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Medical Review jobs in Mumbai, Maharashtra
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- Volo Health Insurance TPA Pvt. Ltd.Mumbai, Maharashtra
- Assess cashless and reimbursement claims and review medical records.
- Evaluate treatment charges, hospital tariffs, and medical necessity.
- Pink Sky HR ServicesGoregaon, Mumbai, Maharashtra
- 2-5 years of experience in medical writing within the pharmaceutical, biotechnology, or medical device industry.
- Job Types: Full-time, Permanent.
- SoteriusMumbai, Maharashtra
- Provide medical review for serious cases and line listing review for non-serious cases in line with program SOPs.
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- PfizerMumbai, Maharashtra
- Assist in medical readiness for new product launches, including KOL mapping, training, and medical content development.
- 4-6 years of Medical Affairs experience.
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- Sun Pharma Laboratories LtdMumbai, Maharashtra
- Promotional and non-promotional material review & approval.
- Conduct of robust medical evaluation of new products through thorough desk research and interactions…
- Sun Pharma Laboratories LtdMumbai, Maharashtra
- Promotional and non-promotional material review & approval.
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- BI IndiaMumbai, Maharashtra
- You will contribute to the development and review of labeling documents for pipeline and local products in line with relevant standard operating procedures.
- Eclat Health SolutionsMumbai, Maharashtra
- Receive, review, and process incoming medical documents.
- Respond professionally to inquiries regarding medical record requests.
- NovartisMumbai, Maharashtra
- Support and coordinate medical governance review forums/committees (as applicable) to ensure timely, compliant review and documentation of scientific/medical…
- Appex InnovationWadala, Mumbai, Maharashtra
- MBBS degree from a recognized medical college (Mandatory).
- Review medical history, lab reports, and diagnostic results.
- 5–10 years of clinical experience.
- MaerskMaharashtra
- Contribute to development and continuous improvement of survey standards, review guidelines, templates and processes.
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- GuidepointMumbai, Maharashtra
- Generate and review Excel-based survey outputs, including calculations, tables, charts, and other quantitative analyses.
- Fidelity Health ServicesMumbai, Maharashtra
- Preparation and quality review of various types of Aggregate Reports (AR)-PSUR, PBRER, Annual Safety Report, PADER, RMP, etc.
- Healync Technologies Private LimitedMumbai, Maharashtra
- Work closely with our operations team to manage everything from specialist appointments and diagnostics to admissions, procedures, home care and international…
- Shree Pragati Foundation`s Hira Mongi Navneet...Mulund West, Mumbai, Maharashtra
- Experience with medical records, health information systems, or coding preferred.
- Safeguard patient privacy and ensure the security of medical records in…
Job Post Details
Medical Officer/Senior Medical Officer
Volo Health Insurance TPA Pvt. Ltd.
Mumbai, Maharashtra
₹3,00,000 - ₹6,00,000 a year
-
Full-time
Medical Officer/Senior Medical Officer
Volo Health Insurance TPA Pvt. Ltd.
•
Mumbai, Maharashtra
•
₹3,00,000 - ₹6,00,000 a year
Job details
₹3,00,000 - ₹6,00,000 a year
Health insurance, Provident Fund
Full-time
Mumbai, Maharashtra
Full job description
Medical Officer / Senior Medical Officer – TPA Claims
Company: Volo Health Insurance TPA Pvt. Ltd.
Job Type: Full-time
Experience: 1–3 years (Freshers can also apply)
Locations: Mumbai, Pune, Delhi, Bengaluru, Chennai, Hyderabad
Job Summary
Volo Health Insurance TPA Pvt. Ltd. is looking for Medical Officers / Senior Medical Officers to support the processing and medical assessment of cashless and reimbursement health insurance claims. The ideal candidate should have sound clinical knowledge, attention to detail, and the ability to assess medical records in line with insurer guidelines and internal SOPs.
Key Responsibilities
- Assess cashless and reimbursement claims and review medical records.
- Evaluate treatment charges, hospital tariffs, and medical necessity.
- Verify claim documents and identify potential fraud, policy deviations, or discrepancies.
- Ensure timely claim processing in accordance with defined TATs and quality standards.
- Follow insurer guidelines, policy terms, and internal SOPs.
- Provide clinical inputs for complex claim assessments and decisions.
Eligibility Criteria
- Qualification: MBBS / BAMS / BHMS / BUMS only.
- Experience: 1–3 years of relevant experience; TPA claims experience preferred.
- Freshers with the required qualifications may also apply.
- Good clinical assessment, analytical, and documentation skills.
- Immediate joiners preferred; candidates serving their notice period may also apply.
Pay: ₹300,000.00 - ₹600,000.00 per year
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
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