Fraud Waste Jobs in India

Do you want to join an innovative team of scientists who use machine learning and statistical techniques to create state-of-the-art solutions for providing better value to Amazons customers Do you want to build and deploy advanced algorithmic systems that help optimize millions of transactions every...

Job Description: Verify medical codes diagnosis and procedure to ensure compliance with industry standards (e.g. ICD 9 ICD 10 CPT) Review Clinical & Day Case claims and approve/reject basis the SOP. Review Hospital Inpatient & Outpatient Claims analyze the vouchers/medical documents categorize the...

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Key ResponsibilitiesAssess and adjudicate GIH medical claims in line with policy terms medical guidelines and internal procedures within agreed turnaround times (TAT).Apply sound medical and policy knowledge to determine eligibility benefits and reimbursement amounts.Ensure accurate and complete dat...

Senior Fraud Lead - Payments ExperienceThomson Reuters is seeking a Senior Fraud Lead to own and scale its enterprise-wide fraud monitoring and risk control program across digital commerce subscription billing refunds and dispute management. This is a high-visibility strategic-and-hands-on leadershi...