Senior Medical Officer
Family Health Plan Ltd · Mumbai · onsite · Posted 59d ago
₹4.0L - ₹8.0L PA3–8 yrsfulltimeSourced from
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
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
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