Handling Travel Medical Assistance - Operation for Cashless & Reimbursement Claims.

Travel Medical Assistant ( TMA)- Operation Cashless & Claims

Coordinates in the preparation and review of management reports.Analyzes existing Processes / reports and look for the opportunities for improvement like automation etc.Assisting the senior business management community in business analysis.Responsible for all delivery ELT Dashboard, MIS, Analysis,Quarterly Reviews and other business management activities.Creating reports to track production and quality of claims processing.Creates and maintains databases to track and… Show more Coordinates in the preparation and review of management reports.Analyzes existing Processes / reports and look for the opportunities for improvement like automation etc.Assisting the senior business management community in business analysis.Responsible for all delivery ELT Dashboard, MIS, Analysis,Quarterly Reviews and other business management activities.Creating reports to track production and quality of claims processing.Creates and maintains databases to track and measure claim productivity.Measure productivity and generate reports to internal and external customers.Supports the goals of the department by performing ad hoc duties as assigned by the leaders. Show less

Conducted and coordinated investigations on all assigned claims.Negotiated the settlement of claims within authorized amounts or specific file authority.Maintained accountability for all assigned claims until disposition is reached.Recommended further action on claims exceeding authority limits.Documented all substantive activity on assigned claims using notepad.Reviewed new losses and open files on diary to ensure reserve adequacy while keeping superiors informed of adverse… Show more Conducted and coordinated investigations on all assigned claims.Negotiated the settlement of claims within authorized amounts or specific file authority.Maintained accountability for all assigned claims until disposition is reached.Recommended further action on claims exceeding authority limits.Documented all substantive activity on assigned claims using notepad.Reviewed new losses and open files on diary to ensure reserve adequacy while keeping superiors informed of adverse developments.Monitored loss adjustment expense and take steps to mitigate expenses while maintaining quality.Handling High Dollar Claims with processing as well as Quality Check. Show less

Claim Processing for US health Care Claim like (Medicare/Medicaid/CPT/HCP)Conducted and coordinated investigations on all assigned claims.Negotiated the settlement of claims within authorized amounts or specific file authority.Maintained accountability for all assigned claims until disposition is reached.Recommended further action on claims exceeding authority limits.Documented all substantive activity on assigned claims using notepad.Monitored loss adjustment expense… Show more Claim Processing for US health Care Claim like (Medicare/Medicaid/CPT/HCP)Conducted and coordinated investigations on all assigned claims.Negotiated the settlement of claims within authorized amounts or specific file authority.Maintained accountability for all assigned claims until disposition is reached.Recommended further action on claims exceeding authority limits.Documented all substantive activity on assigned claims using notepad.Monitored loss adjustment expense and take steps to mitigate expenses while maintaining quality. Show less