際際滷shows by User: girishdhaked / http://www.slideshare.net/images/logo.gif 際際滷shows by User: girishdhaked / 際際滷Share feed for 際際滷shows by User: girishdhaked https://cdn.slidesharecdn.com/profile-photo-girishdhaked-48x48.jpg?cb=1574099251 Medical Claims Operations & Quality Control: Handling a team of claims processors and supervising all function of claims including receiving of claims, Auditing and final settlement. Handling all provider related queries in terms of claims settlement, payments and resubmission of claims. Reporting to senior Management about updated status of pending claims and settlement process. Assisting Management in framing and establishing company policies as per business guidelines. Assisting other departments including Medical approvals, It & Production and Network departments in their day to day required activities. Performing Payment reconciliations in conjunction with Finan