Medical Officer(Mbbs)

3 weeks ago


Bengaluru, India Paramount Health Services & TPA Pvt Ltd Full time

Paramount Health Services & TPA Pvt Ltd. One of the leading TPA Industry.
Looking for medical officer(medical scrutiny) for claim processing.
Qualification**:MBBS**.(**Work from office**)
Experience :1yr(clinical or non clinical)
*LOCATION :Bangalore*

**Salary**:As per company standard and other benefits like PF, GMC, gratuity,etc

~*_Job description_~*
- Medical scrutiny of reimbursement claims
- Proper scrutiny of medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
- Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if treatment protocol is not appropriate to the diagnosis
- Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
- To resolve employees’/claimant’s medical queries related to mediclaim.

**Salary**: ₹35,000.00 - ₹45,000.00 per month

**Benefits**:

- Leave encashment
- Life insurance
- Paid sick time
- Provident Fund

Schedule:

- Day shift

**Education**:

- Doctorate (preferred)

**Speak with the employer**
+91 9417401622
- Health insurance


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