Opening in Tpa

1 day ago

Mumbai, India Acme Services Full time

*Minimum 3 years Experience in TPA or Insurance Mandatory*

Qualification - BHMS / BAMS
- Processing of claims 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.
- Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
- Coordination with the insurance company for their approval to proceed with final adjudication.
- To assist team in Desk and Medical Audit work pertaining to the Scheme
Field Audit and Hospital Audit

**Salary**: ₹300,000.00 - ₹500,000.00 per year

Schedule:

- Day shift

Ability to commute/relocate:

- Mumbai, Mumbai Suburban - 400072, Maharashtra: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Doctorate (preferred)

**Experience**:

- TPA/ Insurance: 3 years (preferred)

**Speak with the employer**

+91-XXXXXXXXXX

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