Medical Officer - Claims Management Operations

1 - 4 years

3.0 - 7.0 Lacs P.A.

Chennai, Noida, Mumbai (All Areas)

Posted:2 months ago| Platform: Naukri logo

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Skills Required

TPATATClaims AdjudicationClaims ProcessingHealth InsuranceInsurance ClaimsRisk AssessmentMedical InsuranceWellnessComputer SkillsHealth ClaimsMediclaimCost Control

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-2 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Jaipur Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad

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