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New Joinee claim manager _health and PA

FREE

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Course Overview

Schedule of Classes

Course Curriculum

1 Subject

New Joinee claim manager _health and PA

2 Exercises • 32 Learning Materials

About insurance sector

PPT on insurance sector

Video
00:17:32

Basics of Insurance sector

Exercise

PPT on insurance industry

PPT

policy wordings

policy wording

PDF

policy wording PDF 2

PDF

policy wordings pdf 3

PDF

Field officer's 360 degree investigation

soft skills Field officers

Video
00:40:54

SOP insured part and vicinity

Video
00:31:44

SOP hospital part and Treating Dr

Video
00:20:42

SOP lab and pathologist part

Video
00:17:37

SOP pharmacy part

Video
00:20:27

TAT compliance

Video
00:26:58

Things to keep in mind for Field officers

PPT

Huddle call case studies

Importance of QR code scanning before during and after investigation

Video
00:14:21

IMPORTANCE OF DESK AUDIT IN LAB REPORT VERIFICATION

Video
00:14:57

Case Study_ how to crack cases of ACL PCL tear close proximity

Video
00:13:57

Strategy to crack ACL cases by Desk investigation incomplete field investigation

Video
00:17:14

Manipulation in discharge summary ( must be caught at the time of allocation and in field)

Video
00:32:27

Case study of manipulation of Cause of death and PED NDC of high value claim

Video
00:22:30

Hard core fraud carried out by insured by manipulating Discharge summary

Video
00:21:17

Fraud case cracked by histopath report register verification at lab surat

Video
00:22:57

Case study fraudulent travel claim

Video
00:09:36

Importance of Desk investigation

Video
00:08:15

Outstanding efforts by Field officer to crack ACL tear case

Video
00:12:07

Importance of Field intelligence and tracing of treating Dr to crack fraud

Video
00:18:58

List of insurers and TPAs

List of General insurers

PDF

List of Health Insurers

PDF

List of TPAs

PDF

List of life insurers

PDF

insurance sector

Exercise

Portal release /Mail closure

how to drop whatsapp update message in field officer's group- By Dr.Preksha

Video
00:10:39

how to add medical discrepancies in closure remarks of ICICI lombard cases

Video
00:23:07

How to collect attendance record? one example /case study

Video
00:05:33

Portal release /Mail closure ICICI

Video
00:20:44

Course Instructor