Medical Doctor

1 week ago


Bengaluru Bangalore, India TopGear Consultants Private Limited Full time
Dear All,

Urgently hiring for a leading Insurance Client.

Job role: Medical Doctor
Job location: Bangalore

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

Location: Bangalore

Interested candidates please share your updated cv on [HIDDEN TEXT]

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