Medical Officer Cashless Tpa

2 months ago


Mumbai, India Health India Insurance TPA Service Pvt.Ltd Full time

Processing the case as per policy terms & condition of various insurance companies. (PSUs & Private)
- Coordinating & communicating with the subordinate for processing the claim.
- Coordinating with CRM for details of the corporate employee & individual insured.
- To approve online preauthorization requests received coordinating with insurance company for specific approvals & corporate buffer.
- Handling the grievance related to the rejection/ denial of the cashless
- Providing the Quality services by keeping the minimum TAT.
- Updating the new terms & condition of new product of the insurance company.

**Qualifications**:BAMS & BHMS

**Location**: Mumbai

**Work experience**:1.5 to 3 years Preferably TPA experience

**Knowledge**:

- Understand enterprise architecture in health care and public health organizations.
- Knowledge of health insurance.
- Well versed with medical terminologies.
- Medical, Wellness or science related Experience.
- TPA experience preferred.

**Kindly contact**:
Vaishali Chavan

Sr. HR Executive

8976760162

**Salary**: ₹21,000.00 - ₹30,000.00 per month

Schedule:

- Day shift

Ability to commute/relocate:

- Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 8976760162


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