Vidal Health Insurance TPA is one of the most promising TPA in the world.
Website: www.vidalhealthtpa.com
Profile Offered: Field Investigator Executive
Job location: Delhi NCR
Course Specialization: Any Graduate in Any Specialization
Desired Experience: 0 - 4 years
Roles and Responsibilities:
-Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by claimants / providers / any other stakeholders in health insurance claims.
-Review and research evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations.
-Prepare and coordinate field assignments to obtain relevant evidence and information.
-Coordinate with Corporate office to provide recovery strategies and use legal resources for assistance.
-Manage and prioritize a large and varied case load effectively and efficiently to achieve positive result.
-Write Narrative report based on investigation conducted with evidence to support.
Education:
B.Com., B.Sc., B.Tech/B.E.
Work Experience:
0 - 4 Years
Salary
Confidential
Industry
IT