Medical Officer – Punjab

Roles and Responsibilities

• Involved in analyzing medical reports to process medical claims.
• Final approvals for medical claims.
• Should have medical knowledge.
• Providing quality services.
• Updating the new medical terms and conditions as per the policy.
• Should be good knowledge in Academics.
• Processing of Claims with verification and Settlement with Customer Accounts.
• Evaluation of Customer/Claims and posting accordingly.
• Resolving Claims related queries and discrepancies, Following up and responding to queries of customers.
• Approving and Rejection of Payments to the Customers with all verification.
• Updating the Status of the Customers about the respective Claim.
• Play as an intermediate role between the Insurance co., and the Customer.
• Handling Customer queries and giving a prompt reply to the customers through email.
• Preparing the Weekly consolidated reports of the team and updating to the Management.
• Assigning and Resolving Customer Queries through email.
• Raising Shortfall whenever it is necessary.
• Approving and Rejecting of Claim after all necessary checks