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Medical Officer

HealthIndia Insurance TPA Services

1 - 3 years

1 - 4 Lacs

gurugram

Posted:9 hours ago| Platform:

Apply

Skills Required

claim processing tpa cashless reimbursment mediclaim general insurance insurance claims medical insurance medical billing health insurance

Work Mode

Work from Office

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:

Corporate Claims Processing Department

Location:

PLOT NO 312 ,2ND FLOOR, PHASE 2,

UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR,

GURUGRAM, HARYANA -122016

Roles & Responsibilities:

Review and assess medical documents and clinical details for corporate insurance claims
Verify authenticity of medical reports, prescriptions, and diagnostic results
Evaluate medical necessity and coverage based on insurance policy terms
Provide expert opinions on complex or disputed claims
Collaborate with claims teams to streamline approvals and ensure regulatory compliance
Identify and escalate potential fraud, abuse, or discrepancies
Communicate with providers and clients for clarifications or additional information
Maintain detailed records of evaluations and decisions
Stay updated on medical advancements, policy changes, and regulatory requirements
Support training efforts by sharing relevant medical insights and trends

Good Communication skills (written & verbal) and attitude is mandatory.

Salary no match for the right candidate.

If interested, Kindly share updated resume on email id -

Roshni Rajbhar,

HR Team,

roshni.rajbhar@healthindiatpa.com

8976760612

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