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Medical Officer

2 weeks ago

Mumbai, India Paramount Healthcare Management Pvt Ltd Full time

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies.

Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019)

We are hiring doctors for medi - claim processing hence medically acknowledged doctors are highly recommended. If you are keen to learn more about medi - claim insurance, then this is the right platform to join Paramount Family.

KRAs:

- Processing of cashless claim request received from the hospital
- Proper scrutiny of the 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.
- Accurate deduction of expenses that are not relevant to the diagnosis.
- Coordination with the insurance company for their approval to proceed with final adjudication.

Nature of Job : Full time

Designation : Sr. Medical Officer / Medical Officer

Qualification Required : MBBS

Eligibility : Fresher and experience inTPA both can apply

Additional Skills : Basic computer knowledge & Good communication

**Salary**: ₹28,000.00 - ₹30,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift
- Rotational shift

**Education**:

- Doctorate (preferred)

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 8097549803