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| Job Location | Mumbai City |
| Education | Not Mentioned |
| Salary | Rs 1.0 - 3.0 Lakh/Yr |
| Industry | Medical / Healthcare |
| Functional Area | Allied Health Services,Doctor |
| EmploymentType | Full-time |
Role- Medical OfficerQualification-BAMS /BHMS / BDSExperience: 0 - 5 yearsJD:Processing of claims request received from thehospitalProper scrutiny of themedical documents receivedfrom the hospital/patientand ask for relevant detailsto corroborate with theavailable diagnosis.Collate the medical detailswith the applicable policyterms to arrive at the finaldecision of claimsadjudication.Coordination with theinsurance company for theirapproval to proceed withfinal adjudication.To assist team in Desk and Medical Audit work pertaining to the SchemeField Audit and Hospital Audit* Work from Office (No WFH) Role- Medical OfficerQualification-BAMS /BHMS / BDSExperience: 0 - 5 yearsJD:Processing of claims request received from thehospitalProper scrutiny of themedical documents receivedfrom the hospital/patientand ask for relevant detailsto corroborate with theavailable diagnosis.Collate the medical detailswith the applicable policyterms to arrive at the finaldecision of claimsadjudication.Coordination with theinsurance company for theirapproval to proceed withfinal adjudication.To assist team in Desk and Medical Audit work pertaining to the SchemeField Audit and Hospital Audit* Work from Office (No WFH)
Keyskills :
tpaclaims processingclaim investigationmedicinemedical audit