Sign up with

Already have an account? Log in here

Need some help?
Talk to us at +91 7670800001

Associate Medical Reviewer - Life Science at Principal Financial Services, Inc.

Pune, maharashtra, India -

Full Time

Start Date

Immediate

Expiry Date

23 Jun, 26

Salary

0.0

Posted On

25 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Review, Policy Analysis, State And Federal Law, Regulation Adherence, Claim Detail Analysis, Product Design Knowledge, Contract Provisions, Eligibility Determination, Data Input Verification, Benefit Level Identification, Coordination Of Benefits, Attention To Detail, Written Communication, Verbal Communication, Basic Math Skills, Time Management

Industry

Financial Services

Description

Responsibilities Review, analyze, make appropriate and accurate decisions on dental claims in accordance with policy and state/federal law and regulations. Analyze claim detail and apply knowledge of claims procedures, product design, contract provisions and state and federal regulations to make appropriate, accurate, and timely claim decisions. This includes having a knowledge of plan provisions, determination of eligibility, verification of data input, identification of correct benefit level, coordination of benefits, and corrections. Qualifications 1-2 years of non-clinical work experience preferred (in TPA, insurance sector, financial services etc). Dentist by qualification – BDS or MDS degree (internship completed). Ability to maintain a high degree of accuracy and pay strict attention to detail. Must have excellent written and verbal communication skills. Ability to use basic math skills to determine claim payment. Work independently with good time management skills as well as in a team environment. Must have the ability to efficiently navigate and use multiple technology solutions. Ability to maintain confidentiality. Ability to thrive in a fast-paced, production environment. Additional Information Must Haves: Bachelor of Dental Surgery (BDS) – internship completed. Minimum 1-2 years of non-clinical work experience preferred (in TPA, insurance sector, financial services etc). Ability to work in night shift during the training time (5:30pm to 2:30AM) and in 1:30pm to 10:30pm in as regular work timings. Proficient in MS Office, written and verbal communication skills.

How To Apply:

Incase you would like to apply to this job directly from the source, please click here

Responsibilities

The role involves reviewing and analyzing dental claims to make accurate decisions based on policy, state, and federal laws and regulations. This includes applying knowledge of claims procedures, product design, and contract provisions to ensure timely and correct claim determinations.