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D

Medical Doctor

1-5 Years

This job is no longer accepting applications

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  • Posted 2 months ago
  • Over 50 applicants

Job Description

  • Processing of health claims as per SOP/guidelines shared,
  • Day to day achievement of expected productivity with out compromising on the quality parameters.
  • Identification of Fraud triggers and possible leakage
  • Complete understanding of health claims processing
  • Aware of latest regulations and its implications
  • Adherence to the prescribed TATs for each category
  • Thorough medical knowledge, clinical efficacy of the treatment protocols given
  • Able to read, interpret and question the information on the medication and relation to the diagnosis
  • Clear understanding on ICD code and procedure codes
  • Case management where there is possibility of inflation/abuse
  • Interpretation of the product wordings for appropriate claims decisio

More Info

Job Type:
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Open to candidates from:
Indian

About Company

We’re simplifying insurance products so that even a 15-year-old can comprehend them. We believe this can be changed; the way insurance products are viewed, purchased, and claimed. Simply put, we are here ‘To Make Insurance Simple

Job ID: 113876645