Medical Claims Manager

Medical Claims Manager

Job Description

  • Leads all parts of cases for therapeutic and individual dental. Sets system for gathering guaranteeing operational productivity and customer desires are met. In charge of creating and executing work process the executives and standard working strategies for all case related issues. 
  • In charge of methods to keep up high caliber and guarantee stock administration guidelines and recognizing patterns which require improvement or alterations in these procedures to guarantee textures and quality are met. In charge of cases framework set up and checking for precision.
  • Driving inside and out investigation of work processes, framework setup, and framework reviews as essential including overseeing framework redesigns and testing for numerous customers.
  • Performing progressed investigating and critical thinking to guarantee the trustworthiness, incorporation, and dependability of MBA applications.
  • Distinguishes and sets generation and quality gauges and recognize territories of progress. Makes suggestions and executes changes.
  • Autonomously satisfying framework demands from clients and making an interpretation of necessities into itemized prerequisite determinations
  • Audits and alters remaining task at hand doled out to units to safeguard client administration SLA's and cases execution measurements are met.
  • Screens creation and quality norms allocated to the groups.
  • Point by point learning of cases operational procedures and capacity to work in a quick paced creation condition.
  • Definite learning of client administration instruments and procedures
  • Capacity to distinguish and prescribe changes to expand cost viability and quality.
  • Great relational abilities both verbal and composed.
  • Authoritative abilities.
  • Capacity to recognize and raise issues zones to Executive administration in a convenient way.

Company Profile:

Salary: Not disclosed

Industry: Insurance

Functional Area: Healthcare

Role Category: Medical Officer

Employment Type: Full time