Claim Processor

4 days ago


Bengaluru, Karnataka, India Karthika Consulting & Solutions Full time ₹ 4,00,000 - ₹ 8,00,000 per year

Job Title: Claim Processor

Open Positions: 2 Vacancies

Location: Konankunte cross

Job Summary:

We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication.

Qualifications:

Degree in M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS .

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, Cashless, Reimbursement, 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.

  • Behavioral Competencies:

  • Strong communication skills (verbal & written).
  • Teamwork and collaboration.
  • Time management and multitasking.


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