Assistant Manager Medical Evaluation (Case Management)

Adamjee Insurance Company Limited Verified

Lahore , Pakistan

Posted Oct 27, 2019 347 views

PKR. 50,000 - 60,000/Month

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Job Description

  • Medical Management: To have close contact with network hospitals for pre-authorizations of hospital admissions as per the medical necessity & policy document.
  • Hospital Management: Review of existing panel facilities to negotiate rate revisions for cost effective credit arrangements
  • Responsible to monitor daily hospital admissions & determine the necessity and appropriateness of the treatment and continued inpatient care during patient’s hospitalization.
  • Timely authorization for admission to panel hospitals in accordance with the policy document.
  • Responsible to handle company hotline.
  • To coordinate with clients for facilitation of hospitalization in panel hospitals as per policy terms.
  • To visit network hospitals to strengthen relationship with the service providers and rate negotiations.
  • To visit non panel facilities (panel hospital/discount center) to enlist them on our panel as per hospital evaluation criteria to increase panel network.
  • To coordinate with policy and claim departments for all queries related to endorsements/ hospital outstanding claims, respectively.
  • To arrange and give orientation sessions to clients related to policy coverage & clinical presentations related to wellness program on need basis.

Job Details

Functional Area:
Total Positions:
2 Posts
Job Shift:
First Shift (Day)
Job Type:
Job Location:
Gender:
No Preference
Minimum Education:
MBBS
Degree Title:
MBBS
Career Level:
Experienced Professional
Minimum Experience:
1 Year (Relevant experience of Case Management)
Apply Before:
Nov 30, 2019
Posting Date:
Oct 27, 2019
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Adamjee Insurance Company Limited

Insurance / Takaful · 601-1000 employees - Lahore

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 ...Read More

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