3 Policy Coverages Jobs

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7.0 - 11.0 years

0 Lacs

thane, all india

On-site

As a Closed File Review & Audit Specialist at Liberty General Insurance, your role will involve handling closed/open file reviews for third-party administrators and in-house claims. You will be responsible for recovering funds from third-party administrators for claims processed with errors, highlighting areas for improvement, and publishing monthly reports. Key Responsibilities: - Conduct closed/open file reviews for third-party administrators and in-house claims - Recover funds from third-party administrators for claims processed with errors - Identify areas for process improvement - Prepare and publish monthly reports Qualifications Required: - Degree in medicine (BHMS/BAMS/MBBS) - Minimu...

Posted 2 weeks ago

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7.0 - 11.0 years

0 Lacs

thane, maharashtra

On-site

Role Overview: You will be responsible for conducting closed file review and audits, both for third party administrators and in-house claims processing. Your duties will include identifying areas for improvement, recovering funds from third party administrators for error-prone claims, and generating monthly reports. Key Responsibilities: - Conduct closed and open file reviews for third party administrators and in-house claims - Identify and recover funds from third party administrators for claims processed with errors - Highlight areas for improvement in the claims processing workflow - Publish monthly reports summarizing audit findings Qualification Required: - Degree in medicine (BHMS/BAMS...

Posted 2 months ago

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7.0 - 11.0 years

0 Lacs

thane, maharashtra

On-site

You will be responsible for conducting closed file review and audit processes, including handling closed and open files for third party administrators and in-house claims. You will be tasked with recovering funds from third party administrators for claims that were processed with errors. Your role will also involve identifying areas for improvement and compiling monthly reports for publication. To excel in this role, you must possess a deep understanding of medical cases, including knowledge of ailment treatments and policy coverages for OPD, hospitalization, personal accident, and travel claims. Strong interpersonal skills are essential, along with a proactive and effective learning attitud...

Posted 4 months ago

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