Bengaluru Karnataka Medical officer insurance bds Jobs – 2 Open Jobs Today

Medical Officer
Vidal Health Tpa Private Limited —Bengaluru, Karnataka
- ₹28,000 - ₹35,000 a month
- Full-time
- Microsoft Office
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
Quick apply
Doctors _ Working from Office _ Non Clinical
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Bengaluru, Karnataka
- ₹20,000 - ₹25,000 a month
- Full-time
- Analysis skills
- Bachelor's degree
- Travel
Quick apply

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Medical Officer
Vidal Health Tpa Private Limited —Bengaluru, Karnataka
0–3 years of experience in health insurance, TPA, or hospital claims. Review and assess IPD health insurance claims. Strong clinical and medical knowledge.
₹28,000 - ₹35,000 a month
Quick apply
Doctors _ Working from Office _ Non Clinical
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Bengaluru, Karnataka
Involves Auditing of processed Claims / Preauth within timelines. Validating for process guidelines / Quality / other terms and conditions.
₹20,000 - ₹25,000 a month
Quick apply

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Medical Officer

Vidal Health Tpa Private Limited -
Bengaluru, Karnataka

Quick apply

Job details

Full-time
₹28,000 - ₹35,000 a month

Benefits

Provident Fund
Leave encashment
Health insurance
Life insurance

Qualifications

Microsoft Office
Analysis skills
Bachelor's degree
Organisational skills
BAMS
Communication skills

Full job description

Job Title: Medical Officer – IPD (RI)
Department: Claims
Location: Bangalore White Filed

As per business requirement

Reporting To: Team Lead / Manager – Medical Services

Job Summary

The Medical Officer (IPD – RI) is responsible for reviewing inpatient (IPD) health insurance claims, evaluating medical necessity, ensuring compliance with policy terms and clinical guidelines, and supporting timely claim decisions while maintaining quality standards.

Key Responsibilities

Review and assess IPD health insurance claims.
Verify diagnosis, treatment, investigations, and medical necessity.
Scrutinize hospital records and supporting documents.
Ensure claims comply with policy terms, medical protocols, and regulatory guidelines.
Approve, query, or recommend rejection of claims based on medical findings.
Coordinate with hospitals, claims teams, and internal stakeholders for additional medical information.
Maintain turnaround time (TAT) and quality benchmarks.
Document claim decisions accurately in the claims management system.
Support audits, quality checks, and process improvement initiatives.
Stay updated with medical advancements, treatment protocols, and insurance guidelines.

Eligibility

BAMS/BHMS/BDS (as per company policy).
Valid registration with the respective medical council (where applicable).

Experience

0–3 years of experience in health insurance, TPA, or hospital claims.
Freshers with good clinical knowledge may also be considered.

Required Skills

Strong clinical and medical knowledge.
Understanding of IPD claim adjudication processes.
Knowledge of health insurance and TPA operations.
Good analytical and decision-making skills.
Excellent communication and documentation abilities.
Proficiency in MS Office and claims processing systems.
Ability to work under defined TATs and quality parameters.

Key Competencies

Attention to detail
Clinical judgment
Analytical thinking
Teamwork
Time management
Customer focus
Integrity and confidentiality

Job Type: Full-time

Pay: ₹28,000.00 - ₹35,000.00 per month

Benefits:

Health insurance
Leave encashment
Life insurance
Provident Fund

Education:

Bachelor's (Preferred)

Experience:

total work: 1 year (Preferred)

Work Location: In person

Quick apply

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medical officer insurance bds jobs in bengaluru karnataka

Medical Officer

Doctors _ Working from Office _ Non Clinical

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