Medical Officer

1 day ago

Whitefield Bengaluru Karnataka, India Vital Healthcare Services Full time

**Minimum qualification**:
Undergraduate in BHMS/BAMS/BDS

**Designation**:Medical Officer

**About Us**:
Vidal Health is 100% Subsidiary of Bajaj Finserv Health (BFHL). Vidal Health Insurance TPA Pvt Ltd was established in March 2002 with the mission to provide top quality TPA services to Health Insurance policyholders and be the most preferred TPA in India. We are licensed by IRDA (Insurance Regulatory & Development Authority) and have been empanelled by leading insurance companies, both public sector and private, across different regions of the country.

**Position Description**:
The team of medical practitioner part of Claims team will use their skills and expertise in adjudicating the claim received and they will ensure the same is attended on time by following the protocol of the policy defined by the insurer and the organization.

**Roles and responsibilities**:

- Dealing with patient’s health care related documents.
- Ensuring error free processing of reimbursement claims within agreed TAT (Turnaround time).
- Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures defined by the insurer and the organization.
- Any adjudication which is not as per the limit or as per the process to be escalated to the team manager on priority.
- Any medical opinion required from the specialist to be escalated to the specialist.
- Ensuring process compliance is met as per regulatory procedures.
- Maintaining Daily excel maintenance for reimbursement claim received and processed. Skills and Competencies:

- Medical practitioner/BDS/BHMS/BAMS or equivalent qualification
- Year experience in Pre-Authorization and Clams management.
- Sound medical knowledge and willing to work in non-clinic process.
- Experience in handling authorization is a add on.
- Should be willing to work in shifts as per the requirements. **No. of working days: 5 or 6 days Training will be provided to fresher. CTC: 3, 40,000 LPA with other benefits**:

- PF (Provident Fund)
- PLI (Performance Linked Incentive)
- Medical Coverage
- Gratuity
- **Location**:Whitefield, Bangalore Mode: Work from office.
- What We Offer:

- Competitive salary and performance-based bonuses, career growth opportunities.
- Comprehensive training and development programs.
- Mentorship from experienced professionals in the field.
- A dynamic and inclusive work environment that values diversity

**Job Types**: Full-time, Permanent

Pay: ₹20,000.00 - ₹30,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift
- Monday to Friday

Supplemental Pay:

- Performance bonus

Ability to commute/relocate:

- Whitefield, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (required)

**Experience**:

- TPA: 1 year (required)

**Location**:

- Whitefield, Bengaluru, Karnataka (required)

Shift availability:

- Day Shift (required)
- Night Shift (required)
- Overnight Shift (required)

Work Location: In person

Application Deadline: 25/05/2025

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