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    Job · 14318434

    Digit Insurance logo

    Medical Doctor

    Digit Insurance · Bengaluru · onsite · Posted 56d ago

    Not disclosed1–5 yrsfulltimeSourced fromFoundit

    About a minute. You'll make an account on the way through.

    About this role

    • Processing of health claims as per SOP/guidelines shared,
    • Day to day achievement of expected productivity with out compromising on the quality parameters.
    • Identification of Fraud triggers and possible leakage
    • Complete understanding of health claims processing
    • Aware of latest regulations and its implications
    • Adherence to the prescribed TATs for each category
    • Thorough medical knowledge, clinical efficacy of the treatment protocols given
    • Able to read, interpret and question the information on the medication and relation to the diagnosis
    • Clear understanding on ICD code and procedure codes
    • Case management where there is possibility of inflation/abuse
    • Interpretation of the product wordings for appropriate claims decisio

    Sourced from foundit

    Skills

    case managementfraud detectionIcd Codingmedical knowledgeRegulatory ComplianceClaims Processing

    About Digit Insurance

    Digit Insurance logo

    Digit Insurance

    Insurance

    4.5k+

    employees

    2016

    10 years old

    Bengaluru/Bangalore, Karnataka

    India

    About

    We make insurance simple, human and refreshingly clear — with products built for real life, fast processes, and a no-nonsense approach that customers can actually trust!

    Industries

    Insurance

    Employee ratings

    1,800 reviews

    3.6/ 5

    Culture

    3.6

    Career growth

    3.3

    Work-life

    3.6

    Employees rate it well for

    Work Culture200Work Life Balance165Senior Management128Learning118Salary116

    Find them on

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    Medical Doctor · waiting for your command