• Vijay-Resume.pdf
  • " ↑Download Resume 🡁

    Description

    rocessing the cashless claims from initial level approval and discharge time final

    approval on TAT basis. Need to verify the policy T&C whether Co pay is applicable

    and need to check room rent eligibility if insured not applicable for room rent

    need to apply the incremental charges.& need to check ailment capping. Need to

    verify the hospital tariff with final bill. In case excess amount charges from

    hospital side, need to deduct tariff deduction and also need to deduct Nonmedical

    expenses and other eligible deductions as per policy T&C. If tariff related issues

    or tariff not matched, need to send mail to provider team and then case need to

    be process as per their reply. If policy T&C not uploaded in system need to send

    mail to CRM team.