We have an opening as MANAGER- HEALTH CLAIMS MANAGEMENT (Risk and loss Mitigation Dept) with one of the General Insurance Company in Mumbai. The job location is at Marol, Andheri- east.

Designation - Manager - Health Claims Management.

Department- Risk and Loss Mitigation.

Location - Andheri-e, Mumbai and Patna

Experience required - 4-10 yrs.

CTC : As per industry standard

Qualification required : MBBS

Age : should be below 34 yrs.

Job Description :

- Development of investigator network for health claims investigation.

- Coordination with internal and external customers.

- Compliance of TAT.

- Claims management processes (e.g. authorization, adjudication, verification, and audit).

- Evaluation of Health Care Treatment & Associated Costs.

- Interaction with Health Care Providers.

- Implement new process to cut down on cost and improve client service.

- Liasoning with Network Doctor/Hospital Authorities.

- Must have basic computer knowledge & MS Office

Possible Transfer from Claims Team.

3 years in surgical

Medical, GI, TPA,

Medical professional

If interested, please reply with your latest resume to karuna@addusservices so that I can schedule your interview with our client or call me.

Also, let me know if you have any of your colleague or friend looking for the same position.

This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.