Job Description

Job Title:

Claims Officer / Claims Supervisor

Location:

Raiganj, West Bengal

Accommodation:

Provided by the hospital

Qualification:

BHMS (Registered with respective council)

Experience:

Minimum 2+ years in hospital settings preferred

Reporting To:

Hospital Administrator / Medical Superintendent

Job Summary:

We are seeking a dedicated and proactive Medical Officer (MBBS/BHMS) to manage administrative coordination related to insurance. The role includes empanelment handling, claims processing, and facilitation of insurance and government health scheme cases.

Key Responsibilities:

Provide routine and emergency medical care to admitted patients Maintain treatment records and coordinate with specialist consultants Manage empanelment with insurance companies, TPAs, and health schemes Submit pre-authorizations and claims; follow up for approvals and settlements Facilitate insurance-related processes for patients and families Ensure proper documentation and compliance for audits and claim processing

Skills Required:

Clinical knowledge and emergency handling skills Understanding of insurance/TPA processes and healthcare documentation Good communication and coordination abilities Familiarity with Ayushman Bharat and other government schemes is a plus
Job Type: Full-time

Pay: Up to ₹80,000.00 per month

Schedule:

Rotational shift
Work Location: In person