Medical Officer

MDIndia Health Insurance TPA Pvt. Ltd.; dhanaula; On-site; INR 250,000 - 420,000; Full time

Job summary

MDIndia Health Insurance TPA Pvt. Ltd. in Dehradun on Sahastradhara Road is seeking MBBS graduates to join as claims adjudicators.

The role centers on scrutinising medical documents, evaluating claim eligibility, and finalizing financial outcomes for insured patients. The candidate will identify potential fraud indicators, coordinate with the relevant department, and ensure accuracy of medical records. Internship completion and permanent registration are mandatory, with 0–1 year TPA experience

Qualifications

• MBBS graduate.
• MCI registration is compulsory.
• Completed internship with Permanent Registration number.
• 0–1 year experience in TPA preferred.
• Work from office.

Responsibilities

• Scrutiny of medical documents and adjudication.
• Assess 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.

Skills

Medical knowledge

Computer literacy

Education

MBBS degree

Job description

Urgent requirement for MBBS ( MCI Registered) - Dehradun ( Sahastradhara Road )

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.

Required Candidate profile

• MBBS graduate.
• MCI registration is compulsory
• Male candidates preferred.
• Good Medical & basic computer knowledge
• Should have completed internship (Permanent Registration number is mandatory)
• Minimum Experience of 0 to 1 year in TPA
• Work from office.