Medical Officer

MDIndia Health Insurance TPA Pvt. Ltd.; Mumbai; On-site; INR 400,000 - 600,000; Full time

Job summary

MDIndia Health Insurance TPA Pvt. Ltd. is urgently seeking BHMS/BAMS/BDS graduates for Worli (Mumbai) to adjudicate medical claims and scrutinize documents on-site.

Male candidates preferred; interns must have permanent registration. 3–5 years of TPA experience and basic computer skills are required for the role.

Qualifications

• BHMS/BDS/BAMS graduate is required.
• Male candidates preferred.
• Internship completed with permanent registration mandatory.
• 3–5 years of experience in a TPA.
• Good medical knowledge and basic computer skills.

Responsibilities

• Scrutiny of medical documents and adjudication.
• Assess the eligibility of medical claims and determine financial outcomes.
• Identification of trigger factors of insurance-related fraud and informing the concerned department.
• Determine accuracy of medical documents.

Skills

Medical knowledge

Basic computer skills

Internship completed

Permanent Registration

Male candidates preferred

TPA experience

Education

BHMS/BDS/BAMS

Job description

Urgent requirement for BHMS /BAMS/BDS - Worli (MUMBAI)

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:

• BHMS,BDS,BAMS graduate.
• Male candidates preferred.
• Good Medical & basic computer knowledge
• Should have completed internship (Permanent Registration number is mandatory)
• Minimum Experience of 3 to 5 year in TPA
• Work from office.