Walk-in | Medical Officer - Coporate Claims Processing

HealthIndia Insurance TPA Services; Mumbai; Vor Ort; INR 600.000 - 900.000; Vollzeit

Zusammenfassung

HealthIndia Insurance TPA Services invites a Medical Officer to join its Corporate Claims Processing Department.

You will review medical documents, verify reports, and assess medical necessity to support claim decisions. The role emphasizes accuracy and regulatory alignment in processing insurance claims.

The position involves collaboration with providers and internal teams, maintaining records, and contributing to ongoing training and process improvements in a fast-paced environment.

Aufgaben

• Review and assess medical documents for insurance claims
• Verify authenticity of medical reports and diagnostics
• Evaluate medical necessity as per policy terms
• Offer expert opinions on complex/disputed cases
• Collaborate with internal teams for seamless claim processing
• Identify potential fraud or discrepancies
• Liaise with providers and clients for additional inputs
• Maintain accurate medical evaluation records
• Stay updated with medical and regulatory developments
• Contribute to training and knowledge sharing

Jobbeschreibung

Dear Candidate

We have an Opening for Medical Officer role in Corporate Claims Processing Department.

Company Profile - We provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members .

For more details kindly go through company website: https://www.healthindiatpa.com

Roles & Responsibilities:

• Review and assess medical documents for insurance claims
• Verify authenticity of medical reports and diagnostics
• Evaluate medical necessity as per policy terms
• Offer expert opinions on complex/disputed cases
• Collaborate with internal teams for seamless claim processing
• Identify potential fraud or discrepancies
• Liaise with providers and clients for additional inputs
• Maintain accurate medical evaluation records
• Stay updated with medical and regulatory developments
• Contribute to training and knowledge sharing.