Dear Candidates,

Greetings From PM LAW FIRM.!!

Hurry up !!

 PM LAW FIRM is Hiring for Medical officer/Senior Medical Officer Non clinical job in Ahmedabad-Nikol Area.

Role/Position: Permanent

Experience: 0 to 7 yrs

Education: BAMS, BHMS 

Shifts: Day shift (work from office, Office/Job Timing:- 10 am to 6.30 pm, Sundy Off)

Job role : Medical Officer

Roles and Responsibilities

• Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
• Scrutinize the claims, as per the terms and conditions of the insurance policy
• Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
• Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
• Approve or deny the claims as per the terms and conditions within the TAT. 
• Handle escalations and responding to mails accordingly.
• Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy.
• Ensure that the claims are approved or denied as per the terms and conditions within the TAT.
• Provide supportive and positive experience to the new joiners and train them.
• Manage a group of claim processors.

Address - 401, Fourth Floor, Maruti Titanium, Nikol Sardar Patel Ring Road, Nikol Gam, Nikol, Ahmedabad, Gujarat-382350