Prarthana Gogoi

Medical Officer @Mediassist

Guwahati, IN

Evaluate and verify medical claims to ensure accuracy, authenticity, and compliance with insurance policies and medical guidelines.Review patient medical records, diagnostic reports, and treatment histories to assess claim eligibility.Collaborate with underwriting and claims teams to provide expert medical opinions on complex cases.Maintain and update claim verification records and reports using Google Sheets and other digital tools for efficient data tracking.Ensure timely processing of claims while upholding medical ethics and regulatory compliance standards.Communicate with hospitals, doctors, and policyholders for clarification and documentation verification.Contributed to streamlining claim verification procedures, improving turnaround time and accuracy.Supported internal audits and data analysis to identify patterns, reduce fraud, and enhance claim management efficiency.

ICST Institute - India

PGDCA

Handique Girl's College

Higher secondary

Pragjyotish Senior Secondary School

Class 10th

North eastern institute of Ayurveda and homoeopathy

Bachelor of homoeopathic medicine and surgery