Assistant Manager Claims/Case Manager - Karachi

Looking for CASE MANAGER (Doctor) & ASSISTANT MANAGER CLAIMS - Karachi

Our client, one of the leading healthcare & insurance company in Karachi looking for experienced candidates for following positions: Position#1: CASE MANAGER (Doctor) - Karachi Key Accountabilities

• Authorization of Inpatient hospitalizations/ treatments as per policy terms and conditions. 

• Case Management: involving visits to network hospitals for interaction with insured members, assessment of their medical record and correspondence with treating physician if required. 

• Handling the medical Hotline for authorizations and client queries. 

• Liaison with hospital administration and assessment of the hospitals as per the company’s assessment criteria for empanelment. 

• Rate negotiations with hospitals. 

• Disease based presentations.

Experience: 1 to 2 years Salary Range: 30k to 50K 

Position#2: ASSISTANT MANAGER CLAIMS - Karachi 

• Evaluation of claims as per policy terms and conditions. 

• Verification of suspicious claims. 

• Ensuring claims processing within the stipulated time period.

• Generation of reports for periodic analysis. 

• Handling of queries from both Clients and Network hospitals. 

• Liaison with Case managers and Network hospitals for accurate claims settlement.

Experience: 1 to 2 years Salary Range: 30k to 50K 

Interested and experienced candidates apply at sadiq.fareed@primehr.com.pk and mention the position in subject line