- Western Line in Mumbai /n /n Primary Role Description:
- /n Responsible to Investigate Cashless/Spot and Reimbursement Claims in field. /n /n Key Roles & Responsibilities: /n /n
- Cashless & Spot cases need to be investigated within 24 hours from the allocation date.
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- Reimbursement cases need to be investigated within 15 days from the allocation date.
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- Pre Quality Check of Cashless and Reimbursement Claims for further investigation and Closure of his own cases.
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- Need to check Previous claims documents also before doing the investigation
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- Adhere to agreed TAT and accuracy
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- Should highlight Central team with Fraud Proven Hospital names on basis of his findings and market feedback.
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- Cases reports to be Prepared with Quality.
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- Maintain Daily Sheet of all the Investigation Cases
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- Coordination with within different function
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- Ability to work in highly competitive & demanding setting
/n /n /n KEY STAKEHOLDERS /n Internal: /n /n
- Customer Service and Operations Team
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- Claims Team
/n /n /n Education /n /n
- Any Graduate from any Background (Medical Background Preferred)
/n /n /n Experience /n /n
- 1-2 Years’ Experience in Field Investigation
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- Fresher can also be consider with Medical Knowledge but willing to work in field.