Medical Officer

Roles & Responsibilities:Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping...

Roles & Responsibilities:Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping...

Role & responsibilities :1. Financial Planning & AnalysisLead budgeting, forecasting, and financial modeling processes.Monitor and prepare detailed management reports for informed decision-making.Optimize cost structures and ensure efficient allocation of resources.2.Strategic LeadershipDevelop and execute the company's financial strategy aligned with...

Executive, Service DeliveryDate: 3 Oct 2025Location: Andheri (Mumbai)Company: Fleet Management India Private LimitedFLEET Management LimitedOur 30-year journey rides on the passion of over 24,000 seafarers and 1,000 onshore professionals. Today, we are one of the largest independent third-party ship management companies managing over 600 diverse types of...

Job OverviewWe are seeking a highly organized and professional Receptionist/Administrative Assistant to join our dynamic team. This role is essential in providing excellent customer service and administrative support to ensure the smooth operation of our office. The ideal candidate will possess strong communication skills, a friendly demeanor, and the...

Nautai Marine Services and Trading Pvt. Ltd. is looking for a detail-oriented and proactive Crew Executive (Ratings Department) to manage the selection, documentation, and deployment of seafarers in the ratings category. The ideal candidate should have prior experience in crew coordination, seafarer database management, and compliance handling for...

WORK FROM OFFICEMEDICAL BILLINGMumbai (Andheri )bai (Andheri )ai (Andheri )Shift Time: 8pm to 5am / 5:30pm to 2:30amExperience: Freshers & 1+ year of experience into voiceEducational Qualifications: Any Under Graduate or GraduateJob Description:Outbound calls to insurances for claim status and eligibility verification.Denial documentation and further...

Greetings from Tech TalesJob Title: AR Executive - Voice processJob Location: Mumbai.Designation: AR ExecutiveWork Environment: Willing to work in night shifts and to be flexible basis US time zones.Job Type: Full Time US Shift ProcessMinimum Qualification: Graduate (Except Engineering and Computers background)Start Date: Immediate Joiners PreferredShift...

Job Title: Loader-unloader/pickup / HelperDepartment: Warehouse / Logistics / OperationsLocation: Andheri Airport Road (Domestic and International-Mumbai)Reporting To: Supervisor / Warehouse ManagerJob Summary:The Loader/Helper is responsible for assisting in loading and unloading goods, materials, food snacks and products safely and efficiently. The role...

Medical Officer hiring in TPA!! Location : Vidhivihar, Mumbai Qualification - BHMS, BAMS,BPT , Experience : 0 - 4 (Clinical / Non clinical ) Salary : 3 LPA - 4.5 LPA Job Description: - 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...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

**Job Summary** Hi Urgent Opening for Medical Officer with a leading TPA at Andheri Marol **WORK FROM OFFICE ONLY** Location -Andheri Vacancy - 1 **Responsibilities**: - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Maintaining & Ensuring Standard Operating Procedures & Protocols Ailment Wise ICD & Procedure Coding - Manage...

Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Education: BAMS,BDS ,BUMS, BHMS,BPT ,MPT, MDS, MBBS, BPharma, MPharma Shifts: Rotational Shifts ( work from office) **Job role**: To approve PAs based on the buckets allotted to each approver To inform the Network...

**Basic Responsibilities -** - Call prospective customer of insurer for taking medical history through structured tele medical interview. - Ask reflex questions in case of any medical adversity. - Take complete details of investigation and treatment completed by customer. **Skills -** **BAMS / BHAMS / BDS / MBBS** **Job Types**: Full-time, Part-time,...

**Job description** **Role**:Medical Officer** **Work from Office only** **Job Descriptions**: - To approve Claims based on the buckets allotted to each approver. - To inform the Network department in case of any erroneous billing / excess billing. - To approve online preauthorization requests received. - In case of any suspicious case, the same will be...

Wanted a Back office assistant with good knowledge of computers, MS Office and should be able to work in team. Dedicated, hardworking individuals are welcome with appropriate renumeration. Salary is not a constraint for right individual. Its a Medical diagnostic center and working hours are from Monday to Saturday 9 am to 6.30 pm. Good communication...

We are looking for a competitive Pharmaceutical Sales Representative who can thrive in a fast-paced business environment. The Pharmacy Sales Rep will act as the key link between our company and healthcare professionals and you will aim at meeting sales targets. As a Pharmaceutical Sales Rep, your goal is to increase the visibility and awareness of our...

Resident will give the request for investigation, blood and blood products. - Resident will document the reference for cross consultation with a brief clinical note and reason for reference and discuss with referred consultant telephonically or personally and document the opinion. - Record reports of investigations in investigation chart, investigation done...

**Roles & Responsibilities**: - **Claim Processing**: Verify the medical admissibility of a claim by confirming diagnosis and treatment details. - **Claim Scrutiny**: Scrutinize claims according to the terms and conditions of the insurance policy. - **Data Interpretation**: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses,...