Fraud Investigator

Updated: March 06, 2024 04:08 AM GMT

Full-time Job in Surat, Gujarat

Talish Solutions

Surat, Gujarat, India

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)

Job Description: -

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 claims

Qualification: -

Graduate Medical background, MR (B pharma, with hospital billing understanding), BHMS or BAMS (with... More Detail