Priti

• Working in three process - health and wellness , HIP and CI.
• Claim processing - involves assessing and managing claims to determine their validity and value, ensuring accurate payment or denial, while maintaining compliance with policies and regulation.
• Reviewing all the hospital documents and take the decision.
• Knowledge of medical coding such as ICD 10 etc.
• Conducted root cause analysis for failure and implemented corrective actions.
• Collaborated with production teams to ensure compliance with quality standards
• Developed and maintained QC documentation including inspection reports and claim logs.
• Trained staff on quality assurance protocols to minimize future claims.
• Query handling

Role & Responsibility

• We provide insurance to Contractors who works on Construction site.
• We provide after Sales services to the Contractor from beginning to end.
• Complete assigned task within TAT.
• In order to provide sale services we do seven works types.
• We set-up contractor and enroll them onsite.
• Handle sensitive clients with good accuracy.
• Responsible for mentoring New Associates and their work.
• Perform other duties as assigned by the management.

AR Research & Review Specialist

• Research on reports provided for outstanding AR.
• Research in finding stuck working capital for the company.
• Providing support to CSU for collection of premium.
• Do deep research in system & assist insurance company to their premium on time.