Our client, a Gulf Insurance company is looking for full-time MBBS Doctors to work as a Subject Matter Expert in Bangalore in rotational shifts.


Designation: Subject Matter Expert (SME)

Client: a Gulf Insurance company

Location: BTM Layout / Manyata Tech Park, Bangalore

No of positions : 3


Rotational Shift Timings

- 8:30am to 5pm

- 3pm to 11:30pm

- 11pm to 7:30am (work from home shift)


Friday and Saturday week off (according to Gulf weekly holiday)


Job Responsibilities

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.



If interested, please forward me your resume with your expected salary and notice period.


Regards,

David Torres
Email : david@avestacs.com
Office : 080 67233007
Cell: 9742218347 >