01Responsibilities
To comply with departmental SOP with respect to: fraud investigation, reporting and recovery
Close liaison with the claims team, investigation agencies and other stakeholders in terms of fraud investigations and outcomesParticipate in relevant training activity and regularly upgrade knowledge in the area of fraud risk management
Measurement and documentation A medical graduate (BDS/BPT/ BAMS/ BHMS)
Minimum 1+ years of experience in the health insurance claims/ fraud investigations or related areas
Key Requirements - Experience & Skills Good working knowledge of MS Office (MS Word, MS Excel, MS PowerPoint).
Good analytical skillsGood organizational, planning and delivery skillsStrong people management /interaction skillsFluent in Hindi and English both written and spokenTeam handling skills/experienceMulti-tasking and ability to work under pressure in a fast paced environmentAdhering to Max Bupa principles and values .