Medical Officer - Mumbai, India - Paramount Healthcare Management Pvt Ltd

Deepika Kaur

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Deepika Kaur

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Description

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies.

Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019)

We are hiring doctors for medi - claim processing hence medically acknowledged doctors are highly recommended.

If you are keen to learn more about medi - claim insurance, then this is the right platform to join Paramount Family.


KRAs:

  • Processing of cashless claim request received from the hospital
  • Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
  • Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if treatment protocol is not appropriate to the diagnosis
  • Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
  • Accurate deduction of expenses that are not relevant to the diagnosis.
  • Coordination with the insurance company for their approval to proceed with final adjudication.

Nature of Job :
Full time

Designation :
Sr. Medical Officer / Medical Officer


Qualification Required :

MBBS

Eligibility :
Fresher and experience inTPA both can apply

Additional Skills :
Basic computer knowledge & Good communication


Salary:
₹30, ₹35,000.00 per month


Benefits:


  • Health insurance
  • Provident Fund

Schedule:

  • Day shift
  • Rotational shift

Education:


  • Doctorate (preferred)

Experience:

- total work: 1 year (preferred)


Work Location:
In person


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