Associate Medical Reviewer

Responsibilities

What Makes This Opportunity Unique

At Principal, you will join a dynamic team that values collaboration, innovation, and excellence. As an Associate Medical Reviewer, you will play a crucial role in ensuring we provide flawless and efficient services to our clients. This role offers the opportunity to work in an encouraging environment that fosters personal and professional growth.

Responsibilities

• Review and summarize applicant's medical information such as Attending Physician Statements, lab reports, paramed exams, and other related medical claim information consistent with the company's standards.
• Provide clear file documentation to support the onshore Claims team.
• Consult available resources including technical documentation, updates, co-workers, and trainers to perform daily tasks and meet performance targets as per the training plan.
• Improve personal efficiency that positively impacts work, environment, and improvement of skills.
• Develop partnerships among peers and those supported to increase ownership of work and sustain an efficient process.
• Perform other job-related duties, processes within the BU, or special projects as required or assigned by an outstanding manager.
• Work on multiple products effectively, meeting required efficiency and accuracy targets for each product.
• Partner with HO counterparts, trainers, SMEs, and associates for effective sharing of guidelines.
• Handle extra responsibilities such as reviews, performance tracking, team bonding events, training, and on-floor support for query resolution.
• Improve efficiencies by submitting Operational Excellence ideas.

Shift timings - During the training period of 3 to 4 months, it will be pure night shift(5.30 to 2.30 AM IST), the individual needs to be working 5 days in office.

Once the training is completed, it will be afternoon shift (1.30 to 10.30 PM IST) hybrid model (3 days WFO & 2 days WFH)

Qualifications

• Bachelor’s/Master’s degree in medicine preferred (MBBS, BAMS, BHMS, etc.).
• Minimum of 2-5 years’ experience in back office roles with domain knowledge of Life and Health Insurance (Individual & Group Insurance).
• Typing test – 35-40 Wpm (Numeric) with 99% accuracy.
• Proficient knowledge of Excel and MS Office.
• Excellent written and verbal communication skills.
• Decision-making, problem-solving, and good analytical skills.
• Medical coding-related certification and experience will be an addon.

Why Join Us?

Joining Principal means becoming part of a group motivated by ambition and dedicated to high standards. We provide a cooperative environment where your ideas and efforts are appreciated. You will have chances to collaborate with experienced professionals in a fast-paced industry while positively influencing our clients' lives.

Experience Principal

At Principal, we value connecting on both a personal and professional level. Together, were imagining a more purpose-led future for financial services and that starts with you. Our success depends on the unique experiences, backgrounds, and talents of our employees. And we support our employees the same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and social well-being. Check out our careers site to learn more about our purpose, values and benefits.

Principal is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Qualifications

• Bachelor’s/Master’s degree in medicine preferred (MBBS, BAMS, BHMS, etc.).
• Minimum of 2-5 years’ experience in back office roles with domain knowledge of Life and Health Insurance (Individual & Group Insurance).
• Typing test – 35-40 Wpm (Numeric) with 99% accuracy.
• Proficient knowledge of Excel and MS Office.
• Excellent written and verbal communication skills.
• Decision-making, problem-solving, and good analytical skills.
• Medical coding-related certification and experience will be an addon.