Karthika Consulting & Solutions

Karthika Consulting & Solutions provides a range of consulting services specializing in digital transformation, IT solutions, and management consulting.

20 Job openings at Karthika Consulting & Solutions
Insurance Desk Expert Bengaluru 1 - 2 years INR 1.5 - 3.25 Lacs P.A. Work from Office Full Time

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients Required Skills and Experience Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 2 years in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently. Detail-oriented with a professional and confidential approach.

Assistant Human Resource Manager Bengaluru 3 - 5 years INR 0.5 - 0.6 Lacs P.A. Work from Office Full Time

Job Title: Assistant Manager Human Resources Location: Konanakunte cross Company: WeAssist Department: Human Resources Reports To: HR Manager / Head of Operations Experience required: 3-5 years in HR, preferably in the insurance/claims/BPO/KPO sector About Us At WeAssist , we simplify and manage health and insurance claims for our clients with empathy, speed, and precision. Our goal is to bridge gaps between insurers, hospitals, and customers to ensure stress-free claims experiences. We value integrity, accountability, and care not only for our clients but for our teams too. Role Overview We are seeking a proactive and people-centric HR Assistant Manager who will support end-to-end HR operations, employee engagement, performance management, and compliance. You will play a pivotal role in strengthening our people practices, retaining top talent, and building a positive culture. Key Responsibilities 1. Recruitment & Onboarding Drive the recruitment process – from screening, scheduling interviews to finalizing offers. Coordinate with department heads for manpower planning and JD finalization. Oversee smooth onboarding, documentation, and induction of new joiners. 2. Employee Lifecycle Management Maintain accurate HR records and employee databases (attendance, leave, contract renewals). Manage employee confirmations, transfers, and exits, ensuring compliance and documentation. 3. Employee Relations & Engagement Act as the first point of contact for grievances, resolve issues sensitively and professionally. Plan and execute employee engagement activities and internal communications. Foster a culture of trust, feedback, and recognition. 4. Performance Management Assist in driving appraisal cycles and setting up OKRs/KRAs in coordination with team leads. Support training needs identification and coordinate L&D initiatives. 5. Compliance & HR Operations Ensure adherence to labor laws and internal policies. Prepare reports for audits, HR metrics, and MIS as required. Work with finance and admin teams for payroll inputs and HR budgets. Key Skills & Competencies Strong communication and interpersonal skills Conflict resolution and people management abilities Knowledge of labor laws, HR best practices, and compliance Proficiency in MS Office and HRIS tools Ability to maintain confidentiality and build trust Good judgment and emotional intelligence Preferred Qualifications Bachelor’s/Master’s degree in Human Resources, Business Administration, or related field Experience in handling HR in service-based industries like insurance, healthcare, BPO, or KPO Exposure to ISO or NABH HR audit processes is a plus Why Join Us? Work with a mission-driven, growing organization A supportive, inclusive, and learning-oriented culture Opportunity to impact people processes from the ground up Transparent leadership and an employee-first approach

Claim Processor Bengaluru 1 - 4 years INR 3.0 - 4.5 Lacs P.A. Work from Office Full Time

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.

Insurance Desk Expert Mangaluru 0 - 1 years INR 1.5 - 3.25 Lacs P.A. Work from Office Full Time

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients Required Skills and Experience Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 1 year in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently. Detail-oriented with a professional and confidential approach.

Insurance Desk expert Ghaziabad 0 - 1 years INR 1.25 - 2.25 Lacs P.A. Work from Office Full Time

Responsibilities and Duties. Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients

Insurance Desk Expert bengaluru 0 - 2 years INR 1.5 - 3.25 Lacs P.A. Work from Office Full Time

Role & responsibilities . To interact with hospital insurance patients. Create WhatsApp groups to provide/share information. Collecting necessary documents from Patient /Hospital. Coordinate with internal medical and Ops team for initial approval. Cross checking the files before sharing with the approval team. Educating patients about deduction. To create awareness about reimbursement claims. ( Pre & Post Hospitalization ) Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as necessary. Follow-up and provide Updates to the clients Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, Regional Manager Claims Assistance, Manager Operations and Business Head as necessary.

Claim Processor bengaluru 1 - 2 years INR 2.25 - 3.5 Lacs P.A. Work from Office Full Time

Job Title : Claim Processor 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 M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS . 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.

Process Trainer bengaluru 1 - 2 years INR 2.25 - 3.75 Lacs P.A. Work from Office Full Time

About WeAssist: WeAssist is a dynamic and rapidly growing claims management services company, committed to delivering high-quality, hassle-free insurance claim support. We believe that empowered employees make empowered customers and our training programs are central to this mission. Role Summary: We are seeking an experienced and passionate Trainer to deliver effective training programs for our internal and external teams. The Trainer will ensure new hires are well-equipped, and existing staff are continuously upskilled to deliver excellence in claims handling, customer interaction, and compliance. Key Responsibilities: Conduct induction training for new joiners across all departments. Design and deliver process-specific training modules for Claims Processing, Claims Coordination, and Support Teams. Train internal and external staff on insurance processes, and TPA/Hospital workflows. Monitor and assess trainees performance during and after training; recommend improvements. Maintain accurate training records and prepare training reports for management. Support knowledge sharing, performance improvement, and continuous learning culture across the company. Requirements: Bachelors degree in any discipline (preferred: Healthcare, Management, or related fields). Minimum 2–4 years of experience as a Trainer, preferably in the insurance or healthcare domain . Excellent communication and presentation skills. Strong understanding of health insurance claims lifecycle is an added advantage. Ability to simplify complex information for diverse learners. Proficiency in MS Office, online training tools (Teams, Zoom), and documentation. Patience, empathy, and a people-first attitude. Preferred: Prior experience training in TPA, insurance BPO, hospital billing, or claims environments is an added advantage. Knowledge of IRDAI regulations , claim documentation, and reimbursement/cashless processes. What We Offer: A collaborative work environment with learning opportunities. Platform to shape employee careers through impactful training. Competitive salary and performance incentives. Recognition for innovation in training and employee development.

Soft skills Trainer bengaluru 1 - 4 years INR 2.0 - 3.5 Lacs P.A. Work from Office Full Time

Role & responsibilities Conduct induction training for new joiners across all departments. Design and deliver process-specific training modules for Claims Processing, Claims Coordination, and Support Teams. Train internal and external staff on insurance processes, and TPA/Hospital workflows. Monitor and assess trainees performance during and after training; recommend improvements. Maintain accurate training records and prepare training reports for management. Support knowledge sharing, performance improvement, and continuous learning culture across the company. Requirements: Bachelors degree in any discipline (preferred: Healthcare, Management, or related fields). Minimum 1 –4 years of experience as a Trainer, preferably in the insurance or healthcare domain . Excellent communication and presentation skills. Strong understanding of health insurance claims lifecycle is an added advantage. Ability to simplify complex information for diverse learners. Proficiency in MS Office, online training tools (Teams, Zoom), and documentation. Patience, empathy, and a people-first attitude.

Account Manager bengaluru 2 - 4 years INR 2.25 - 4.5 Lacs P.A. Work from Office Full Time

Responsibilities: 1. Client Relationship Management: a. Serve as the lead point with the hospital. b. Build and maintain strong, long-lasting relationships. c. Develop trusted advisor relationships with partnered Hospital. 2. Sales and Business Development: b. Develop new business from existing Hospital. c. Actively seek new sales opportunities in the health care industry . d. Identify areas of improvement to meet sales quotas. 3. Contract Negotiation a. Negotiate contracts and close agreements b. Ensure the timely support provided to partnered Hospital. 4. Cross-Functional Collaboration: a. Collaborate with internal departments to improve the Client experience. b. Prepare sales reports and communicate progress to internal and external stakeholders. 5. Travel: a. This position requires you to Visit the hospital in an around Bangalore. Qualifications: Excellent client communication skills. Ability to meet ambitious individual and team-wide sales quotas Experience Worked in Hospital / Insurance company / TPA 1 to 3 years. (Mandatory) Additional Skills. Strong verbal skills Strong problem-solving skills and enthusiasm for new tasks and challenges Relationship building skills. Ability to multitask and prioritize, with a strong work ethic and attention to detail Ability to operate with a high level of confidentiality and professionalism

Marketing Executive bengaluru 0 - 2 years INR 2.0 - 3.25 Lacs P.A. Work from Office Full Time

Role & responsibilities Client Relationship Management: a. Serve as the lead point of contact for all customer account management matters. b. Build and maintain strong, long-lasting client relationships. c. Develop trusted advisor relationships with key accounts, customer stakeholders, and executive sponsors Cross-Functional Collaboration: a. Collaborate with internal departments (including Customer Service and Product Development) to improve the entire customer experience. b. Prepare sales reports and communicate progress to internal and external stakeholders. Consumer Insights: a. Answer client queries promptly. b. Collect and analyze data to understand consumer behavior. c. Identify opportunities for upselling and cross-selling among existing customers. Occasional Travel: a. This position may require occasional travel.

Project Coordinator bengaluru 1 - 2 years INR 3.0 - 3.75 Lacs P.A. Work from Office Full Time

Role & responsibilities Job Summary: The Project Coordinator will be responsible for assisting in the planning, execution, and completion of projects. This role involves coordinating with various teams, managing schedules, and ensuring that project goals are met on time and within budget. Key Responsibilities: 1. Project Planning: Assist in the development of project plans, including timelines, milestones, and resource allocation. 2. Communication: Serve as a point of contact between project teams, stakeholders, and clients. Ensure clear and timely communication of project status, issues, and changes. 3. Scheduling: Create and maintain project schedules, ensuring that all tasks are completed on time. 4. Documentation: Prepare and maintain project documentation, including reports, meeting minutes, and project plans. 5. Resource Management: Coordinate the allocation of resources, including personnel, equipment, and materials. 6. Risk Management: Identify potential project risks and develop mitigation strategies. 7. Quality Assurance: Monitor project progress to ensure that it meets quality standards and project requirements. 8. Budget Management: Assist in tracking project budgets and expenses, ensuring that projects stay within financial constraints. 9. Support: Provide administrative support to project managers and team members as needed.

Insurance Desk Expert bengaluru 0 - 2 years INR 1.5 - 3.25 Lacs P.A. Work from Office Full Time

Role & responsibilities . Support hospital insurance patients with clear, timely claim updates. Review documentation for smooth claim approvals. Educate patients on claim deductions and reimbursement processes. Raise awareness about pre- and post-hospitalization claims. Address grievances and ensure smooth communication with internal teams. Skills & Qualifications: Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 2 years in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently.

Trainer bengaluru 1 - 3 years INR 2.0 - 4.0 Lacs P.A. Work from Office Full Time

Key Responsibilities: Conduct induction training for new joiners across all departments. Design and deliver process-specific training modules for Claims Processing, Claims Coordination, and Support Teams. Train internal and external staff on insurance processes, and TPA/Hospital workflows. Monitor and assess trainees performance during and after training; recommend improvements. Maintain accurate training records and prepare training reports for management. Support knowledge sharing, performance improvement, and continuous learning culture across the company. Requirements: Bachelors degree in any discipline (preferred: Healthcare, Management, or related fields). Minimum 2–4 years of experience as a Trainer, preferably in the insurance or healthcare domain . Excellent communication and presentation skills. Strong understanding of health insurance claims lifecycle is an added advantage. Ability to simplify complex information for diverse learners. Proficiency in MS Office, online training tools (Teams, Zoom), and documentation. Patience, empathy, and a people-first attitude. Preferred: Prior experience training in TPA, insurance BPO, hospital billing, or claims environments is an added advantage. Knowledge of IRDAI regulations , claim documentation, and reimbursement/cashless processes.

Medical Officer bengaluru 1 years INR 2.0 - 4.0 Lacs P.A. Work from Office Full Time

Role & responsibilities Play as an intermediate role Between the Insurance co. and Hospital and We Assist Team. Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the insurance policy. Evaluating claims and posting remarks in whats app group and updating in CRM. Monitoring billing as per the Tariff. Managing claims escalations from hospitals. Responsible to handling queries raised by insurance company / TPAs Provide technical assistance and conduct training sessions for new processors on various health insurance policies. Evaluate complete claim documents before submission. Final Approval of Tabulation done by the team Coordinate with Internal team to understand patient enquiries. Helping team to understand the Non-medical Items. Periodically educating claim assistance department about the changes in the policy, rules & regulations and application deduction on settlement. To create awareness about reimbursement claims. (Pre, Post & Hospitalization) and communicating the important updates to the Claims Assistance and Finance Department Be available at the office for supporting onsite staff on all six days in a week b/w 9.30am to 7.00pm Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, Manager Insurance Adjudication and Business Head as necessary. Follow-up on the updates to be given to the clients / onsite team of Claims Assistance Department Qualifications & Skills. BAMS / BHMS / BDS / Bsc / MSc / Nursing / Dpharm / Bpharm 5-8 years of relevant experience Should have good analytical skills Excellent interpersonal & communication skills Experience. 5-8 years of experience in TPA or Indian Insurance claims or similar field or fresher Additional Skills. Strong verbal skills Fluency Strong problem-solving skills and enthusiasm for new tasks and challenges Relationship building skills. Ability to multitask and prioritize, with a strong work ethic and attention to detail Ability to operate with a high level of confidentiality and professionalism A willingness to accept a high degree of uncertainty, jump in and help wherever needed, get hands dirty, and wear multiple hats on a fast-moving team. Should be able to manage the task assigned, while managing the tasks of the team/ team members that are assigned Should have an ability to manage and maintain smooth relationship with cross functional department such as Finance, Claims Assistance, Back-Office and Marketing Team

Insurance Desk Expert bengaluru 0 - 1 years INR 2.0 - 3.25 Lacs P.A. Work from Office Full Time

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients Required Skills and Experience Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 1 year in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently. Detail-oriented with a professional and confidential approach.

HR Recruiter bengaluru 0 - 1 years INR 1.5 - 2.0 Lacs P.A. Work from Office Full Time

Key Responsibilities: Talent Acquisition: Source and attract candidates using a variety of methods, including job boards, social media, and networking, Screen resumes and applications to identify qualified candidates. Conduct interviews using various reliable recruiting and selection tools/methods. Collaborate with department heads to create detailed job descriptions and role requirements. Manage and optimize job postings on various platforms Candidate Management: Build strong relationships with candidates to ensure a positive experience throughout the recruitment process. Communicate with candidates regarding their application status and feedback. Arrange and conduct interviews, including phone screens, in-person, and virtual meetings. Onboarding: Coordinate with HR and department managers to ensure a smooth onboarding process for new hires. Provide necessary information and assistance to new employees before their start date. Data Management: Maintain a recruitment database and ensure data accuracy. Prepare recruitment reports and metrics to monitor the effectiveness of recruiting strategies. Compliance: Ensure all recruitment practices comply with employment laws and regulations. Maintain confidentiality and integrity of candidate and employee information. Employer Branding: Promote the company as a great place to work, ensuring a positive employer brand. Participate in job fairs and recruitment events.

Accountant bengaluru 0 - 2 years INR 2.0 - 2.5 Lacs P.A. Work from Office Full Time

Invoice Raising: . Bank Transaction Entry and Portal ( Internal ERP)Entry Reconciliation: Receivable Report Preparation and Follow-up: Payable Report Preparation and Follow-up: s. TDS Filing: GST Filing . Business Operation Reporting: Lender Consummation and Disbursement:

Claim Coordinator bengaluru 0 - 1 years INR 1.5 - 2.5 Lacs P.A. Work from Office Full Time

Role & responsibilities To create awareness about reimbursement claims submission. (Pre & Post Hospitalization) Efficiently and effectively handle grievance / issue raised by patients, escalate issue to the team leader, as necessary. Regularly Follow-up with Insurance company/TPA for claim status and Updates on ERP. Timely follow up with patients' messages and provide updates to them in the WhatsApp group. Fetching Insurance Admissibility details from Insurance company/TPA. Scan the medical documents given from submission. Share the documents in patients WhatsApp group. Upload the documents in ERP Qualifications & Skills. Any Graduation Should have good listening skills. Excellent interpersonal & communication skills Should have good comprehensive skill. Experience . Freshers/ experience Additional Skills. Strong verbal skills Fluency in English and other regional language (Added Advantage). Strong problem-solving skills and enthusiasm for new tasks and challenges Relationship building skills. Ability to multitask and prioritize, with a strong work ethic and attention to detail

Insurance Desk Expert bengaluru 1 - 2 years INR 2.0 - 3.5 Lacs P.A. Work from Office Full Time

Job Duties & Responsibilities To interact with hospital insurance patients. Create WhatsApp groups to provide/share information. Collecting necessary documents from Patient /Hospital. Coordinate with internal medical and Ops team for initial approval. Cross checking the files before sharing with the approval team. Educating patients about deduction. To create awareness about reimbursement claims. (Pre & Post Hospitalization) Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as necessary. Follow-up and provide Updates to the clients Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, Regional Manager Claims Assistance, Manager Operations and Business Head as necessary. Qualifications & Skills. Any Diploma, Graduation / Under Graduation Should have good listening & analytical skills Excellent interpersonal & communication skills Experience Worked in Hospital or Insurance 6 months to 02 years. (added advantage) Additional Skills. Strong verbal skills Strong problem-solving skills and enthusiasm for new tasks and challenges Relationship building skills. Ability to multitask and prioritize, with a strong work ethic and attention to detail Ability to operate with a high level of confidentiality and professionalism

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Karthika Consulting & Solutions