Medical Claims Processing jobs in Bengaluru, Karnataka

Job Title: Medical officer

Open Positions: 2 VacanciesLocation: Konankunte cross

Job Summary

We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA 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, 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

Pay: ₹200,000.00 - ₹300,000.00 per month

Experience:

• Medical Officer claims: 2 years (Preferred)

Work Location: In person