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Medical Officer

2 weeks ago

Andheri East Mumbai Maharashtra, 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

Pay: ₹30,000.00 - ₹35,000.00 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