Medical Officer - Non Clinical - Night Shift

Job description Role & 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 nterpret 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. Verify the require…