Relationship Manager
Weekday AI·Bengaluru
- Can I apply
- Open to any education · 5–9 yrs
- Pay
- Pay not stated
- Source
- From the company's careers page · today
- How to apply
- On Weekday AI's site: short form, ~5 min
Early: posted 1 h ago on their own site
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About the role
Sr Associate - Health claims (CL&MR) at ACKO. File Review & Assessment.
What you'll do
- File Review & Assessment
- Review all open claim files assigned (cashless & reimbursement)
- Verify completeness of documentation (pre-authorization forms, discharge summaries, bills, prescriptions, investigation reports, etc.)
- Check for missing or inconsistent information and initiate follow-ups with hospitals, TPAs, or claimants
- Evaluate medical necessity of treatments against standard guidelines and policy coverage
What you need
- Compliance
- SOP writing
- Claims processing
- Internal audit
- Root cause analysis
- Audit
- MBBS or BDS
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