Raksha TPA Pvt. Ltd

Urgent Requirement of Executive-helpdesk-Ahmedabad

Job Location:  Ahmedabad
Job Description:  SkillSet: health claims, claim processing, hr, it, tpa.

Dear Candidate,
We have an urgent requirement of Executive-Help desk for Processing of Health Claims at our Ahmedabad location.

Good Communication Skills
TPA Exposure candidates will be given preference.
They have good knowledge about tpa, claims and insurance.

Job Description for Help desk personnel:

  1. On receipt of the claim documents at the Help Desk a proper acknowledgment with the complete enclosures received (format to be shared) has to be given to the concerned Pensioner.
  2. The basic documents have to be scrutinized at the Help Desk end itself like Claim form, Doctor's prescription, copy of cancelled cheque of the Pension Paying Branch of SBI only , self attested copy of Aadhar card etc.
  3. If the basic documents are missing, then the Pensioner should be suggested to submit the documents only after completing it.
  4. All claim documents have to be scanned at the Help Desk end on the same day.
  5. Claim ID is to be generated within 24 hours of the reporting of the claim at the Help Desk. The same unique Claim ID is to be maintained throughout the claim processing till the claim is finally disposed off.
  6. Claim has to be processed within 7 days of its receipt at the Help Desk. If any additional document is required or any query is there, it has to be conveyed to the Pensioner within 7 days of the receipt of claim documents at the Help Desk..
  7. Returned cards to be re dispatched to the concerned Zonal office Helpdesk. A list of all such cards should be shared with Team Leaders of ARIBL of respective Region and concerned CM HR, SBI, on fortnightly basis. Help Desk officials in coordination with the concerned CMHR and the Pensioner would dispatch the undelivered cards at the address convenient to the Pensioner.
  8. Claim rejection process : ARIBL and TPA Help desk officials will coordinate with the concerned CMHR for his consent on those cases in the format along with the scan copy of the claim files.

Functional Area:  Sales / BD
Experience:  1 - 3 years
Qualification:  ("Other in Other")
Salary:  1.0 Lakh to 1.5 Lakh INR
Raksha TPA Pvt. Ltd
Job Ad publication date: 19 Jan 2021