07 Nov
|
National Institute for Smart Government (NISG)
|
New Delhi
07 Nov
National Institute for Smart Government (NISG)
New Delhi
JD - Consultant Adjudication Auditor- Service Provider Engagement- IITE
Essential: Medical Graduate
Desirable: MBBS
Experience:
Minimum three years of experience in claim processing, claims adjudication and/or audit of health insurance claims.
Desirable:
(i) Experience in health Insurance Eco System preferably with insurer/TPA/Hospitals
(ii) Experience in public health System
Create and strengthen claims audits tools and modules to enable the conduct of effective desk and filed claims audits.
Conduct claims audits.
Analyse various dashboards, triggers and outliers to identify cases for claims audits.
Preparation weekly, monthly and yearly reports, as and when required.
Prepare and share reposts indicating suggested corrective actions.
Nay other assignment/ responsibility given by NHA
📌 Consultant Adjudication Auditor Spe Iite Nha Pmjay Delhi New Delhi
🏢 National Institute for Smart Government (NISG)
📍 New Delhi