Key Responsibilities :
- Review prescriptions to assess whether the diagnosed disease / condition is covered
under the customer's insurance policy.
Perform basic quality checks on prescriptions including :○ Verifying doctor's name, registration ID, and specialization.
○ Ensuring mandatory details are present (diagnosis, medicines prescribed,
patient details, date, etc.).
Identify and report inconsistencies or incomplete documentation.Work closely with internal teams to seek clarifications or escalate exceptions.Ensure adherence to internal SOPs, claim processing timelines, and confidentialitynorms.
Maintain records of reviewed prescriptions with appropriate tagging (approved / needsclarification / rejected)
Monitor provider / client performance, analyse the data, and prepare report to keepclients and internal stakeholders informed
Proactively visit clients at their location to understand their needs, challenges andgoals
Conduct field research to stay updated on market trends and educate clients onrelevant products and services and serve as a SME
Required Qualifications :
Master's degree in Pharmacy (Pharmacovigilance specialization) - recent graduateswelcome.
Strong foundational knowledge of drugs, therapeutic categories, and disease profiles.Good understanding of prescription formats and clinical documentation.Basic awareness of insurance terminology and healthcare policies (training will beprovided).
Attention to detail and ability to analyze documents logically.Proficient in MS Office tools and comfortable working with digital platforms.Strong written and verbal communication skills.Skills Required
Pharmacy, Pharmacovigilance, Ms Office