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| Job Location | Mumbai City |
| Education | Not Mentioned |
| Salary | Rs 5 - 7 Lakh/Yr |
| Industry | Medical / Healthcare |
| Functional Area | General / Other Software |
| EmploymentType | Full-time |
Carry out Reimbursement investigations through team as well as agencies. Always maintaining TAT of investigation closures. Creating reports of investigations. Analysis of Reports submitted by team/Agencies. Communications with team/agencies related to investigation. Team management with taking care of enhancement of skills of team people. Arrange for the investigation of suspected claims and report to company if found fraud. Resolve Grievance and allegations arising out of Investigation. Manage Agency claim allocations as per success and findings along with quality.Required Candidate profileWe want candidates who are good in Team Management, Fraud Control, Investigation, Oriented towards work assigned, Ready to travel in state. Qualification required: MBBS/BDS/BAMS/BUMS/BHMS with 2 yrs Experience in Claims Investigations. BPTH/B. Pharma/Life Science Degree with MBA with 3-5 yrs Experience in Claims Investigations ,
Keyskills :
fraudcontrol teammanagement tat care fraud claims agency science control analysis management allocations australasia ManagementInformationSystems BusinessProcessOutsourcing TransitionManagement SoftSkills istr