1. Involves Auditing of processed Claims / Preauth within timelines
2. Validating for process guidelines / Quality / other terms and conditions
3. Document observation and update in reports
4. Process the assigned claims within a day
Financial : To see to that there is no financial implication for the organization while settlement of claims
Role : Medical Officer
Required Knowledge /Skill : Positive Medical knowledge to evaluate the treatment plan
Education : BDS / BHMS / BAMS ( Need to have Registration Number )
Shift timing: General Shift / Afternoon Shift / Evening Shift / Night Shift