Medical Officer

Position

• Medical Doctor

Qualification :

• MBBS

Experience

• Full knowledge of assessment of medical insurance claims
• Minimum 2 years experience and presently continuing independent assessment of International / Domestic medical insurance claims with a General Insurance Company or Third Party Administrator.

Role Purpose

• Independent participation in medical claims assessment and combined medical team participation in optimal delivery of medical assistance products of the company.

Responsibilities

Independent Management Travel Medical Claims

• Sound knowledge and complete understanding of terms and conditions of medical insurance policies of various insurers.
• Medical co-ordination through Operations of all cashless claims and all active hospitalized medical cases including verbal telephonic communication with patients doctors.
• Assessment of Cashless and Reimbursement Travel Medical Claims
• Application of Sublimits to medical claims.
• Preparation of Denial Letters and Response to Representations.

Participation in Medical Assistance in co-ordination with Operations

• Hospitalisation referral and co-ordination .
• Verbal Medical Communication and preparation of medical report.
• Medical monitoring until discharge from hospital keeping medical director posted.
• Procurement of travel recommendations , medical certificates

Participation in Medical Concierge Services

• Corporate Medical Solutions.
• Chronic Disease Management.
• Medical Second Opinion Services
• Medical Tourism -- Travel for Treatment

Abilities

• Basic Computer Skills . Proficiency in Basic Microsoft Applications
• Good Organizational and Time Management Skills .