Telecaller- Medical Graduate (Health Insurance)

Vrinda Global; Goregaon; Sur place; INR 1 200 000 - 2 000 000; Plein temps

Résumé du poste

Vrinda Global is seeking an experienced TMER professional to conduct telephonic medical verifications and support underwriting through meticulous risk assessment and adherence to guidelines.

The role requires extensive experience in TMER or medical underwriting and a medical graduate background, with fluency in Hindi and English plus a native language. Strong attention to detail and script adherence are essential for success.

Qualifications

• 14 years of experience in TMER, medical underwriting, or insurance operations.
• Exposure to health/life insurance underwriting processes preferred.
• Graduate in medical field (e.g., BAMS, BHMS, BUMS, BDS, B.Sc Nursing, Allied Health Sciences, or equivalent).
• Proficient in Hindi and English, plus one native language (e.g., Marathi/Gujarati).

Responsabilités

• Conduct telephone-based medical verification (TMER) as per scripts and underwriting guidelines.
• Capture and document medical and personal information from proposers accurately.
• Identify discrepancies or non-disclosures during TMER interactions.
• Ensure compliance with process, quality, and regulatory requirements.
• Analyze health insurance proposals within underwriting authority limits.
• Generate underwriting requirements based on medical risk assessments and guidelines.
• Maintain defined turnaround times and productivity standards.
• Participate in quality audits and implement corrective actions as required.

Connaissances

Telephonic verification

Medical terminology

Attention to detail

Script adherence

Formation

Medical graduate degree (BAMS/BHMS/BUMS/BDS/Nursing or equivalent)

Description du poste

POSITION OVERVIEW

The role is responsible for conducting Telephonic Medical Examination Reports (TMER) calls and supporting underwriting activities through medical verification, risk assessment, and strict adherence to underwriting guidelines, quality standards, and internal processes.

ROLE AND RESPONSIBILITIES

• Conduct telephone-based medical verification (TMER) as per prescribed scripts, underwriting norms, and guidelines.
• Accurately capture and document medical and personal information obtained from proposers.
• Identify discrepancies, risk indicators, or non-disclosures during TMER interactions.
• Ensure compliance with all process, quality, and regulatory requirements.
• Perform analysis of health insurance proposals within assigned underwriting authority limits.
• Generate appropriate underwriting requirements based on medical risk assessment and guidelines.
• Maintain defined turnaround times (TAT) and productivity standards.
• Participate in quality audits and implement corrective actions as required

EDUCATION & EXPERIENCE REQUIREMENTS

• 14 years of experience in TMER, medical underwriting, or insurance operations.
• Prior exposure to health/life insurance underwriting processes is preferred.
• Graduate in any medical field (e.g., BAMS, BHMS, BUMS, BDS, B.Sc Nursing, Allied Health Sciences, or equivalent).
• Proficient with Languages mainly Hindi + English and any 1 native language (Marathi/Gujarati/etc)

PREFERRED SKILLS

• Strong verbal communication and telephonic interaction skills.
• Knowledge of medical terminology and underwriting concepts.
• High level of attention to detail and accuracy.
• Ability to strictly follow scripts, SOPs, and guidelines.
• Good time management and multitasking abilities.
• Proficiency in basic computer applications and underwriting systems