Claims - External Audit - Assistant Manager

2 days ago


Hyderabad, Telangana, India Medi Assist Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Role & responsibilities

  • To Audit daily allotted cases as per Target
  • To compare the audit remarks received from the claims team
  • To maintain quality while doing the audit
  • To coordinate with the provider network team and account managers or internal

teams for additional Information about claims, tariff etc.

  • To complete the Audit finding to a Logical end

To share the responses to the insurer within the TAT.

  • To assess the RCA for the errors and suggest the resolutions to avoid future audit

recoveries.

  • To conduct physical discussions with the insurers for the closure of the audit
  • To update the audit tracker with all details
  • To monitor the audit closure till payment to the insurer

Preferred candidate profile


• Medical knowledge


• Team Work


• Job Knowledge


• Discipline


• Meeting Deadlines


• Willingness to Learn


• Managerial & Behavioural Drive for results

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