Health Claims Analyst - Maharashtra

Only for registered members Maharashtra, India

3 weeks ago

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Job summary

The role of Health Claims Analyst involves scrutinizing and analyzing health insurance claims for medical accuracy and policy adherence.

Responsibilities

  • Scrutinize and analyze health insurance claims (cashless & reimbursement) and personal accident claims for medical accuracy, billing correctness, and policy adherence.
  • Identify red flags, potential fraud, up-coding, unbundling, and over-billing by hospitals and healthcare providers.

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