Bpo Health Care

In this role you will be responsible for:

Life Claims:
• Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit
• Setting up a claim and then following up for pending requirements (if any)
• Examining the received documents, payment calculation and settlement
• Perform additional review before cutting the check

Health Claims:
• Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc.
• Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment
• To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits