Senior Medical Officer

Job Description: You will be responsible for conducting internal quality checks on claims processed by the Claim Team on a daily basis. Additionally, you will attend external audits conducted by different Insurers at PHS Mumbai premises and visit Insurer offices to discuss recoveries/queries raised. It will be part of your role to sensitize the team about various errors made during processing. Key Responsibilities: - Conduct internal quality checks on claims processed by the Claim Team daily - Attend external audits conducted by different Insurers at PHS Mumbai premises - Visit Insurer offices to discuss recoveries/queries raised - Sensitize the team about various errors made during processing Qualifications Required: - Previous experience in conducting quality checks on claims is preferred - Strong communication skills to interact with external auditors and Insurer offices effectively Location: A-442, Road No. 28, Ram Nagar, M.I.D.C. Industrial Area, Wagle Estate, Thane West, Pin Code - 400604 Work Schedule: Day shifts Benefits: - Health insurance - Provident Fund,