Claims Analyst
Globemed Qatar LLC
Total des années d'expérience :12 years, 1 Mois
• To drive and ensure all medical claims are handled with appropriate speed and excellence.
• Coordinating with other team members.
• Responsible for internal auditing of claims which were settled at the branch level.
• Meeting of deadlines and assisting in operations played a crucial role
• To drive and ensure all overseas claims are handled with appropriate speed and
excellence.
• Take responsibility for dealing with complex claims, ensuring that all service standards are
met.
• Act as a point of technical expertise for the team and provide guidance and advice to
administration staff as and when required.
• Provide reports on the Key Performance Indicators for the team on a weekly basis, and ad
hoc reports as required.
• Timely response to email and phone communications.
• Was incharge of a team of doctors for Preauthorization and Re-imbursement of health Insurance claims.
• Responsible for internal auditing of claims which were settled at the branch level.
• Negotiating with the HealthCare-Providers for Discounts in case of High Value claim. • Coordinating with Other team members.
Provide reports on the Key Performance Indicators for the team on a weekly basis, and ad hoc
reports as required.
Meeting of Deadlines and assisting in operations played a crucial role.
• Attention to Detail, Multi-Tasking and Team Building Skills are some of the other attributes.
• Was working as a liaison between the Insurance Company and the Hospital on various
aspects such as Hospital Empanelment, Treatment pricing, etc.,
• Responsible for investigation of Fraudulent Medical Claims
• Meet the Hospital officials on time to time basis pertaining to matters of claim processing
To drive and ensure all medical claims are handled with appropriate speed and excellence.
• Negotiating with the healthcare providers for discounts in case of high value claim.
• Coordinating with other team members.
• Responsible for internal auditing of claims which were settled at the branch level.
• Meeting of deadlines and assisting in operations played a crucial role
Had undergone one year internship in the same institution as a part of Dental training