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Rajoshi Biswas

@rajoshibiswas

Dedicated BDS doctor and medical reviewer focused on evidence-based patient care.

India
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What I'm looking for

I’m looking for a role where I can combine clinical insight with evidence-based medical review—reviewing claims or investigations with precision, coordinating stakeholders, and contributing to accurate, high-quality healthcare decisions.

I am a BDS doctor with a strong focus on patient care, bringing comprehensive medical knowledge and a compassionate approach to healthcare. I also serve as a medical reviewer, using critical analysis of medical literature to support evidence-based practices and accurate medical information.

In my Assistant Manager roles at Aditya Birla Health Insurance Co. Ltd. (on role) and Quess Corp Limited (off role), I review and scrutinize health insurance claims and allocate suspected claims for physical verification. After investigation, I perform post-investigation review of documents and findings to recommend claims as payable or deniable, and I recommend fraud hospitals for de-panelment.

I have also strengthened my investigation and reporting capabilities as a Medical Officer in the Investigation Department at Medi Assist Insurance TPA Pvt. Ltd., where I reviewed and scrutinized investigated health insurance claims from multiple insurance companies. As a freelancer medical reviewer at Merlot Investigation Agency, I scrutinized investigated claim documents and prepared investigation closure reports.

Committed to advancing healthcare through both direct patient care and contributing to the quality of medical content, I maintain the highest standards of professionalism. I bring empathetic communication, patient-centric care, detail-oriented analysis, creative problem-solving, and an eager learner mindset to every challenge.

Experience

Work history, roles, and key accomplishments

Aditya Birla Health Insurance Co. Ltd. logoAL
Current

Assistant Manager

Aditya Birla Health Insurance Co. Ltd.

Aug 2025 - Present (11 months)

Reviewed and scrutinized health insurance claims, allocated suspected claims for physical verification, and performed post-investigation document reviews to recommend claims as payable or deniable. Coordinated with field vendors and recommended fraud hospitals for de-panelment.

Medi Assist Insurance TPA Pvt. Ltd. logoML

Medical Officer - Investigation

Medi Assist Insurance TPA Pvt. Ltd.

Mar 2021 - Sep 2023 (2 years 6 months)

Reviewed and scrutinized investigated health insurance claims from multiple insurance companies within the investigation department. Ensured accuracy of investigated claim documentation for appropriate claim processing.

Education

Degrees, certifications, and relevant coursework

BI

BDM International

Class 10, General Education

Grade: CGPA 8.6

Completed Class 10 at BDM International. Scored CGPA 8.6.

FS

Future Campus School

Class 12, General Education

Grade: 74%

Completed Class 12 at Future Campus School. Achieved 74%.

CI

Chhattisgarh Dental College and Research Institute

Bachelor of Dental Surgery (BDS), Dentistry

Grade: 68%

Activities and societies: Community dental internship with organizations including Aastha Muk Badhir Sansthan, YMC-ANGO, National Service Scheme (NSS), Shaskiya kunj, Bihari Choubey Mahavidyalay.

Completed Bachelor of Dental Surgery (BDS) at Chhattisgarh Dental College and Research Institute. Participated in community dental internship experiences across multiple organizations.

Tech stack

Software and tools used professionally

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