Medical Officer

Vidal Health Insurance; Jaipur; On-site; INR 223,000 - 279,000; Full time

Job summary

Vidal Health Insurance invites applications for a Medical Officer (non-clinical) position at Sodala, Ajmer Road, Jaipur. The role centers on IPD Claims (Reimbursement) with claims processing, verification, settlement, and customer communication.

Candidates should hold BHMS/BAMS/BDS/BUMS degrees. Freshers to experienced professionals from TPA/Health Insurance are welcome; immediate joining preferred. Salary ranges 20k-25k with PF/ESIC benefits; office-based work.

Qualifications

• BHMS/BAMS/BDS/BUMS only.
• Experience in TPA or Health Insurance preferred.

Responsibilities

• Processing of Claims with verification and Settlement with Customer Accounts.
• Evaluation of customer/Claims and posting accordingly.
• Resolving Claims related queries and discrepancies. Follow up and respond to queries of Customers.
• Approving and Rejection of Payments to the Customers with all verification.
• Updating the Status of the Customers about the respective Claim.
• Play as an intermediate role between the Insurance co., and Customer.
• Handling Customer queries and giving a prompt reply to the customers through email.
• Preparing the Weekly consolidated reports of the team and updating to the Management.
• Assigning and Resolving Customer Queries through email.
• Raising Shortfall whenever it is necessary.
• Approving and Rejecting of Claim after all necessary checks.

Skills

Claims processing

Verification & settlement

Customer communication

Email correspondence

Education

BHMS/BAMS/BDS/BUMS

Job description

Job description:

Vidal is hiring for the position of Medical Officer (non-clinical role).

Qualification:

BHMS/BAMS/BDS/BUMS only

Work from office & Immediate Joiner will be preferred

Location: Sodala,Ajmer Road

Department-

IPD Claims(Reimbursement)

Roles and Responsibilities:

• * Processing of Claims with verification and Settlement with Customer Accounts.
• * Evaluation of customer/Claims and posting accordingly.
• * Resolving Claims related queries and discrepancies Follow up and respond to queries of Customers.
• * Approving and Rejection of Payments to the Customers with all verification.
• * Updating the Status of the Customers about the respective Claim.
• * Play as an intermediate role between the Insurance co., and Customer.
• * Handling Customer queries and giving a prompt reply to the customers through email.
• * Preparing the Weekly consolidated reports of the team and updating to the Management.
• * Assigning and Resolving Customer Queries through email.
• * Raising Shortfall whenever it is necessary.
• * Approving and Rejecting of Claim after all necessary checks.

Experienced candidate should be from TPA or Health Insurance Industry

Salary range- 20k for fresher-25k in hand +PF+ESIC (Depends on exp)