terms and condition/ Benefit charts etc.
• Co-ordination with Branch Offices/Clients/Hospitals for requirements – Need to have follow up with branches office/clients/hospitals for additional documents whenever require
• NEFT Updation – Updation of customer/insured NEFT details on system while processing the claims
• Travelling/Relocation – Candidate should be open for travelling whenever require for official work and also ready to relocate based on the organization or business requirement.
💡 Quick Summary
Seeking a career-building opportunity? The Zonal Wellness Coordinator position is now open for candidates interested in the Labour/Helper Jobs sector. This role in Coimbatore offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Labour/Helper Jobs is a plus.