Claims Officer- medical approvals

Job Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: VadodaraReporting To: TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination between...

Job Title:Medical Officer – TPA Claim ProcessDepartment:TPA / Health Insurance Desk Location:Vadodara Reporting To:TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination between...

Attending emails & calls from clients & sales team regarding approvals & claims & coordinating with insurance companies & TPA's through emails & telephoneEscalate the unresolved/special consideration casesHandling RI ClaimsMaintaining KPI records Required Candidate profileSalary : Upto 6 LPA6 Days WorkingShift : 9:30AM to 6:30PMLocation : Uttam Nagar Must...

Role : Medical Officer - CLAIM PROCESSING1.Medical Scrutiny by thorough assessment of documents.2.Provide Medical opinion on admissibility of Insurance Claims.3.Proficient with medical terms & system.4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines.5.Understanding of Claims adjudication / Claims...

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...

We are seeking a detail-oriented and organized Medical Billing Executive to join our team. The ideal candidate will be responsible for charge posting, claims submission, and follow-up on denied claims. This role requires a high degree of accuracy and efficiency in processing medical billing information, as well as the ability to handle a variety of tasks in...

**CLAIM PROCESSING-** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims adjudication / Claims Processing...

Will be responsible for reviewing, analyzing, & processing medical claims in line with policy terms, medical guidelines & regulator. The role ensures claims accuracy, fairness, & timely settlement while upholding professional medical standards. Required Candidate profileMBBS degree (mandatory). 2 to 5 years of exp in healthcare, TPA claims processing, or...

Hello Everyone,Calibrated Healthcare is hiring for a US healthcare claim examiner. if interested mail your resume on*Job Title:* US Healthcare Claim Examiner*Experience:* 1+ year*Location:* [Dwarka sector 8]*Job Type:* Full-time (In-Office )*Job Summary:*We're seeking a detail-oriented and analytical Healthcare Claim Examiner to join our team. As a Claim...