Medical Officer - Mediclaim Process (MBBS ONLY)
Core
Review and verify large volumes of patient medical records, perform clinical reviews, and prepare detailed reports including chronologies, timelines, summaries, mass tort matrices, and medical opinions on case validity and valuation.
Role type
Medical Officer (Mediclaim Process)
Builds
Medical review reports and case validity valuations for health insurance settlements
Domain
Health Insurance / Medical Claims
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical record analysis, Clinical review, Medical terminology interpretation, Patient evaluation, Clinical medicine knowledge, Microsoft Word, Adobe, Excel
Preferred skills
HIPAA compliance, Critical thinking, US culture understanding, Organizational culture understanding
Responsibilities
Analyzing and summarizing medical records for pre and post settlement projects, Interpreting clinical data in terms of medical terminology and diagnosis, Adhering to company policies and principles, Adhering to HIPAA regulations, Daily reporting to Medical team lead for productivity and quality