Medical Officer

Heritage health insurance TPA

0 - 4 years

0 Lacs

jaipur rajasthan

Posted:1 day ago| Platform: Shine logo

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Skills Required

fraud detection medical evaluation insurance claims processing reviewing medical records assessing treatment necessity verifying diagnoses

Work Mode

On-site

Job Type

Full Time

Job Description

You will be responsible for evaluating the medical aspects of insurance claims to ensure accurate, timely, and fair claim settlements. This will involve reviewing medical records, assessing the necessity and appropriateness of treatments, verifying diagnoses, and helping to detect fraud or overbilling. Key Responsibilities: - Evaluate medical records related to insurance claims - Assess the necessity and appropriateness of treatments - Verify diagnoses provided in the claims - Aid in detecting instances of fraud or overbilling Qualifications Required: - Medical degree with a valid license - Strong analytical skills - Attention to detail Please note that this position is available as full-time, fresher, or contractual/temporary basis for a contract length of 8 months. The work schedule includes day shift, morning shift, night shift, and rotational shift. The work location is in person.,

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Medical Officer