Job description

Role : Medical Officer

Work from Office only

Job Descriptions:

- Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
- Scrutinize the claims, as per the terms and conditions of the insurance policy
- Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
- Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
- Verify the required documents for processing claims and raise an IR in case of an insufficiency.
- Approve or deny the claims as per the terms and conditions within the TAT. Role & responsibilitiesRequired Qualification : BAMS and BHMS doctors only

Office Location-

Office is 5 Mins Walkable from CSMT railway station.

Job Type: Full-time

Pay: ₹23,000.00 - ₹25,000.00 per month

Perks:

- Paid sick time
- Paid time off

Application Question(s):

- Do you have a degree in BAMS/BHMS
- Current CTC
- Expected CTC

Work Location: In person

📌 Medical Officer- Non clinical (Mumbai)
🏢 MEDI ASSIST INSURANCE TPA PRIVATE
📍 Mumbai