Rajat Madan

Processed insurance claims in accordance with policy terms and guidelines. Verified policy coverage, exclusions, waiting periods, and sum insured. Coordinated with hospitals, insurance companies. Handled cashless approvals, enhancements, and final settlements. Reviewed claim documents including medical reports, bills, and discharge summaries. Closing dialysis bills and reported to HMIS. Resolved customer Claim queries and managed escalations professionally. Maintained accurate records and generated HMIS reports for management review. Managed daily in-patient and discharge tracker on excel.

Assisted in processing reimbursement and cashless claims. Communicated claim status to policyholders. Called patients to update them about their claim status. Maintained proper documentation and system updates. Supported senior team members in resolving queries. Pre auth collection, sending, Mapping of discharge patient.

Handling daily routine fees collection. Counselling to parents for admission UDISE+. Maintaining, SIS update. Scheduled appointments for parents, teachers and school administrators.