Medical Officer

4 days ago


Mumbai, India Tresbien HR Consultancy Full time

Opening with a leading TPA at **Vidhyavihar**for the position of Medical officer - Medical Scrutiny - Provide Medical opinion for Health Insurance Claims - Processing of Cashless Requests & Health Insurance Claim Documents - Proficient with medical terms & system. - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Understanding of Claims adjudication / Claims Processing - Maintaining & Ensuring Standard Operating Procedures & Protocols - Ailment Wise ICD & Procedure Coding - Manage volumes effectively & efficiently to maintain Turnaround time of processing cases - VIP Claims Processing and TAT Maintenance - Processing Error to be maintained < 0.25% - Claim Case Management / Cost Management Experience & Skills - At least 1 yrs experience in TPA Medical Officer Claims Processing Cashless. - Good Excellent oral and written communication, negotiation and decision-making skills. - Good customer service/relationship skills and ability to work effectively in a fast paced environment with shifting priorities. - Understand enterprise architecture in health care and public health organizations - Knowledge of health insurance - Well versed with medical terminologies. - Computer knowledge of MS-Office & Outlook. Desirable: BAMS / BHMS /MBBS Salary - Upto 40000 per month - Current CTC - Expected CTC - Notice Period - Reason for Change Regards Smita Dewoolkar Tresbien HR Consultancy 9821574366( Mobile & Whts app) **Salary**: ₹25,000.00 - ₹40,000.00 per month **Education**: - Bachelor's (preferred) **Experience**: - TPA Experience as medical officer: 1 year (required) **Language**: - English (required) License/Certification: - BHMS/BAMS/BDS (required)


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