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    Job · 13594236

    Family Health Plan Ltd logo

    Senior Medical Officer

    Family Health Plan Ltd · Mumbai · onsite · Posted 59d ago

    ₹4.0L - ₹8.0L PA3–8 yrsfulltimeSourced fromNaukri

    About a minute. You'll make an account on the way through.

    About this role

    Role & responsibilities

    • Regular meeting and coordinating with the insurance health department.
    • Monitoring daily outstanding of claims.
    • Clarifying queries of CRM and billing teams.
    • Providing coverage details to the customers through info mails.
    • Providing clarifications to CS team wherever required.
    • Responsible for assisting customers and effectively resolving their concerns.
    • Works closely with the senior management to ensure smooth operations.
    • Replying to the audit queries raised by the insurers.
    • Clarifying queries related to medical aspects to the customers and corporate.
    • Identify & plan training needs for recruits & existing employees.
    • Monitoring and guiding on the medical audit.
    • Guiding Medical Officers in scrutiny work whenever and wherever needed related to policy conditions and medical aspects.
    • Interaction with all the department HOD's as & when required.

    Preferred candidate profile

    4-8 years in TPA industry with BHMS/BAMS/BUMS registration.

    If BDS/PharmD need to have 2+ years of relevant experience.


    Interested candidates can call or refer to Moulika @[phone removed]

    Sourced from naukri

    Skills

    claims adjudicationClaims ManagementClaim InvestigationHealth ClaimsClaims Processing

    About Family Health Plan

    Family Health Plan Ltd logo

    Family Health Plan Ltd

    Insurance

    1.1k+

    employees

    1995

    31 years old

    Hyderabad/Secunderabad, Telangana

    India

    ₹3.6L PA avg

    Avg at Family Health Plan

    ₹4L – ₹8L PA

    This role

    About

    Family Health Plan Insurance TPA Ltd operates as a premier Third Party Administrator, facilitating health insurance benefits for individuals and corporate clients nationwide.

    Industries

    InsuranceBanking / Insurance / AccountingFinancial Services

    Employee ratings

    10 reviews

    3.8/ 5

    Culture

    2.2

    Career growth

    2.2

    Work-life

    3.1

    Employees rate it well for

    Job Security38Overall Company38

    Find them on

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