Cashless & Spot cases need to be investigated within 24 hours from the allocation date.Reimbursement cases need to be investigated within 15 days from the allocation date.Pre Quality Check of Cashless and Reimbursement Claims for further investigation and Closure of his own cases.Need to check Previous claims documents also before doing the investigationAdhere to agreed TAT and accuracy Should highlight Central team with Fraud Proven Hospital names on basis of his findings and market feedback. Cases reports to be Prepared with Quality. Maintain Daily Sheet of all the Investigation Cases Coordination with within different function Ability to work in highly competitive & demanding environment
KEY STAKEHOLDERS
Internal:
Customer Service and Operations TeamClaims Team
Education
Any Graduate from any Background (Medical Background Preferred)
Experience
1-2 Years Experience in Field Investigation Fresher can also be consider with Medical Knowledge but willing to work in field. Knowledge of Insurance IndustryKnowledge in Computer & MS OfficeExcellent Interpersonal and team working skill
Who can apply:
Only those candidates can apply who:
have minimum 1 years of experience
Salary:
Competitive salary
Experience:
1 year(s)
Deadline:
2035-01-01 00:00:00 .
