Job title: Manager Health Claims
Company: Bajaj Allianz General Insurance Company Limited
Job description: Job Description : * MBBS Doctor with Exp in Health Insurance * Open File Review ( OFR ) , Closed File review ( CFR) of Health Claims * TPA Audits with an objective to reduce average claim (ACS) * Medical Management of TPA serviced policie
Job Description : MBBS Doctor with Exp in Health Insurance Open File Review ( OFR ) , Closed File review ( CFR) of Health Claims TPA Audits with an objective to reduce average claim (ACS) Medical Management of TPA serviced policies/ accounts Investigation & Loss Mitigation (ILM) coordination – Continuous engagement in refining the triggers toincrease success rate of on field investigations, TAT maintenance Handling of Legal & Ombudsman Cases ,creation of database& review of long pending cases Value inputs on Repudiation of claimsto prevent potential litigations Training – Advancements in Medical Field& Learnings from Audit , ILM & Litigated cases Desirable Skills : 1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. Education/Qualification:MBBS Years Of Exp :8 to 10 Years
Job date: Sun, 06 Feb 2022 23:44:29 GMT
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