Cluster Manager-ILM- Health Investigations in Bajaj Allianz General Insurance Ahmedabad,Gujarat,India
Website Bajaj Allianz General Insurance
Jobsfunter is listing this job opening under Bajaj Allianz General Insurance in Ahmedabad,Gujarat,India 2022 exclusively on jobsfunter.com
About the job
Desktop Investigation
- Trigger identification through data at intimation/Referral stage
- Social media searches
- Cold calling using digital platforms
- Identify key business people, link analysis
Claim Investigation
- Allocation of assigned claims to respective vendors with case relevant triggers
- Follow up for IR and TAT management
- Level 1 QC clearance & validate the submissions against shared triggers
- Success in claim investigation based upon strong medical & legal evidences
- Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law
- Report submission and coordination with claims team.
Evidence Matrix Assurance
- Ascertain evidence quality as per matrix
- Validate each & every evidence with the case triggers
- DMS of hardcopy maintenance
Escalation Management
- Document Complaince through Field Investigation of HVC
- Further Requirement Complaince
- OFR and CFR with Stake holders
Data Management
- MIS preparation and report reconciliation
- Payment reconciliation with Vendors
- Project tracking
Vendor Management
- Vendor Empanelment & Training & Development
- Ensure the ethics and compliance during managing the external investigators and self- investigation of cases
- Vendor Payment Reconciliation
Company: Bajaj Allianz General Insurance
Vacancy Type: Full Time
Job Location: Ahmedabad,Gujarat,India
Application Deadline: N/A
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