Medical Specialist
park mediclaim tpa pvt ltd- Posted 10 hours ago
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Job Description
Location: Delhi & Jaipur
Company: Park Mediclaim Insurance TPA
About UsPark 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 OverviewWe 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.
- 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
Key Skills
Pre-authorization requests
Medical scrutiny of health insurance claims
Hospitalization approvals
Adjudicating claims
Compliance with IRDAI guidelines
