- Acts as an interface between the TPA, Insurance Company and the hospital.
- Responsible for investigation of suspicious claims.
- Effective usage of Fraud control measures.
- Act as a backend support to the TPA.
- Responsible for data mining and analytics related to Fraud and Investigation (IFD)
- MIS reporting related to fraud control and all stakeholders.
- Should should be completely fine with doing field work (for Investigations) .
📌 Medical Officer (Secunderabad)
🏢 MD India Health Insurance TPA
📍 Secunderabad
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