Acme Services Hiring for Job | Doctors (only) in TPA Insurance Company for Mumbai Location at Vidyavihar, Mumbai, Maharashtra Full Time

Excellent Opportunity For doctors in leading TPA Company
Location – Vidyavihar, Mumbai
Qualification – BUMS/BAMS/BHMS/BDS
Experience : 0.6 Months – 5+ years (in Claim Processing/ Authorization/ Investigation/ Grievance)
Salary: Upto 35k pm
Timing: 9.30am to 6.30pm

JD:

• Processing of claims request received from the hospital
• Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
• Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
• Coordination with the insurance company for their approval to proceed with final adjudication.
• To assist team in Desk and Medical Audit work pertaining to the Scheme
• Field Audit and Hospital Audit

* Work from Office (No WFH)

Job Types: Full-time, Regular / Permanent

Salary: ₹25,000.00 – ₹35,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Schedule:

• Day shift
• Fixed shift

Application Question(s):

• Expected Salary?
• Are you comfortable for Working from office?

Education:

• Bachelor’s (Preferred)

Experience:

• Grievance (TPA/ Insurance): 1 year (Preferred)
• Claim Processing (TPA/ Insurance): 1 year (Preferred)
• Field Investigation (TPA/ Insurance): 1 year (Preferred)
• Authorization (TPA/Insurance): 1 year (Preferred)

License/Certification:

• Provisional Certificate/ Permanent Registration No. (Preferred)