Required Skills

Effective Communication Skills Medical

Work Authorization

  • Citizen

Preferred Employment

  • Full Time

Employment Type

  • Direct Hire

education qualification

  • UG :- - Not Required

  • PG :- - Not Required

Other Information

  • No of position :- ( 1 )

  • Post :- 1st Dec 2022


Roles and Responsibilities


Job Description:


Position- Medical Advisor


Qualification- Mbbs, Bams,Bhms,,Bams, Only


Location- Mumbai, Pune.




Must have effective communication skills.


Candidate must have sound knowledge about claims hospitals and TPA.


Excellent diagnostic skills using clinical knowledge and x-rays.


Excellent knowledge about Insurance policy terms and conditions


Good knowledge about medical admissibility of claims


Good knowledge of clinical practices and protocols.


Excellent in terms of patient friendly.


Answering patient queries regarding status of claims


Answering queries regarding grievance requests raised by


patients or hospitals.


Scrutiny of files to determine if the claims do really qualify to be reimbursed or to be settled.


To determine if the amount of the claims requested fits into SOC (Schedule of Charges) or PPN criteria


To verify if all the investigation reports have been submitted along with the claims


To make sure that intimation is received from the patient depending upon the type of claim i.e. cashless or non cashless (Claims Intimation)


To verify if all the document submission has been completed in time by t he patients(Claim Document Submission).


To achive the daily and monthly target.


Candidates have to send his CV on

Company Information