Medical Officer - Mumbai, India - Paramount Healthcare Management Pvt Ltd
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
Speak with the employer
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