Role Medical Officer - CLAIM PROCESSING 1 Medical Scrutiny by thorough assessment of documents 2 Provide Medical opinion on admissibility of Insurance Claims 3 Proficient with medical terms system 4 Understanding of Policy terms conditions with their practical applicability Various Protocols Guidelines 5 Understanding of Claims adjudication Claims Processing with a learning progressive approach 6 Ailment Wise ICD Procedure Coding mentioning the correct medical terminology while processing claims 7 Manage volumes effectively efficiently to maintain Turnaround time of processing cases 8 Assess the eligibility of medical claims and determine financial outcomes 9 Identification of trigger factors of insurance related frauds and inform the concerned department 10 Determine accuracy of medical documents 11 Daily reporting to HOD processing all assigned claims within TAT 12 Keeping a regular check on the assigned claim 13 Disciplined Regular working attitude 14 Proper Coordination with support staff while processing claims 15 Updating the new medical terms conditions as per the policy 16 Queries to be raised in 1 go with optimum quality Industry Insurance Employment Type Permanent Job Full Time Required Health TPA Experienced Education-UG Graduate - BDS BHMS BUMS BPT Job Type Full time Pay 25 000 00 - 35 000 00 per month Perks Health insurance Work Location In person

📌 Medical Officer (New Delhi)
🏢 safeway insurance tpa service
📍 New Delhi