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In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.
Taking decision on high value and complex medical condition claims.
Work on cost avoidance.
Implementing changes on the reference guidelines
Identify and comprehend medical terms on Claim Form.
Identify fraudulent claims.
Creating basic awareness within the team on medical conditions

Key Accountabilities : -
In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.
Taking decision on high value and complex medical condition claims.
Work on cost avoidance.
Minimum 0.5 to 2 year experience (post internship) in medical practice
Implementing changes on the reference guidelines
Identify and comprehend medical terms on Claim Form.
Identify fraudulent claims.
Creating basic awareness within the team on medical conditions >

Subject Matter Expert

Designation / Job Role : Associate/Senior Associate -(NonTechnical)
Job Description :
Process Brief: -
In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.
Taking decision on high value and complex medical condition claims.
Work on cost avoidance.
Implementing changes on the reference guidelines
Identify and comprehend medical terms on Claim Form.
Identify fraudulent claims.
Creating basic awareness within the team on medical conditions

Key Accountabilities : -
In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.
Taking decision on high value and complex medical condition claims.
Work on cost avoidance.
Minimum 0.5 to 2 year experience (post internship) in medical practice
Implementing changes on the reference guidelines
Identify and comprehend medical terms on Claim Form.
Identify fraudulent claims.
Creating basic awareness within the team on medical conditions
Speciality : Other
Number of Openings : 1
Hiring For : Not Disclosed
Location(s) : Pune
Country : India
Experience : 0 - 5 year(s)
Salary : INR 300000 - 700000 per annum
Date Posted : 31-Dec-2014
Application Deadline : Not Specified
Requirements
Education : MBBS- Medicine
M.S/M.D - Any Specialization
Any Doctorate - Any Specialization
Candidate Profile : Please refer to the Job description above
Company Profile
Posted By : Mr. DocLynk Admin
Organisation Name : Medigrity
Designation : Administration
Job Reference : Not Specified
 
 
   

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