Medical Reviewer

21 hours ago


Pune Maharashtra, India Principal Global Services Full time

**Responsibilities**:
Review and summarize applicant's medical information such as Attending Physician Statements, lab reports, paramed exams, and/or other related underwriting information consistent with the company's standards. Provide clear file documentation to support the onshore underwriting. Consult available resources including technical documentation, updates, co-workers, and trainers to perform daily task and meet performance targets as per training plan.
Improve personal effectiveness that positively impacts work, environment, and enhancement of skills, develop partnerships among peers/HO those supported to increase ownership of work and sustain an efficient process. Perform other job-related duties, other processes within the BU or special projects as required or as assigned by superior. Works on multiple products effectively with required productivity & accuracy targets for each product.
Partner with HO Counter parts, Trainers, SMEs, and Associates for effective sharing of best practices, Handling extra responsibilities like reviews, performance tracking and team bonding events, Training and on floor support for queries resolution.
Improve efficiencies by submitting Operational Excellence ideas.

**Qualifications**:
Bachelor's / Master's degree in medicine preferred (MBBS, BAMS, BHMS etc.), Minimum of 2-3 years’ experience in back office, domain knowledge of Life and Health Insurance (Individual & Group Insurance), Typing test - 35-40 Wpm (Numeric), 99% accuracy, Good hands on knowledge of Excel, Excellent written and verbal communication skills, Insurance Domain knowledge (Domestic / Abroad - Health/ Life/ Disability /Dental claim processing experience Preferred), MS Office Proficient. Decision making skill, Problem solving, Good analytical skill. Domain knowledge of Life and Health Insurance (Individual & Group Insurance), Medical coding related certification and experience will be an addon.
Bachelor’s degree or equivalent -16-17.5yrs of Formal Education from recognized and accredited University. Bachelor's / master’s degree in medicine would be preferred (MBBS, BAMS, BHMS, etc.).
Minimum of 2-3 years’ experience in back office. Insurance -Domestic Insurers / abroad, experience in Claims processing of Health Insurance / Life and disability claims/ Underwriting experience preferred.
Knowledge of ICD-10 & CPT coding with CPC certification will be an added advantage.
Good MS Office, Good written and verbal communication skills.


  • Medical Reviewer

    6 days ago


    Pune, Maharashtra, India EVERSANA Full time

    **Company Description** At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our...

  • Medical Reviewer

    1 week ago


    Pune, Maharashtra, India Global IT Solutions Full time

    Job DescriptionWe are seeking a qualified Drug Safety Physician/Medical Reviewer to join our Pharmacovigilance team. The ideal candidate will be responsible for reviewing biomedical literature, assessing adverse drug reactions, and ensuring compliance with regulatory guidelines in drug safety reporting. This role requires strong medical knowledge, attention...

  • Medical Reviewer

    1 week ago


    Airoli, Navi Mumbai, Maharashtra, India Neural IT Pvt. Ltd. Full time

    Qualification: M. Pharm Experience: 0 to 2 yrs Skills Required: - Good vocabulary and grammar knowledge for effective medical report writing. - Clear, concise, scientific style of writing with a high level of attention to detail. - 1-2 years of experience as a Medical Record Reviewer. Roles & Responsibilities: - Review Medical reports, complex...

  • Medical Reviewer

    1 week ago


    Kopar Khairane, Navi Mumbai, Maharashtra, India IT INFRAELITE SYSTEMS Full time

    We are looking for graduates / post-graduates from any fields for the positions of Medical Summarizer/Reviewer, Proof-Reader & Customer Service Manager for our Pune & Mumbai offices. Please find below the relevant information. **Job Title** - Medical Record Summarization/Medical Reviewer **Job Responsibilities -** - Able to detect, interpret and update...


  • Pune, Maharashtra, India Principal Global Services Full time

    **Responsibilities**: - Review and summarize applicant's medical information such as Attending Physician Statements, lab reports, paramed exams, and/or other related underwriting information consistent with the company's standards. - Provide clear file documentation to support the onshore underwriting. - Consult available resources including technical...


  • Pune, India Principal Global Services Full time

    **Responsibilities**: **Years of Experience: 2 to 3 years relevant experience** **Role Description**: - Support sales goals by reviewing required information on a timely basis consistent with provided guidance - Support profitability goals by summarizing medical information accurately **Reporting relationship**: This role will report to Operations -...


  • Erandwane, Pune, Maharashtra, India Planetary Talent Full time

    _**NOTE**_**-**_**This role is an office-based role in Pune**_**_ **Client Profile** A leading AI platform designed for law firms, combining advanced technology with deep legal expertise to deliver impactful data-driven outcomes. The platform offers human-level accuracy in analyzing complex legal data, enabling firms to quickly access critical insights...


  • Pune, Maharashtra, India EVERSANA Full time

    Company Description At EVERSANA we are proud to be certified as a Great Place to Work across the globe We re fueled by our vision to create a healthier world How Our global team of more than 7 000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry We are grounded in our cultural beliefs...

  • Medical Writing Ii

    2 weeks ago


    Pune, Maharashtra, India Syneos - Clinical and Corporate - Prod Full time

    **Description** Medical Writing II (CSR Narrative, QC review) Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer...

  • Medical Reviewer Ii

    21 hours ago


    Pune, India PrimeVigilance Full time

    Company Description We are PrimeVigilance (part of Ergomed PLC), a specialised mid-size pharmacovigilance service provider established in 2008. We are proud to have achieved global organic growth year after year, with staff based across Europe, North America and Asia all covering services within: Medical Information, Pharmacovigilance, Regulatory Affairs...