Medical Health Insurance Auditor

1 week 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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