8 - 12 years

25 - 30 Lacs

Posted:2 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Quality Investigation with proper evidences, maintaining healthy success rate on Rejection/Fraud, achieving the targets assigned
Maintaining adequate TATs Fraud Identification with adequate use of Technology in case profiling/identification Vendor addition, vendor training, follow up with the vendors on the assigned tasks Filing police complaint with FIR conversion for logical conclusion Field verification / hospital / vendors / spot Vendor coordination, Hard copy investigation report dispatch, vendor payment / reconciliation / clearance Ombudsman/Grievance Handling/responding to the queries of internal customers Job Description Individual contributor, Handling Health & Accident Claims for Investigation and logical closures of cases. Identification of process gaps / Data analysis. Building network of vendor to support the activities. Coordination with internal customers for smooth operation of the activitypliance of define process. Field verification / hospital / vendors / spot. Safeguarding the interest of the Royal daram GIC, Identification and Execution of projects to minimize /mitigate losses. Identification & Eradication of fraud of any form. Filing of police Complaintplaint conversion to FIRs. Venue Contact
Royal daram has published a position Investigation Lead at Lucknow - Park Road.
Qualification-Medico with preferably BAMS/BHMS Qualification.

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