About Job:-

The primary job purpose of an Executive Reimbursement Claim Processor is to accurately and efficiently process reimbursement claims submitted by policyholders for medical expenses covered under their health insurance policies. This role plays a critical part in ensuring that policyholders receive timely payments for eligible medical costs incurred.

Skills & Qualification:-

• Processing of reimbursement insurance claims, ensuring adherence to company policies and Terms & conditions of the policy.

• Responsible for the following transactional activities

• Scrutiny of reimbursement claims

• Submission to Insurer

• Informing incomplete documentation requirement to the employees

• Liaising with employees in explaining the reason for requirements/plum rejections

• Leading team of claims experts who guides the employees to submit the claims

• Collaborating with internal& external stakeholders, such as Onboarding team, endorsements team Account management team to resolve complex claims issues and ensure a seamless claims submission

• Communicating with Insurance companies policyholders, and internal departments to gather necessary information and resolve claim discrepancies

• Maintaining accurate records of claims processing activities and documentation for audit and reporting purposes.

• Providing customer service support to address inquiries and concerns related to reimbursement claims.

• Working with Insurance companies to ensure that eligible claims are paid completely to the end customer

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