Medical Officer

15 hours ago

Pune, India Paramount Healthcare Management Pvt Ltd Full time

Greetings from Paramount Group

Kindly find the below Company and job description for your perusal.

Paramount is servicing more than 17000 hospitals and nursing homes and about 650 diagnostic centres where cashless facility can be availed by the insured.

Moving towards the National Health coverage, we also cater to the central and state govt. schemes. We are managing presently the following policies namely Mahatma Jyotiba Phule Jab Arogya Yojana - Maharashtra, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana - Mizoram & Nagaland and Swasthya Sathi - West Bengal.

We operate across India with over 2000 people working to ensure outstanding services and support everyday extending to over 33 million lives insured with more than 25 Insurance companies including over 3000 corporate clients. Paramount has its Head Office in Mumbai with over 25 and around 50 Resident Representatives across the country.

Medical scrutiny of reimbursement claims

Proper scrutiny of 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.

To resolve employees’/claimant’s medical queries

**Salary**: Up to ₹55,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Morning shift
- Rotational shift

Ability to commute/relocate:

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

**Education**:

- Doctorate (preferred)

**Experience**:

- total work: 1 year (preferred)

**Speak with the employer**
+91 8097549803

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