Medical Officer - Cashless

1 - 2 years

0 - 3 Lacs

mumbai hyderabad mumbai (all areas)

Posted:2 months ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Dear Candidates,

Greetings from HealthIndia Insurance TPA Service Pvt. Ltd.

Company Profile -

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

Cashless Department

Role & Responsibilities:

  • Cashless Claim Management:

    Review and process pre-authorization requests for cashless hospitalization, ensuring all required documentation is complete and accurate.
  • Medical Scrutiny:

    Analyze medical records and reports to validate claims and determine if further investigation is necessary.
  • Communication and Coordination:

    Liaise effectively with hospitals, insurance companies, and patients to resolve queries, address discrepancies, and facilitate timely claim approvals.
  • Documentation and Record Keeping:

    Maintain precise and up-to-date records of all claim interactions, ensuring thorough documentation for both cashless and reimbursement claims.
  • Compliance and Regulations:

    Ensure strict adherence to relevant guidelines, policies, and regulatory requirements governing health insurance claim processing.

Kindly revert back on email id - roshni.rajbhar@healthindiatpa.com or contact us at - 8976760612

Roshni Rajbhar,

HR Team,

roshni.rajbhar@healthindiatpa.com

8976760612

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HealthIndia Insurance TPA Services logo
HealthIndia Insurance TPA Services

Insurance/TPA Services

Mumbai

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