Medical Claim Processor

5 days ago

Bengaluru, India TopGear Consultants Full time

**Greetings from TopGear Consultants**

**Have an opening with Leading General Insurance Company**

**Role : Medical claim processor**

**Location : Bangalore**

**Education : MBBS/BAMS/BHMS**

**Experience : cashless processing experience in a TPA or an Insurance company**

**Responsibilities**:

- Complete understanding of **cashless claims** processing
- Thorough with the health product knowledge within Indian market
- Good medical knowledge, understand the **medical treatment protocols** and able to **question/query** related to the **diagnosis or treatment given**:

- Quick enough on the **interpretation** and **decisioning**, **liasoning **with other stake holders or senior for resolutions.

**Pl share your resume, Mentioning BELOW DETAILS.**

**1. Current Salary**

**2. Expected Salary**

**3. Notice Period**

**4. Total Years of Experience**

**Regards,**

**Sakina**
- Role:
Medical Officer
- Salary:
Not Disclosed by Recruiter
- Industry:
Insurance
- Functional Area
Healthcare & Life Sciences
- Role Category
Doctor
- Employment Type:
Full Time, Permanent
- Key Skills

cashless claims

bhms

mbbs

bams

claims processing

medical

tpa

general insurance

Skills highlighted with ‘‘ are preferred keyskills
- Education
- UG:
BHMS in Homeopathy,BAMS in Ayurveda,MBBS in Medicine

Company Profile
- TopGear Consultants Pvt Ltd.

**Leading Company of TopGear Consultants Pvt. Ltd

  • Claims Processor/medical Officer

    1 week ago

    Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - Understand the...

  • Claim Processor

    1 week ago

    Bengaluru, Karnataka, India Acko General Insurance Full time

    **About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...

  • Sr. Associate – Medical Claims Processor

    3 days ago

    Bengaluru, Karnataka, India ACKO Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    About JobMedical claim processerSkills & QualificationProcess health claim & Insurance KnowledgeAnalytical & Decision-making SkillsCustomer Handling & CommunicationResponsibilitiesDocument ScrutinyAdmissibility AssessmentCoordination & CommunicationAnalysis & Reporting

  • Claims Manager

    2 weeks ago

    Bengaluru, India Navi Full time

    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...

  • Medical claim processer

    3 days ago

    Bengaluru, Karnataka, India ACKO Full time ₹ 3,00,000 - ₹ 6,00,000 per year

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

  • Customer Success Executive, Reimbursement Claim

    6 days ago

    Bengaluru, Karnataka, India Plum Benefits Full time

    **About Plum** Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own;...

  • Executive/Associate, Reimbursement Claims

    19 hours ago

    Bengaluru, Karnataka, India Plum Benefits Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    About PlumPlum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations.Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as...

  • Senior Claims Manager

    2 weeks ago

    Bengaluru, India Navi Full time

    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...

  • Claims Adjudication

    1 week ago

    Bengaluru, India CIEL HR Services Full time

    **Role: Healthcare Claims Processor** **Mandatory Skill: Claims Adjudication & Facets** **Location - Chennai** **Notice period - Immediate** Experience: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. Laptop: Mandatory to have a laptop Shifts: only Night Shifts( Time mostly from 4:00pm/5:00pm /6:00...

  • Health Claims Professional

    19 hours ago

    Bengaluru, Karnataka, India Digit Insurance Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    Job Title: Quality and Process Manager Health Claims OperationsLocation: BangaloreDepartment: Health Claims OperationsReports To: Head of Health ClaimsEmployment Type:Full-TimeJob SummaryWe are seeking a highly analytical and process-driven Quality and Process Manager to lead quality assurance and process improvement initiatives within our Health Claims...