Clinical Audit Manager

3 days ago


Bengaluru, Karnataka, India Navi Full time
The Role
We are looking for a Clinical Audit Manager to lead our medical claims auditing team. As a Senior Health Insurance Specialist, you will be responsible for managing the team, reviewing health claims, and ensuring compliance with regulatory requirements. Your expertise in clinical audit and leadership skills will be essential in driving process improvements and enhancing customer experiences.

Responsibilities:
Lead the medical claims auditing team. Review submitted health claims for accuracy, completeness, and compliance with insurance policies and regulations. Identify any inconsistencies, overbilling, or discrepancies between services provided and the claims submitted.

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