- Manage end-to-end medical reimbursement claims from submission to final settlement.
- Check doctor prescriptions, diagnostic reports, and itemized pharmacy or consultation bills for validity.
- Assess if treatment costs are covered under specific terms, conditions, and deductibles.
- Communicate with customers, hospitals/clinics, and insurers to resolve missing information or claim queries.
- Maintain high productivity while meeting internal turnaround time (TAT) goals for fast payouts.
Preferred candidate profile
- Doctor of Pharmacy (PharmD) with 0 to 3 years of relative experience in health insurance, TPA operations, or hospital billing.
- Solid eye for spotting duplicate bills, fake receipts, or calculation errors.
- Basic computer literacy and familiarity with health insurance claim platforms.
Interested candidates can call or refer to Moulika @(phone hidden).
📌 Medical Officer (Mumbai)
🏢 Family Health Plan (FHPL)
📍 Mumbai
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