Communiquez avec les autres et partagez vos connaissances professionnelles

Inscrivez-vous ou connectez-vous pour rejoindre votre communauté professionnelle.

Suivre

What are the main tasks for claim manager?

user-image
Question ajoutée par dana tutunji , Architect , Helou Trading Co
Date de publication: 2013/06/26
Tarek Barakat
par Tarek Barakat , Reconciliation Manager , Accumed Practice Management - RCM


1- supervising claim receiving within the agreed contracutal time duly with all required documents.
2- supervising claims technical & medical evaluation.
3- creating market benchmark using claims petterns & profiles.
4- providing fraud dectection/prevention unit with data & pinpoint fraud triggers.
5- promoting & developing claim adjuster performance & production.
6- directing claim processors to acheive the prospected production target.
7- due payment settlement & reconciliation.
8- coordination with other operaion unit (approval & network) to reap optimal results.

Susant Kumar Rout
par Susant Kumar Rout , Senior Medical Consultant , National Life & General Insurance Company SAOC (ONIC Holding Group)

Triggering networking team about the over charging of tariff accordance with the market price

 

SESHAGIRI LAKKANIKI
par SESHAGIRI LAKKANIKI , SENIOR CONSULTANT , A leading MNC Insurance Broking organization

Expeditious and judicious claims settlement with least administration cost and to contribute to the overall organization goal of earning reasonable operating surplus.

More Questions Like This