Medical Officer

MDIndia Health Insurance TPA Pvt. Ltd.; Chennai; On-site; INR 240,000 - 420,000; Full time

Job summary

MDIndia Health Insurance TPA Pvt. Ltd. in Chennai invites candidates for field-based adjudication and claim scrutiny roles.

The position focuses on assessing eligibility of medical claims and determining financial outcomes, with hospital visits required and a bike ownership a must. Candidates with BHMS/BAMS/BDS, internship completed and permanent registration, and 1–2 years of TPA experience are preferred. Office-based work with on-site duties, basic medical knowledge, and computer literacy are

Qualifications

• Holds BHMS/BAMS/BDS degree with internship completed.
• Permanent registration number mandatory.

Responsibilities

• Scrutiny of medical documents and adjudication.
• Assess the eligibility of medical claims and determine financial outcomes.
• Identify trigger factors of insurance-related fraud and inform the concerned department.
• Determine accuracy of medical documents.
• Field visits to hospitals.
• Must own a bike for on-site duties.

Skills

Medical knowledge

Basic computer skills

Education

BHMS

BAMS

BDS

Job description

Job Description

1. Scrutiny of medical documents and adjudication.
2. Assess the eligibility of medical claims and determine financial outcomes.
3. Identification of trigger factors of insurance-related fraud and informing the concerned department.
4. Determine accuracy of medical documents.
5. Need to Visit the Hospitals
6. Should have own Bike

Required Candidate profile

• BHMS,BAMS,BDS graduate.
• Male candidates preferred.
• Good Medical & basic computer knowledge
• Should have completed internship (Permanent Registration number is mandatory)
• 1 year to Minimum Experience of 2 year in TPA
• Work from office.
• Field job