Medical Health Insurance Auditor
2 weeks ago
_**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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