Policy Interpretation Jobs – Apply to Latest Policy Interpretation Job Vacancies

Assistant Manager - Claims Rx Consultants

5 - 10 years

8 - 15 Lacs

Mumbai

Work from Office

Experienced and licensed medical professional (MBBS/MD) with a strong background in medical claims assessment and clinical evaluation within the health insurance or TPA industry. Skilled in reviewing pre-authorization requests, hospitalization claims, and medical documentation to ensure medical necessity, policy compliance, and regulatory standards (IRDAI). Proficient in ICD-10 coding, claims adjudication, and fraud detection, with a focus on accuracy, ethical judgment, and collaborative decision-making. Adept at coordinating with hospitals, TPAs, and internal teams to streamline claim processing and maintain service quality.

Posted 1 month ago

Apply

Operations Processor Wells Fargo

2 - 4 years

7 - 17 Lacs

Hyderabad

Work from Office

About this role: Wells Fargo is seeking an Operations Processor In this role, you will: Perform moderately complex operations duties in support of either a service center or department environment Require considerable knowledge of company personnel policies and practices Collect data and prepare related operational reports Prepare input forms for automated data processing system Utilize the company's internal operations to perform duties Coordinate projects Furnish information to authorized persons Provide guidance to all levels of employees regarding personnel policies and procedures requiring some policy interpretation Required Qualifications: 2+ years of operations support experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education.

Posted 3 months ago

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.