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1.0 - 5.0 years
0 Lacs
jaipur, rajasthan
On-site
The role involves conducting objective, fair, thorough, unbiased, and timely investigations into allegations of fraud, waste, or abuse in health insurance claims made by claimants, providers, or other stakeholders. You will review and research evidence and documents to analyze claim fact patterns, synthesize data into professional reports with recommendations, prepare field assignments, and coordinate with the Corporate office for recovery strategies and legal resources. Managing and prioritizing a large case load efficiently to achieve positive results is essential. Additionally, you will write narrative reports based on investigations conducted, supported by evidence. Desired candidates sh...
Posted 1 month ago
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