Field Investigator Executive Job in Vidal Health TPA Private Limited at Noida

UG: Any Graduate in Any Specialization

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.