Vacancy Alert | Urgent Requirement
Ø Desk Medical Auditor
Hiring by: Phoenix Assurance Pvt Ltd for AB-PMJAY on behalf of Bajaj General Insurance Company
Background of the company: We are the most preferred partner for majority of private insurance companies in majority parts of India in relation to claim verification and investigation.
Job Location: 📍1005 - 1006 10th Floor Shilp Zaveri Building, Ahmedabad, Gujarat
380015
Eligibility: MBBS with GMC certified
Job Role & Requirements:
· Candidate must be proficient in medical terminology, disease classification, understanding of line of treatment and knowledge of STG laid down by NHA for processing claims of PMJAY.
· Candidate must have minimum 1 year of experience in PMJAY claim processing, and/or audit at TPA/insurance company level.
· Candidate must have basic knowledge of computer, MS office, mail communication etc.
Workflow Process :
· To carry out audit of pre auth claims and to identify leakages if any.
· To carry out audit of claims at or after CPD level to identify leakages if any.
· To laid down standard processing guidelines and to guide processing team for accurate processing of claims.
· To carry out all those activities which help company to reduce loss ratio in ethical manner.
Job Timings: 10:00 AM to 6:30 PM [ Monday to Saturday ]
Freshers can also apply.
Leave: 1.5 Days Per Month
Joining: Immediate
Contact Person: Pooja Kumari – HR Executive
Mobile number: +91 9142955670
