Manager – FCU

2 - 7 Years

Job Description

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 profile

We 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

Salary: INR 5,00,000 - 7,00,000 PA.



Desired Candidate Profile

Please refer to the Job description above


UG:MBBS - Medicine, BAMS - Any Specialization, B.U.M.S - Any Specialization, BHMS - Any Specialization, B.Pharma - Pharmacy, BDS - Dentistry

PG:MBA/PGDM - Any Specialization

Company Profile

Religare Health Insurance Company Limited

Religare Health Insurance (RHI), the health insurance arm of Religare Enterprises Limited (REL), is a specialized Health Insurer offering health insurance services to employees of corporates, individual customers and for financial inclusion as well. With RHI's operating philosophy being based on the principal tenet of 'consumer-centricity', the company has consistently invested in the effective application of technology to deliver excellence in customer servicing, product innovation and value-for-money services. Religare Health Insurance currently offers products in the retail segment for Health Insurance, Critical Illness, Personal Accident, Top-up Coverage, International Travel Insurance and Maternity along with Group Health Insurance and Group Personal Accident Insurance for corperate's.
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Recruiter Name:Ms.Renu

Contact Company:Religare Health Insurance Company Limited