Job Description

Primary Responsibility Review the relevant medical information abstracted from medical records and then analyze the claim Knowledge of US Insurance /Medical Claims/US Healthcare is preferable In depth knowledge of medical terminology and body systems Ability to interpret medical records, correlate clinical knowledge with available medical data to create medical summary as per product guidelines Knowledge of Short and Long Term Disability will be an added advantage Understanding of lifestyle disorders like diabetes, hypertension, obesity, etc. that complicates the normal line of treatment of fracture/pain/soft tissue injuries (helpful in creating treatment plan and recommendations) Able to differentiate subjective and objective findings in medical records. Education Experience Preferred medical education background –MBBS with Minimum 2 years of experience in reviewing medical records in claim process Competencies  & Skills Review of medical records and abstract relevant information Identifying discrepancies, suspicious issues, negligence, and pre-existing comorbidities  Proficiency in written English and ability to paraphrase without altering the meaning of the medical text Computer literacy - Basic IT knowledge and familiarity of operating systems (Windows) Basic Knowledge of using Internet, web browser, search engine, Microsoft excel and word Preferred Typing skills - 40 words per minute with 90% accuracy Soft skills (Desired) Adaptability Eagerness to learn/flexibility to change Openness to feedback Team work Business Awareness Managing self Customer focus Desire to excel and improve Self-motivated, team player Problem solving skills Analytical ability Good Communication written and oral