Approval Centre Doctors

EFU Life Assurance Ltd. is seeking a detail-oriented and knowledgeable Approval Centre Doctor who is committed to providing high-quality medical assessments within the healthcare insurance framework. This role does not involve managing a team, but it requires strong medical knowledge, effective communication skills, and meticulous attention to detail. As an Approval Centre Doctor, you will play a critical role in evaluating medical documents, ensuring compliance with healthcare regulations, and contributing to the process of approving insurance claims. Your clinical evaluation skills and ability to analyze data will be essential in this position as you strive for excellence in every assessment and decision-making process. In this role, you will interact with various stakeholders, including claimants and insurance professionals, making it vital to communicate findings and recommendations clearly and effectively. The ideal candidate is equipped with an MBBS degree, possesses 1 to 2 years of relevant clinical or administrative experience, and has a solid understanding of healthcare regulations and procedures. Your medical acumen will drive effective assessments and ensure that all documentation is accurately reviewed and presented. If you are passionate about healthcare and ready to make a significant impact in the insurance sector, we encourage you to apply and join our dedicated team.
Responsibilities

Conduct comprehensive medical assessments to evaluate insurance claims related to health care.
Review medical documentation and ensure compliance with relevant healthcare regulations.
Analyze clinical data and utilize problem-solving skills to resolve complex cases.
Communicate findings clearly to internal stakeholders and provide justifications for medical assessments.
Prepare detailed reports summarizing clinical evaluations and recommendations.
Stay updated with the latest developments in medical knowledge and health insurance standards.
Provide presentations on clinical assessments to the insurance team as required.
Maintain meticulous documentation of all assessments and interactions related to claims.
Collaborate with medical professionals and other departments to ensure a cohesive approval process.
Exercise sound judgment and integrity while making decisions on medical claims.