Job Specification
Education Level: Candidate should possess minimum MBBS Degree/ Bachelor degree in Pharmacy/Pathology/Nursing (with valid license from their respected Council)
Experience Required: Prior experience in hospital Pharmacy and related fields are encouraged to apply.
Job Description
- Candidate should have a strong communication skill and shall handle inquiries related to Pharmacy especially during claim inspection.
- Developing and filing new products of Health Insurance.
- To incorporate empanelment with different hospitals in Kathmandu valley and also to tie up with them for business Support.
- To, get quotations from different empanelled hospitals with lowest rate and provide discounted rate of cashless health insurance benefit to the prospective customers than that of Competitors in the market.
- To act as a mediator and Claim Assessment team between empanelled hospital and Siddhartha Premier Insurance ltd.
- Training of Empanelled hospitals Personnel regarding Cashless Health Insurance benefits provided under the policy issued.
- Ensure that cashless benefit offered to the customers is restricted to coverage offered under the policy and no excess benefit is paid by the hospitals with which MOU is entered.
- Identifying & generating details of prospective areas for Health Insurance and plan and strategies opted to generate business there from.
- Cashless benefit payment cycle should be made effective and claims should be timely paid off.
- Creation of Underwriting Guidelines.
- Monthly reviewing of the Claim Procedure made and reporting the same to the higher Authority without fail.