Brief Job Description : Field Investigation Profile
- Ã Person will be responsible for conducting and managing investigations for Fraud claims of Health, Personal Accident and Critical Illness.
- Ã Required to visit hospital, doctors, insured, vicinity & Govt. authorities like police & collect all supporting evidence as per requirement of the case
- Ã Maintaining of files and documentation of all investigation claims
- Ã Ensuring closure of cases within defined timelines
- Ã Undergoing timely audit and reviews
- Ã Maintaining MIS of all cases and transactions
Skill sets required : Ã 1 - 3 years of relevant field investigation experience Ã Sound knowledge about health insurance fraud & abuse Ã Good Communication skillsA person handling health insurance field investigation in TPA / Health / General Insurance Company shall be preferred. Qualification required :
- Medical Graduate (preferred - BAMS, BHMS, BUMS; BDS, BPT, B.Pharma with good experience, knowledge & investigation skills can be considered.
Salary: INR 4,00,000 - 5,00,000 PA.
Functional Area:Medical, Healthcare, R&D, Pharmaceuticals, Biotechnology
Role Category:Medical Professional
Desired Candidate Profile
UG:BHMS - Any Specialization, B.U.M.S - Any Specialization, BAMS - Any Specialization, B.Pharma - Pharmacy
Religare Health Insurance Company Limited
Religare Health Insurance Company Limited is a specialist health insurer engaged in the distribution & servicing of health insurance products. Our shareholders comprise three strong entities: Religare Enterprises Limited, a leading diversified financial services group based out of India, Union Bank of India & Corporation Bank.
Religare is promoted by the founders of Fortis Hospitals, which owns or manages 68 hospitals in India; SRL Diagnostics, Asia's largest network of diagnostic labs with over 1100 collection centers and Religare Wellness, a nationwide chain of stores offering pharmacy and wellness products. This association enables us with an in-depth understanding of consumer behavior and healthcare delivery, thus making us capable of superior claims servicing to our customers.
Recruiter Name:Ms.Apoorva Sharma
Contact Company:Religare Health Insurance Company Limited