Roles and Responsibilities

1. Acts as an interface between the TPA, Insurance Company and the hospital.

2. Responsible for investigation of suspicious claims.

3. Effective usage of Fraud control measures.

4. Act as a backend support to the TPA.

5. Responsible for data mining and analytics related to Fraud and Investigation (IFD)

6. MIS reporting related to fraud control and all stakeholders.

7. Should be completely fine with doing field work (for Investigations)

8. Should have own vehicle (2 Wheeler) with license.


Desired Candidate Profile

Qualification Any Graduate ( Preferred - Pharmacy and Doctors)
Experience Fresher / Preferably with an experience(min.1yrs) from TPA or Insurance profile.

If Interested share your resume to [email protected]


Role: Customer Success, Service & Operations - Other
Industry Type: Insurance
Department: Customer Success, Service & Operations
Employment Type: Full Time, Permanent
Role Category: Customer Success, Service & Operations - Other
Education
UG: Any Graduate
Key Skills
Medical TPAIFD Claim Investigation FraudBdsFieldfreshermedical officerField InvestigationFraud InvestigationField WorkHospitalHealth InsuranceMOClaimsMedical RepMRmedical representativeDoctorsBHMSInsurancePharmacymedicoMpharmInvestigationHealthcareBAMS