Job Description:
* Provides verbal pre-approval for medications, laboratory investigations, and out-patient procedures, maternity, dental and optical cases as per the Insurance Companies specific coverage.
* Collaborates with doctors and other medical practitioners within the medical team regarding medical conditions that require specific indication on every approval (Inpatient and Outpatient).
* Meet all key performance indicators set for call/claim handling (meet call/claim production call/claim quality, system adherence and attendance, complete call log, manage call reports).
* Guides Network Providers on clarification on Policy information
Qualification:
* Graduate - Medical Qualification (MBBS Doctor),BSc Nursing, BDS, BPharm
* Excellent command over English (both verbal and written)
* Strong Customer Service Skills
Prior experience in Insurance industry preferably TPA
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