Dr. Astha Vaidya

Associate Consultant

Pune, Maharashtra, India2 yrs 11 mos experience

AI Enabled

Key Highlights

MBA graduate with clinical and administrative expertise
Experience in medical review and claims handling
Internships focused on quality assurance and infection control

Stackforce AI infers this person is a Healthcare Professional with expertise in medical review and claims processing.

Contact

Skills

Core Skills

Medical ReviewClaims Handling

Other Skills

Medical Data InterpretationAttention to DetailAuditingAI for BusinessArtificial Intelligence (AI)Artificial Intelligence for DesignResearch SkillsWriting

About

An MBA graduate in Hospital Administration from IMS, DAVV, with a Bachelor of Dental Surgery, brings a unique blend of clinical and administrative expertise. Previous internships at Ruby Hall Clinic and CHL Hospitals reinforced knowledge in infection control and quality assurance, driving a commitment to improving process efficiency and healthcare outcomes.

Experience

2 yrs 11 mos

Total Experience

2 yrs

Average Tenure

11 mos

Current Experience

Principal global services

Associate medical reviewer

Jul 2025 – Present · 11 mos · Hybrid

Review APS, labs, and clinical reports to assess mortality risk for life insurance underwriting
Summarize complex medical histories into clear, concise case abstracts
Provide medical opinions to underwriters as per US life insurance guidelines
Interpret test results (ECG, Echo, labs, imaging) to support risk classification
Maintain HIPAA-compliant handling of sensitive health data
Ensure accuracy, quick TAT, and adherence to SOPs & audit standards
Collaborate with physicians and cross-functional underwriting teams

Medical ReviewMedical Data InterpretationAttention to DetailClaims Handling

Mdindia health insurance tpa pvt. ltd.

Medical adjudicator

May 2023 – May 2025 · 2 yrs · Pune, Maharashtra, India · On-site

Responsible for reviewing, evaluating, and processing medical insurance claims to ensure accuracy, compliance with policy guidelines, and adherence to regulatory standards. The role involves assessing medical records, verifying claim details, adjudicating based on policy terms, and coordinating with healthcare providers and insurers for claim resolution

Claims HandlingAttention to Detail