Medical Officer jobs in Pune at MDIndia Health Insurance TPA Pvt Ltd

1. Scrutiny of medical documents and adjudication.

2. Assess the eligibility of medical claims and determine financial outcomes.

3. Identification of trigger factors of insurance-related frauds and inform the concerned department.

4. Determine the accuracy of medical documents

Company Profile:

MDIndia Health Insurance TPA Pvt. Ltd., a leading Third Party Administrator was founded in November 2000, with exclusive focus on the health insurance sector; and an aim of providing TPA (Third Party Administrative) services to the Indian Health Insurance Sector. IRDA (Insurance Regulatory and Development Authority),the regulatory body that governs and licenses all players in the insurance industry, has issued TPA License (No. 005) to MDIndia. The company currently provides services to more than 90 million members using State of the Art Technology. We believe that technology is critical and essential to provide high quality services to our members and clients and we have made significant investments in the hardware, software and various tools to ensure uninterrupted and efficient 24 by 7 service. Our in-house technology and software teams have several years of rich experience to develop and maintain our systems, software and services. Our advanced technology has helped MDIndia to improve on TAT, provide uninterrupted services and boost efficiency to provide a customer experience that has been exceptionally appreciated by our clients. We (MDIndia Group) currently engages about 5000 people and in addition to our HQ at Pune, the Group has another 152 offices across the country. We have long standing partnerships with all the PSU Insurance Companies (IC’s) and many reputed private ones as well and have an ever increasing network of more than 15,000 hospitals. We provide healthcare and health insurance related services to the Corporate, Retail and Government Sectors pan India.

Mission:

Our mission is to be the leading and most comprehensive 'Third Party Administrator' in the Indian health insurance sector offering innovative and superior services by leveraging information technology.

Vision:

Our vision is to play an integral role in bringing together the three stakeholders (payers, providers and policy holders) to ensure that benefits of healthcare are availed by all in the efficient and cost-effective manner.