to join our growing health vertical team. The ideal candidate will provide medical expertise in claims adjudication, policy development, utilization management, and health risk assessment, ensuring that all medical decisions are evidence-based and align with our company's guidelines.
Key Responsibilities:
Review and evaluate medical claims for appropriateness and medical necessity
Support underwriting and product development teams with medical insights
Participate in pre-authorization and utilization reviews
Ensure compliance with regulatory and internal clinical guidelines
Collaborate with providers, policyholders, and internal departments to ensure quality care and service
Monitor trends in healthcare practices and outcomes
Job Type: Fresher
Pay: ?21,336.98 - ?85,847.07 per month
Benefits:
Cell phone reimbursement
Commuter assistance
Flexible schedule
Internet reimbursement
Leave encashment
Work from home
Schedule: