Manager - Health Claims Mgmt

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.