NIJU Soman

Ensures that the insurance schemes are up to date on the system.

Conducts weekly departmental meetings with staff for updates and to educate them on new work methods

Attending and organizing the insurance presentation internally and externally.

Provide the necessary guidance and on-job coaching and in-service training for the staff under my direct supervision;
Report any up abnormalities that might notice the concerns department;
Assume new responsibilities as and when needed.

Oversees administration of medical services to Insurance and Corporate patients and customers of the Hospital.

Liaises with insurance companies regarding eligibility, payments, reconciliation and other requirements

Organize training session for concerned employees to develop their understanding of insurance policies and condition`.

Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies.

Proactively reports critical issues to Management and submits monthly aging and other reports to line manager and Accounts.

Adding new corporate companies and empanelling new insurance companies to the hospital network.

Ensuring smooth functioning of claim processing and submissions.

Follow up with the companies for payments.

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Ensuring the claim processing goes smoothly.

Monitoring the team for claim processing and submission.

Giving reports to Management regarding claim approvals rejections and receivables.

Medical insurance claim processing within the time limit and submission to the insurance companies.

Ensuring all the approvals are taken on time. there by reducing the claim rejection.