- Scrutiny of medical records and cases; provide medical opinions for health insurance pre-authorization and claims.
- Process cashless requests and health insurance claim documents.
- Possess good knowledge of medical terminology and willingness to work in a non-clinical field.
- Understand health insurance policies, terms & conditions, protocols, and claims adjudication/processing.
- Follow and implement standard operating procedures (SOPs) and protocols.
- Perform treatment-wise procedure coding.
- Manage case volumes efficiently to maintain turnaround time (TAT).
- Be flexible to work in morning and afternoon shifts.
- Scrutinize medical records, cases and claim-related documents.




- Provide medical opinions/support for health insurance pre-authorization and claims.
- Process cashless requests and health insurance claim documents.
- Review medical terminology, policies, protocols and claim procedures.
- Good medical knowledge and understanding of medical terminology.
- Knowledge of health insurance, claims or pre-authorization is an advantage.
- Good oral and written communication skills.
- Solid coordination and decision-making skills.
Attention to detail.
- Ability to work in a fast-paced environment.
- Basic computer/MS Office knowledge.

📌 Medical Coordinator (MCO)- Non clinical (Kolhapur)
🏢 C S Creative Solutions
📍 Kolhapur