Medical Health Insurance Auditor

2 weeks ago


Delhi, India Legpro consultants pvt ltd Full time

_**HIRING FOR MEDICAL OFFICER " MEDICAL HEALTH INSURANCE AUDITOR "**_
- **EDUCATION & EXPERIENCE REQUIRED**:_

Being a Medical Officer, he / she would provide inputs related to different diseases, their incidence, trend and cost for effective control of claim ratio. He / She would be instrumental in formulating processes for anti-fraud framework, identifying key vulnerable areas and facilitating claims by developing mitigation plans.

ROLES & RESPONSIBILITIES:
**Responsible for**:

- _Auditing claims registered having used techniques and proven methodologies to unearth every possible factor in even the most complicated claims so to avoid frauds;_
- _Required to manage a team of Investigators having them take all measures to help clients reduce their exposure to fraudulent acts of claimants with continuous improvement;_
- _Ensure quality management through monitoring mechanism fostering continuous improvement, coaching and training;_
- _Present metrics, ensuring timely results, and reporting statistical achievements;_

**Salary**: ₹300,000.00 - ₹500,000.00 per year

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Supplemental pay types:

- Performance bonus

Ability to commute/relocate:

- Delhi, Delhi: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 9205959866


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