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Fraud Investigator

1.00 to 6.00 Years   Ahmedabad   10 Mar, 2024
Talish Solutions
Job LocationAhmedabad
EducationNot Mentioned
SalaryRs 2.0 - 5 Lakh/Yr
IndustryInsurance
Functional AreaDoctorAllied Health Services
EmploymentTypeFull-time

Job Description

    We have an excellent opportunity Field Investigator in India no 1 general insurance & Health Insurance company.Job Location: - Rajkot, Surat, Indore, Bhopal, Vadodara, Ahmedabad.Salary: - Up to 5.5 LPA Traveling Allowance Yearly Performance Bonus.( Salary Depends on Interview)- Handling customers on the ground within policy terms in sync with hospitals and driving savings by bill audits and negotiation with the hospitals Handling 7-10 hospitals in the vicinity by as and when required visits Knowledge of Hospital Billing systems and evaluating medical bills Best clinical practices - Clinical knowledge for evaluation of medical files Communication skills for negotiation with Hospital management Market knowledge concerning disease and surgical procedure trends Problem-Solving ability: Address insured/Patient concerns related to claimsQualification: - Graduate Medical background, MR (B pharma, with hospital billing understanding), BHMS or BAMS (with Insurance/insurance TPA or bill audit experience), MHA will be preferred.Experience: - 2 Years in health insurance/health insurance TPA or claims handling/audit- Candidate must have excellent bill/medical negotiation skills & customer handling skills.- Candidate must have excellent knowledge of health insurance / Health TPA domain.- Possessing fluent communication skills in Hindi/English and the local language of the State/region.Selection Criteria: - - Local/outstation travel as per the job requirement- Own a vehicle for travel- Adequate functional computer literacy which shall include understanding of Microsoft Office Suite and navigating through Internet Portals.- Candidate should be proactive & disciplined towards managing daily tasks.- Candidate should be able to multi-task and handle complex situations and customers.Intrested Candidate Kindly contact Kashvi Thakkar 93hidden_mobile0/ hidden_email

Keyskills :
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