Key Responsibilities
Handle cashless & reimbursement health insurance claims.
Review medical documents, diagnosis, treatment and hospital records.
Assess claim admissibility as per policy terms.
Coordinate with hospitals, doctors, insurers and internal teams.
Identify discrepancies and potential fraud indicators.
Provide medical opinions for claim processing and escalations.
Ensure claims are processed within defined TAT.
Maintain accurate medical assessment records.
Attend and participate in GoToMeeting/online meetings as required.
Requirements
1–2 years of TPA experience is mandatory.
Good knowledge of health insurance & TPA claim processes.
Solid medical assessment and analytical skills.
Valuable communication and coordination skills.
Basic knowledge of MS Office/Excel.
Comfortable attending GoToMeeting/virtual meetings.
Pay: ₹30,000.00 - ₹50,000.00 per month
Advantages
Health insurance
Work Location: In person
📌 Sr Medical Officer Janakpuri
🏢 safeway insurance tpa service
📍 Janakpuri
Reply to this offer
Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.