Medical Officer

3 days ago

Hyderabad, Telangana, India FHPL - Family Health Plan Insurance TPA Limited Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Greetings

Family Health Plan Insurance TPA Limited (FHPL) is one of the largest and most reputed IRDAI Licensed Third Party Administrator (TPA) in the country. FHPL caters to the needs of Health Insurance benefits administration for Individual customers, Corporate clientele, State/ Central Government sponsored Health schemes.

FHPL is looking for Medical Officers who are interested to work in

Insurance Claims Adjudication and looking for long term commitment.

Location: Hyderabad, Mumbai.

Responsibilities

  • To review Health Insurance cases referred for investigation and allocate to field investigators.
  • Guide, follow-up with field investigators in closure of cases assigned as per the SLA of clients.
  • Review the investigation reports submitted by the field investigators and give recommendation on authenticity of claim.
  • Maintaining data and updating in systems.
  • Ability to conduct digital verification, tele verifications and desktop verifications.
  • Field investigation into high value claims and suspicious claims
  • Healthy liaison with Insurance Companies and Brokers
  • Submission of necessary reports as desired by the Client partners.
  • Must possess excellent soft skills, Problem solving ability and display a high level of integrity.
  • The candidate must be a team player.

Qualifications & Experience

Freshers with BHMS/BUMS/BAMS registration certificate can apply OR

PharmD with 2+ years experience can also apply.

Willing to work for Insurance TPA and from office.

Interested candidates can reach
Moulika @ ,

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