Medical Officer-claims Processing

Job Title: Medical Officer Location: Bangalore Company: Medverve Healthcare Pvt Ltd Experience: 0-12 months Qualification: BAMS/ BHMS/ BDS About Us: MedVerve is co-Founded and run by a core team of qualified professionals from Healthcare Industry, with experience in Insurance Companies, TPAS, Hospitals and IT Healthcare. Bringing in strong skills in...

About JobFor a medical claim processSkills & QualificationProcess health claim & Insurance KnowledgeAnalytical & Decision-making SkillsCustomer Handling & CommunicationResponsibilitiesDocument ScrutinyAdmissibility AssessmentCoordination & CommunicationAnalysis & Reporting

Job Title**: Medical officer** Location: Konankunte cross Job Summary **Qualifications**: - Degree in BAMS, BHMS, BSMS, or MBBS (strictly required). - Roles & Responsibilities: - Ensuring accuracy and compliance in medical claims adjudication. **Knowledge & Skill Requirements**: - Technical Competencies: - Claims processing - Preauthorization,...

About the Team The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

About the TeamThe Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

About the TeamThe Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

About the TeamThe Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...

Experience: 0-12 monthsQualification: BAMS Key Responsibilities:Good communication skill.Knowledge in computers like MS office.-Good medical knowledge.-Independently process Post hospitalization claims; process complex claims with minimal assistance-Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and...

JOB DESRCIPTION: The role involves auditing claims and preauthorization, to ensure clinical appropriateness, policy compliance, and correct system processing. It requires a strong blend of medical understanding and system knowledge to identify errors, investigate their root causes, and support in improvement of workflows. **Key Responsibilities** 1.Review...

About the Team The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of agent communications—across calls, chats, and other channels—to ensure accuracy, consistency, and compliance. The team also ensures compliance across different...