Medilink Global Bangladesh Ltd

Summary

Education

Experience

At least 3 years
The applicants should have experience in the following business area(s):
Insurance, Software Company, IT Enabled Service

Additional Requirements

Provide medical inquiries / investigations for Health Insurance Claims.
Provide medical advice / recommendation for Health Insurance Claims
Provide training related to medical terms and Critical Medical Cases to Claims and Customer Service Executives.
Provide medical claims analysis for statistical report purpose.
To maintain relationship with respective clients.
Processing of Cashless Requests & Health Insurance Claim Documents.
Proficient with medical terms & system.
Understanding of Policy terms & conditions & Various Protocols / Guidelines of Corporate Health Insurance.
Understanding of Claims adjudication / Claims Processing.
Maintaining & Ensuring Standard Operating Procedures & Protocols.
Disease Wise ICD & Procedure Coding.
Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.
VIP Claims Processing and TAT Maintenance (If any)
Processing Error to be maintained. Identify improvement areas and propose ideas to improve operational efficiency, team morale within Claims & Customer Service Department scope of operation.
Claim Case Management / Cost Management.
Regular Correspondence with treating Doctors of Hospitals for any clarification.
Assist Head of Clams & Customer Service in the business planning and execution for service enhancement in line with Companies strategic and business priorities.
Any other tasks and responsibilities that is assigned by Management.

Basic Computer Knowledge

Health Insurance Claims Settlement

Knowledge on Public Health system

LIfe Insurance Company

Medical Officer

Work at office

Full Time

Dhaka

To apply for this job email your details to admin@chakricircular.com