Opening with Religare -Claims benefit Co-ordinator -FCU

2 - 4 Years
Gurgaon

Job Description

Brief Job Description : Field Investigation Profile

  • Ø Person will be responsible for conducting and managing investigations for Fraud claims of Health, Personal Accident and Critical Illness.
  • Ø Required to visit hospital, doctors, insured, vicinity & Govt. authorities like police & collect all supporting evidence as per requirement of the case
  • Ø Maintaining of files and documentation of all investigation claims
  • Ø Ensuring closure of cases within defined timelines
  • Ø Undergoing timely audit and reviews
  • Ø Maintaining MIS of all cases and transactions
  • Skill sets required : Ø 1 - 3 years of relevant field investigation experience Ø Sound knowledge about health insurance fraud & abuse Ø Good Communication skills

    A 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.

Industry:Insurance

Functional Area:Medical, Healthcare, R&D, Pharmaceuticals, Biotechnology

Role Category:Medical Professional

Role:Medical Officer

Keyskills

Desired Candidate Profile

Please refer to the Job description above

Education-

UG:BHMS - Any Specialization, B.U.M.S - Any Specialization, BAMS - Any Specialization, B.Pharma - Pharmacy

Company Profile

Religare Health Insurance Company Limited

Greetings from 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.
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Recruiter Name:Ms.Apoorva Sharma

Contact Company:Religare Health Insurance Company Limited