Key Responsibilities

<ul>
<li style="margin-left:0px;">Conduct medical risk assessments and review procedures, treatments, and claims.</li>
</ul>

<ul>
<li style="margin-left:0px;">Prepare and implement SOPs for medical and claims processes.</li>
</ul>

<ul>
<li style="margin-left:0px;">Analyze hospital tariffs, compare procedure costs, and support pricing decisions.</li>
</ul>

<ul>
<li style="margin-left:0px;">Perform medical data analysis, generate reports, and identify trends.</li>
</ul>

<ul>
<li style="margin-left:0px;">Oversee claims processing, ensure accuracy, and support fraud detection.</li>
</ul>

Skills &amp; Competencies

<ul>
<li style="margin-left:0px;">Strong medical knowledge (MBBS/BHMS/BAMS).</li>
</ul>

<ul>
<li style="margin-left:0px;">8+ years’ experience in health insurance and government health schemes.</li>
</ul>

<ul>
<li style="margin-left:0px;">Expertise in medical risk assessment, claims review, and tariff analysis.</li>
</ul>

<ul>
<li style="margin-left:0px;">Ability to develop SOPs and interpret medical data.</li>
</ul>

<ul>
<li style="margin-left:0px;">Excellent communication and stakeholder management.</li>
</ul>

Medical Underwriting in Pune (UID-16457)

Job Description

Job Details

Skills Required for Medical Underwriting

Job Description for Medical Underwriting

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