Tpa Company

2 days ago

Pune, India Acme Services Full time

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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