Health Insurance Specialist

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Spandana Hospital
Bangalore, India
Full-Time
Mid-Level (4 to 6 years)
380000 - 650000 (Per Year)
Posted on January 06 2023

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About the Job

Skills

Insurance
Third Party Administration
Empanelment
Health Insurance

Responsible for supervising operations within an insurance practice. Manages adjusters, investigators, and appraisers. Insures claims are processed in a timely manner and resolves issues that arise during process.

Primary Responsibilities

  • Manage operations and productivity at an insurance company.
  • Create and modify procedures and documents related to policies.
  • Assist in claims management.
  • Identify and analyze risks associated with policies.
  • Achieve target budgets.
  • Minimize risk of financial loss.
  • Obtain and oversee company insurance or related funds that management uses to cover costs such as disability benefits or lawsuits.
  • Direct information for claimants.
  • Preside over claims investigations.
  • Review insurance policies.
  • Manage insurance data for reports.
  • Analyze statistical data, such as mortality, accident, sickness, disability, and retirement rates and construct probability tables to forecast risk and liability for payment of future benefits
  • Determine premium rates.
  • Ascertain cash reserves necessary to ensure payment of future benefits.


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