- To scrutinize the claims as per the checklist.
- Co-ordinate with CRM team for obtaining benefit plans of corporate and ensure that the same is documented and followed.
- Correspond and communicate to the investigator by giving triggers to the investigation team regarding CDRF and surveyor cases.
- Coordinate with CRM team and help them in sorting out critical issues and in settlement of priority claims.
- Final authority to decide on the status of claim.
Preferred candidate profile
BHMS/BAMS/BUMS with medical registration is must
BDS/PharmD with 2+ years relevant experience in TPA required
Interested candidates can call or refer to Moulika @(phone hidden)
📌 Medical Officer (Mumbai)
🏢 Family Health Plan (FHPL)
📍 Mumbai
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