Desktop investigation (Doctor)

Job description:
* Complete scrutiny of claim documents.* Corelating the clinic finding mentioned in the ICP's/ hospital documents with the customer while calling.* Identification of suspected cases and case assignment for investigation* Ensuring the cases sent for investigation are closed within the defined TAT* Maintenance of minimum 30*%Hitrate.* Assists desk-top investigation staff to conduct claim investigation* Participate in team meetings share information and make suggestions for improvements in the process* Report risk information and findings to the immediate supervisor in a timely manner* Recommended new software tool used for fraud detection, prevention and reporting activitiesQualification:BDS, MBBS, BHMS, BSMS, D PHARM, MDS, BPT, MPTExperience:1 to 3 years in Health InsuranceFor direct Walk-in:7th Jul to 11th JulStar health and allied insurance co LtdNo15, Ground floor, Sri Balaji Complex Whites Lane, Royapettah, Chennai-600014Landmark - Sathiyam Theatre Back side