Officer- Technical & Production Dept.
MedNet
Total years of experience :9 years, 2 Months
• Prepare documents such as Policy Wordings, Beneficiary User’s Guide, Policy Schedules and Request Forms accurately
• Respond to business queries from participated Insurance companies or clients effectively and efficiently.
• Coordinate with Technical Department on validated quotations, Table of benefits and loadings.
• Update operational departments such as Claims, Network, and MCC department on new Policies, Policy adjustments, Cancellations, Refunds, and Renewals.
• Provides excellent customer service to the PIC’s with a view to achieve maximum client satisfaction.
• Print MedNet Free Access Cards, personalized SOAPs as per set guidelines and turnaround times.
• Respond calls and queries of members, medical providers and insurance companies
• Audit Calls of MCC & provide administrative support to the team
• Log Pre-Approval requests in DMS received from medical providers
• Oversee the overall performance of Document Management Software
• Issue Physiotherapy approval for the requests received from providers
• Ensure completeness of claims received against a predefined criterion and coordinate with the medical providers for the missing data and their clarification
• Releasing the final settlement of Network claims to the insurance companies
• Batch and register claims to ensure that daily clear to zero targets are achieved
• Eliminate errors, mistakes or misstatements within the claims and make sure the data is clearly and concisely stated
• Ensure the overall admin tasks are running in proper and effective manner
• Marking work, giving appropriate feedback and maintaining records of students’ progress and development
• Schedule all the school’s extra-curricular activities, programs and exams
-Manage all day to day data extraction, tabulation, statistical analysis
-Prepare basic tables and charts to be used in the reports / presentations
-Process raw data, perform statistical analysis to create tables, databases and excel reports
-Provide basic training on data analysis, data management and related topics to the staff
MBA- Finance , General
Bachelor Of Education Majoring English
Intermediate Of Arts Majoring Economics & General English