Customer Service Manager

2 weeks ago


Hyderabad, Telangana, India ICICI Lombard Full time ₹ 9,00,000 - ₹ 12,00,000 per year

for Health Reimbursement Claims Processing doctor.

  • Medical Evaluation and Documentation
  • Examine claim documents and understand detailed clinical findings.
  • Document diagnoses, treatment plans, and procedures done clearly.
  • Ensure medical records are accurate and complete for claim submission.
  • Certification and Verification
  • Certify the necessity of treatments or procedures for insurance claims.
  • Verify the authenticity of medical reports submitted for claims.
  • Provide second opinions or independent medical examinations (IME) when required.
  • Compliance and Ethical Oversight
  • Ensure all documentation and certifications comply with regulatory and insurer policies.
  • Prevent and report fraudulent claims or misrepresentations.
  • Advisory Role
  • Advise insurance companies on complex medical cases or disputed claims.
  • Participate in claim review committees or panels if needed.


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