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Claim Processor

Karthika Consulting & Solutions

1 - 4 years

3 - 4 Lacs

Bengaluru

Posted:1 day ago| Platform:

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Skills Required

TPA Claims Adjudication Claims Processing Health Insurance Insurance Claims Tabulation Medical Insurance

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Title : Medical officer Open Positions: 2 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications : Degree in BAMS, BHMS, BSMS, or MBBS (strictly required). Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing experience. Understanding of GIPSA/MA packages, SOC, and Tariff deviations. Identifying bill inflations in insurance billing. Knowledge of surgeries, advanced treatments, and procedure costs. Behavioral Competencies: Strong communication skills (verbal & written). Teamwork and collaboration. Time management and multitasking.

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Karthika Consulting & Solutions

www.karthikaconsulting.com

Consulting

Tech City

50-100 Employees

3 Jobs

Key People

John Doe

CEO
Jane Smith

CTO
Bob Johnson

CFO

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