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Medical Officer Jobs in Mumbai,Navi Mumbai - Paramount Health Services and Insurance TPA Pvt. Ltd.

Medical Officer

Paramount Health Services and Insurance TPA Pvt. Ltd.
experience-icon 0 Years
salary-icon 18000 - 25000 Monthly
Expired

Posted: 26 Sep 19

Job Description

Dear Candidate,
Greetings for the day !!!
Paramount Health Service and Insurance TPA Pvt. Ltd.
Job Description: Medical Officer -- Medical Management
1) Processing of cashless claim request received from the hospital
2) Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
3) Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if the treatment protocol is not appropriate to the diagnosis
4) Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
5) Coordination with Provider department team for the hospital bill and available tariff dispute.
6) Handling cashless claim grievance effectively.

Job Location: Mumbai
Eligibility: BHMS, BAMS, BDS

Job Location: Thane / Andheri

Job Particulars

Education BAMS, BHMS
Who can apply Freshers
Hiring Process Face to Face Interview
Employment TypeFull Time
Job Id708829
Job Category Health Care
Locality Address
Country India

About Company

Paramount Health Services and Insurance TPA Pvt.Ltd.

In 1996, Dr. Shah along with Mr. H.R. Shah founded and registered Paramount Healthcare Management Pvt. Ltd. (PHM) and it was initially formed with the idea of providing healthcare for relatives of NRI in India.

Paramount Health Services & Insurance TPA Pvt. Ltd. (erstwhile Paramount Health Services TPA Pvt. Ltd.) was formed in 2001

Paramount Health Services TPA Pvt. Ltd. obtained license from Insurance Regulatory and Development Authority of India to act as a Third-Party Administrator in 2002 

Paramount Health Services and Insurance TPA Pvt. Ltd. has partnered with the Government to service Mass policies provided by the Government to the under-privileged section of our country. We have a rich experience of handling Mass Policies such as Artisan Health Scheme, across 13 states. This policy also holds the distinction of being the ONLY Mass Policy in India that provides OPD services on cashless basis.

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