**WE ARE HIRING MEDICAL OFFICER**
**Location: Begumpet Hyderabad
**Education: BAMS, or BHMS degree
Salary Range :( CTC 38000-/ In hand 30,000)
Core Responsibilities
**Claim Adjudication**
Review hospital bills, investigation reports, and discharge summaries to determine the medical admissibility of claims.
**Pre-Authorization**
Assess cashless hospitalization requests and approve or reject them based on policy guidelines and standard treatment protocols.
**Medical Scrutiny**
Analyze the correlation between the patient's diagnosis and the medical/surgical procedures performed.
**Query Resolution**
Coordinate with hospital TPA (Third Party Administrator) desks and treating doctors to obtain missing documents or clarify clinical discrepancies.
**Fraud Detection**
Identify potential medical anomalies, overcharging, or unnecessary procedures before claim settlement.
**Contact HR:**
**Pratiksha Shitole**
Group Leader – Talent Acquisition
+91 (phone hidden)
(mail to:
[email protected])
**MDIndia Health Insurance TPA Pvt. Ltd.**
📌 Medical Officer (Hyderabad)
🏢 MDIndia
📍 Hyderabad