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