یہ کمپنی اب اس نوکری کیلیۓ مزید سی ویزنہیں لے رہی۔

Senior Manager Monitoring Unit

Adamjee Insurance Company Limited

لاہور ، پاکستان

درخواست بھیجیں

نومبر ۱۷, ۲۰۱۷ شائع ہوئی 65 نے دیکھا

To maintain a win - win relationship between Clients and Company ensuring the provision of health care facilities and simultaneously preventing; unnecessary hospitalization expenditures, prolonged stay, check credibility of suspected reimbursement claim ensuring monitoring unit performs as per the SLAs and SOPs.
Liaise with manager claims and medical team for monitoring purpose.
Check the rate lists for revision of rates for all panel hospital
Check the reimbursement claims through verification on ground and to establish the credibility of claim before its payment to clients.
Monitor the team visiting the panel hospital and to check the documents necessary for admission in hospital (copy of CNIC, copy AICL card/credit letter etc) ensuring admission is done as per the agreed SLAs.
Check the unnecessary and prolonged hospital stay to avoid unjustified expenditures.
Check the CMR reports of Case Managers regularly for smooth process flow.
Check the PA data for pre authorization and enhancement case accordingly.
Manage and develop team: monitor workload, ensure job proficiency, develop career goals by evaluating and monitoring individual staff performance and giving appropriate feedback and identify training and development needs.

مہارتیں

Accounts Administration Fraud Prevention Analytical Skills Conservation Awareness

نوکری کی تفصیلات

صنعت:

خدمات

شعبہِ افعال:

صحت و طب

کل عہدے:

1 اشاعت

نوکری کی شفٹ:

پہلا پہر

نوکری کی قسم:

مستقل

نوکری کا مقام:

لاہور, پاکستان

جنس:

کوئی ترجیح نہیں

کم از کم تعلیم:

بیچلرز

ڈگری کا عنوان:

MBBS

کیریئر کی سطح:

تجربہ کار پیشہ ور

تجربہ:

6 سال - 8 سال (Experience in all surveillance of Health Claims)

اس سے پہلے درخواست دیجیۓ:

دسمبر ۱۸, ۲۰۱۷

تاریخِ اِشاعت:

نومبر ۱۷, ۲۰۱۷

Adamjee Insurance Company Limited

خدمات · 601-1000 ملازمین - لاہور

پیروی کریں

pAdamjee Insurance Company Limited (AICL) was incorporated as a Public Limited Company on September 28, 1960 and is listed on all three stock exchange of Pakistan. The Company is also registered with the Central Depository Company of Pakistan Limited (CDC) and is involved in the business of general insurance. The head office is located in Karachi and it operates a network of branches all across Pakistan and two in UAE (Dubai & Abu Dhabi). The Company commenced operations with a paid-up capital of Rupees 2.5 million, which has grown phenomenally in the past five decades to Rupees 1.24 billion, as on 31 December 2012. A strong asset base, significant paid-up capital, substantial reserves, balanced portfolio mix along with steady growth in gross premium account gives Adamjee Insurance a well deserved competitive edge within the insurance industry./p