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Senior Medical Officer @ Care Health Insurance

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 Senior Medical Officer

Job Description

Role & responsibilities


  • Review, access and validate medical claims submitted for reimbursement.
  • Ensure treatments claimed are mrdically necessary and covered under policynterms.
  • Verify diagnosis and treatment consistency across BUMS, BAMS, BHMS, MBBS systems.
  • Collaborate with claims processors and underwriting teams for accurate decision making.
  • Monitor fraud indicators and recommend actions in suspicious cases.

Job Classification

Industry: Medical Services / Hospital
Functional Area / Department: Healthcare & Life Sciences
Role Category: Doctor
Role: Medical Officer
Employement Type: Full time

Contact Details:

Company: Care Health Insurance
Location(s): Noida, Gurugram

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Keyskills:   bhms mbbs bums bams claims

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₹ 4-9 Lacs P.A

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Care Health Insurance

Care Health Insurance Company Limited is a specialist health insurer engaged in the distribution & servicing of health insurance products. Our shareholders comprise three strong entities: . Care is promoted by the founders of Fortis Hospitals, which owns or manages 68 hospitals...