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

India

Key Responsibilities Conduct medical risk assessments and review procedures, treatments, and claims. Prepare and implement SOPs for medical and claims processes. Analyze hospital tariffs, compare procedure costs, and support pricing decisions. Perform medical data analysis, generate reports, and identify trends. Oversee claims processing, ensure accuracy, and support fraud detection. Skills &amp; Competencies Strong medical knowledge (MBBS/BHMS/BAMS). 8+ years’ experience in health insurance and government health schemes. Expertise in medical risk assessment, claims review, and tariff analysis. Ability to develop SOPs and interpret medical data. Excellent communication and stakeholder management.

Medical Underwriting · Pune

Job highlights

Skillset required

Job Description

Job Description for Medical Underwriting

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