Minimum- Medical Graduate (BDS/BAMS/ BHMS/BUMS/BPT)
Minimum Mandatory Skill Set
Processing claims, quality check, adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should have experience in TPA/Insurer in Health Insurance & Retail Claim. Candidate should be open to work in 24X7X365 environment. Willing to work in shifts & weekends & be flexible as per the business requirements.
Brief Job Profile
Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training, and retention
Desired Competencies / Skill Set
Health Insurance related qualification AIII, FIII, Licentiate, Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Valuable Clinical Acumen
Preferred Industry
Health Insurance/TPA/ Hospital / Clinical Practice/heath care/ wellness etc.
📌 Medical Officer, Assistant Manager, Deputy Manager (Kolkata)
🏢 Health Insurance TPA of India
📍 Kolkata
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