Senior Manager - Clinical Insurance Operation

  • Mumbai, Maharashtra
  • Permanent
  • Full-time
  • 21 days ago
Job descriptionAVP / Senior Manager - Clinical Insurance Operations (Doctor Only)Location: MumbaiPositions: 1Salary: ₹1 Lakh per monthRole OverviewThis is a specialized role requiring a medical professional to oversee clinical aspects of insurance operations, including claims validation and medical underwriting support.Key Responsibilities * Evaluate medical aspects of insurance claims
  • Liaise with hospitals and medical teams for case validation
  • Support underwriting and claims teams with clinical insights
  • Review treatment protocols and hospitalization cases
  • Ensure compliance with medical and insurance guidelines
  • Assist in fraud detection and medical audits
  • Improve clinical processes within insurance operations
Requirements * MBBS & BHMS preferred
  • 5+ years of experience in hospital/TPA/insurance
  • Strong understanding of health insurance claims
  • Experience in clinical audits or insurance operations preferred
  • Analytical and decision-making skills
Job requirements
  • Experience: 5 to 8 Year.
  • Education : Bachelor of Medicine and Bachelor of Surgery (M.B.B.S.)
  • Specilization : Preferred...
  • Skills :
  • Industry Type : Insurance
  • Status : Not Disclose.

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