Medical Officer

Company Description

Vidal Health partners with insurers, employers, and healthcare providers to make healthcare access smoother and faster. By combining innovative technology with dedicated service, Vidal Health manages health claims, care coordination, and provider networks efficiently, reducing administrative burdens and improving service outcomes. The company focuses on providing seamless healthcare experiences, ensuring timely support for patients and stakeholders alike.Job SummaryThe Insurance Claim Processor is responsible for handling insurance claims efficiently, ensuring accurate verification, timely processing, and proper coordination with hospitals, customers, and insurance companies.

Key Responsibilities

Receive and register insurance claims (cashless and reimbursement)Verify policy details, coverage, and eligibilityReview claim documents for accuracy and completenessCoordinate with hospitals, TPAs, and insurance companiesProcess claim approvals, queries, and settlementsFollow up on pending claims and resolve discrepanciesCommunicate claim status to customers and stakeholdersEnsure compliance with company policies and insurance guidelinesMaintain accurate records and claim documentationMeet turnaround time (TAT) and quality standards

Qualifications & Requirements

Graduate in any discipline (BAMS,BHMS)Experience in insurance / TPA / healthcare claims processingKnowledge of health insurance policies and claim proceduresFreshers may be considered (as per requirement)

Skills Required

Good communication and coordination skillsAttention to detail and accuracyBasic computer knowledge (MS Excel, email systems)Ability to work under pressure and meet deadlinesProblem-solving and analytical skills

Working Conditions

Office / Hospital / TPA environmentShift-based or day shift (as applicable)