Rajoshi Biswas
@rajoshibiswas
Dedicated BDS doctor and medical reviewer focused on evidence-based patient care.
What I'm looking for
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
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.
Reviewed and scrutinized health insurance claims and allocated suspected claims for physical verification. Conducted post-investigation document review to recommend claims as payable or deniable and coordinated with field vendors for claim closure.
Medical Reviewer
Merlot Investigation Agency
Oct 2023 - Mar 2024 (5 months)
Scrutinized investigated claim documents and prepared investigation closure reports to support claim outcomes.
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
BDM International
Class 10, General Education
Grade: CGPA 8.6
Completed Class 10 at BDM International. Scored CGPA 8.6.
Future Campus School
Class 12, General Education
Grade: 74%
Completed Class 12 at Future Campus School. Achieved 74%.
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.
Availability
Location
Authorized to work in
Job categories
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