Job Profile:
-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.
Kindly share your cv on ka**********y@vi***********a.com
Contact No - 8657533***
Required Candidate profile
PresentableKeyskills: fraud control risk control Insurance Claims Fraud Investigation Investigation compliance control Health Insurance