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Medical Specialist

Medical Specialist

park mediclaim tpa pvt ltd
Fresher
Not Disclosed
  • Posted 10 hours ago
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Job Description

Job Opportunity: Medical Processing Doctor

Location: Delhi & Jaipur

Company: Park Mediclaim Insurance TPA

About Us

Park Mediclaim Insurance TPA is a leading Third-Party Administrator (TPA) empanelled with major PSU and private insurers. With over two decades of excellence in health insurance servicing, we specialize in claims management, compliance, and customer-centric healthcare administration.

Role Overview

We are seeking a Medical Processing Doctor to join our dynamic team. The role involves medical scrutiny of health insurance claims, ensuring compliance with IRDAI guidelines, and supporting efficient claims settlement for policyholders.

Key Responsibilities
  • Review and process medical claims in line with insurance policy terms and regulatory requirements.
  • Provide medical expertise in adjudicating claims, pre-authorization requests, and hospitalization approvals.
  • Ensure adherence to SLA timelines, audit-readiness, and compliance with IRDAI/GIPSA packages.
  • Contribute to minimizing grievances and maintaining a high standard of customer satisfaction.
Why Join Us
  • Be part of a reputed TPA with a legacy of ethical practices and operational excellence.
  • Opportunity to work across diverse regions and collaborate with leading insurers.
  • Competitive compensation and growth prospects in the health insurance domain.

How to Apply: Interested candidates may apply directly via LinkedIn or send their CV to [Confidential Information] or Contact On 9811718914

More Info

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Key Skills

Pre-authorization requests

Medical scrutiny of health insurance claims

Hospitalization approvals

Adjudicating claims

Compliance with IRDAI guidelines

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Delhi, India
Skills:
Claims management, Medical scrutiny of health insurance claims, Hospitalization approvals, Compliance with IRDAI GIPSA packages, Medical expertise in adjudicating claims, Compliance with IRDAI guidelines, Audit-readiness