Assistant Manager Claims/Case Manager – Karachi

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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

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