- Review medical reimbursement cases with respect to policies, and present analysis of the same
- Assist with the adjudication of claims and pre-authorisation of requests for treatment in accordance with contract
- Processing of all claims/ bills in the system for payment
- Prepare various reports/ presentations with respect to
- Visit hospitals/ physicians for treatment verification and other assignments
- Case Management
- Analysis & investigation Skills
- Communication Skills
- Negotiation and conflict resolution skills