
Tpa Company
3 days ago
Location - Pune
Role - Medical Officer
Qualification -BAMS/BHMS/BUMS
Experience : 0 - 5 years (Claim Processing)
**Salary**: BAMS/ BHMS/ BUMS (Fresher)
- Up to 25k pm
TPA Experience
- upto 30k pm
Timing: 9.30am to 6.30pm
Working Days: Monday to Saturday
JD:
- 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
Note:
- **MANDATORY WORK FROM OFFICE**
**Salary**: ₹25,000.00 - ₹30,000.00 per month
Schedule:
- Day shift
Application Question(s):
- Expected Salary?
- Are you comfortable with Work from Office?
**Education**:
- Bachelor's (preferred)
**Experience**:
- Clinical: 1 year (preferred)
- Claim Processing: 1 year (preferred)
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