7 - 8 years

9.0 - 10.0 Lacs P.A.

Mumbai

Posted:2 months ago| Platform: Naukri logo

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Skills Required

AdministrationBasicInterpersonal skillsClaimsExcelNetworkingAnalyticalEquityAuditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role: Closed file review & audit 1-Handling closed / open file review for third party administrator & inhouse claims 2-Recoveries from third party administrator for claims processed with errors 3-Highlight areas of improvement 4-Monthly reports to be published Candidate must have: 1-In-depth knowledge of medical cases with exposure to ailment treatments, policy coverages for OPD/hospitalization/personal accident/ travel claims 2-Good interpersonal skills 3-Must be proactive & effective learner 4- Must have previous experience of Audit 5- Good Analytical, Communication and Negotiation skills 6-Familiar with Basic Microsoft Excel and regulatory changes 7- Minimum 7 years of experience in general insurance Accident & Health claims Qualifications Degree in medicine (BHMS/BAMS/MBBS) About Us Role:Closed file review & audit1-Handling closed / open file review for third party administrator & inhouse claims2-Recoveries from third party administrator for claims processed with errors

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