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Medical Officer @ Family Health Plan

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Family Health Plan  Medical Officer

Job Description

Role & responsibilities

  • To scrutinize the claims as per the checklist.
  • Co-ordinate with CRM team for obtaining benefit plans of corporate and ensure that the same is documented and followed.
  • Correspond and communicate to the investigator by giving triggers to the investigation team regarding CDRF and surveyor cases.
  • Coordinate with CRM team and help them in sorting out critical issues and in settlement of priority claims.
  • Final authority to decide on the status of claim.

Preferred candidate profile

BHMS/BAMS/BUMS with medical registration is must

BDS/PharmD with 2+ years relevant experience in TPA required

Male doctor preferred as travelling involved

Interested candidates can call or refer to Moulika @9177141***, mo******r@fh*l.net

Job Classification

Industry: Insurance
Functional Area / Department: Customer Success, Service & Operations
Role Category: Customer Success, Service & Operations - Other
Role: Customer Service
Employement Type: Full time

Contact Details:

Company: Family Health Plan
Location(s): Tambaram

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Keyskills:   Claims Adjudication TPA Claims Processing

 Fraud Alert to job seekers!

₹ -4.25 Lacs P.A

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Family Health Plan

FHPL, or Family Health Plan Insurance TPA Limited, is a Third Party Administrator (TPA) in India that provides healthcare insurance services. FHPL act as a bridge between insurance companies, policyholders, and hospitals, managing claims and other administrative aspects of health insurance. FHPL ...