29 Aug
|
Digit Insurance
|
Pune
29 Aug
Digit Insurance
Pune
• Processing of health claims as per SOP/guidelines shared,
• Day to day achievement of expected productivity with out compromising on the quality parameters.
• Identification of Fraud triggers and possible leakage
• Complete understanding of health claims processing
• Aware of latest regulations and its implications
• Adherence to the prescribed TATs for each category
• Thorough medical knowledge, clinical efficacy of the treatment protocols given
• Able to read, interpret and question the information on the medication and relation to the diagnosis
• Explicit understanding on ICD code and procedure codes
• Case management where there is possibility of inflation/abuse
• Interpretation of the product wordings for appropriate claims decision
📌 Medical Officer (Pune)
🏢 Digit Insurance
📍 Pune