Hiring :: Health Claim Doctors ( MBBS, BAMS, BHMS - Experience 0 to 5 Years ) :: Hyderabad ( Gachibowli) !!!

  • Empleo Technologies
  • Hyderabad, Telangana, India
  • Jan 07, 2018
Full time Pharma, Healthcare & Biotechnology Jobs

Job Description

Role
· To work in Medical Claim Management Team.
· To process Medical Claim Cases
· To Rationalize the medical cases while comparing to the policy and justify as per the policy
Criteria
· Qualification: MBBS/BHMS/BAMS committed towards non clinical career in insurance industry may apply.
· Good knowledge about insurance industry
· Requisite experience in Insurance industry/ TPA / Hospital / Hospitality / BPO / KPO / or any other process driven service Industry.
· Age not more than 30 years
· Candidates appeared in the last 6 months need not apply
· 0-5 years experience
· Freshers with good knowledge & understanding about insurance industry can also apply
Job Description
· Claims management processes e.g. authorization, adjudication, verification, audit etc.
· Evaluation of Health Claims Ratio
· Evaluation of Health Care Treatment & Associated Costs
· Interaction with Health Care Providers
· Coordination with internal & external teams
· Implement new process to cut down on cost and improve client service

Interested and Eligible,Please share your resume to priyanka@empleo.in