Medical Officer

Roles and Responsibilities

• Manage claims from receipt to settlement, ensuring timely and accurate processing.
• Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity.
• Coordinate with healthcare providers, insurance companies, and patients to resolve claim-related issues.
• Ensure compliance with regulatory requirements and industry standards for claims adjudication.
• Maintain accurate records of all interactions related to claims management.

Desired Candidate Profile

• 1-6 years of experience in TPA (Third Party Administrator).
• BAMS/BUMS/BHMS qualified doctors with registration required.
• Strong understanding of health care services, claims processing, and claims management principles.
• Proficiency in handling multiple tasks simultaneously while maintaining attention to detail.