Posted Jan 25, 2020 56 views
Key Responsibilities
- Responsible for claim closing of all hospital claims and registration of non-panel claims.
- Scrutinizing the hospital claims as per policy terms & conditions.
- Coordination & handling quires of branches & hospitals.
- Responsible for properly validating the information on all received medical claims.
- Ensure claims are thoroughly reviewed and that there is no missing or incomplete information.
- Ensure loss registration of OPD & reimbursement claims in HIS.
- Filing of OPD / reimbursement claims in card files.
- Responsible for forwarding all claims on timely basis for evaluation / closing.
- Draft requirement / regret letters for all OPD / reimbursement claims.
- Maintain errorless data entry in software (HIS).
- Coordinate and handle queries received from branches and clients.
- Prepare and maintain the record of daily log.
- Keep meticulous records of claims and follow up on lapsed cases.
- Ensure medical claims were processed according to timeline provided by supervisor.
- Responsible for any other task/ assignments as and when given by supervisor.
Job Details
Adamjee Insurance Company Limited
pAdamjee Insurance Company Limited (AICL) was incorporated as a Public Limited Company on September 28, 1960 and is listed on all three stock exchange of Pakistan. The Company is also registered with the Central Depository Company of Pakistan Limited (CDC) and is involved in the business of general insurance. The head office is located in Karachi and it operates a network of branches all across Pakistan and two in UAE (Dubai & Abu Dhabi). The Company commenced operations with a paid-up capital of Rupees 2.5 million, which has grown phenomenally in the past five decades to Rupees 1.24 billion, as on 31 December 2012. A strong asset base, significant paid-up capital, substantial reserves, balanced portfolio mix along with steady growth in gross premium account gives Adamjee Insurance a well deserved competitive edge within the insurance industry./p
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