Role & responsibilities Job Title: Team Leader Account Management (CRM)Location: Konankunte Cross Company: Karthika Consulting & Solutions Pvt ltd Experience Required: 2-4 years in insurance, TPA, Indian Health Insurance/ hospital sectorJob ResponsibilitiesClient Servicing:Resolve policy holder queries within the Turnaround Time (TAT) and ensure a smooth claim process.Provide information to Policy holder and respond to their claim-related queries.Coordinate with policy holder/client for cashless claim settlement.Work closely with internal stakeholders such as the enrolment team, account management, claims, investigation, and support teams to settle claims.Transactional ActivitiesCoordinate with Insurance company / TPA for Reimbursement claim settlementAllocate newly generated claims to the processing team for action.Handle coordination with Patients regarding claim-related queries and settlement (cashless/reimbursement).Coordinate with the Medical Officers team to ensure claims are approved within TAT.Provide timely claim status updates and properly explain query letters, settlement letters, and deductions to customers/agents.Required Skills & QualificationsStrong verbal and written communication skills.Excellent multitasking and problem-solving abilities.Experience in the insurance, TPA, or hospital sector is preferred.Ability to work collaboratively in a team Note : Candidate must have experience in the managing Indian Health insurance worked in Insurance company / TPA or hospital.

Role & responsibilities Job Title: Medical officerOpen Positions: 4 Vacancies Location: Konankunte crossJob Summary:We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication.Qualifications:Degree in BAMS, BHMS, BSMS, or MBBS (strictly required).Candidates who can join immediately or within 15 days are preferred.Roles & Responsibilities:Ensuring accuracy and compliance in medical claims adjudication.Knowledge & Skill Requirements:Technical Competencies:Claims processing Preauthorization, Medical Adjudication, and Billing experience.Understanding of GIPSA/MA packages, SOC, and Tariff deviations.Identifying bill inflations in insurance billing.Knowledge of surgeries, advanced treatments, and procedure costs.Behavioral Competencies:Strong communication skills (verbal & written).Teamwork and collaboration.Time management and multitasking.

Responsibilities: 1. Client Relationship Management: a. Serve as the lead point with the hospital. b. Build and maintain strong, long-lasting relationships. c. Develop trusted advisor relationships with partnered Hospital. 2. Sales and Business Development: b. Develop new business from existing Hospital. c. Actively seek new sales opportunities in the health care industry . d. Identify areas of improvement to meet sales quotas. 3. Contract Negotiation a. Negotiate contracts and close agreements b. Ensure the timely support provided to partnered Hospital. 4. Cross-Functional Collaboration: a. Collaborate with internal departments to improve the Client experience. b. Prepare sales reports and communicate progress to internal and external stakeholders. 5. Travel: a. This position requires you to Visit the hospital in an around Bangalore. Qualifications: Excellent client communication skills. Ability to meet ambitious individual and team-wide sales quotas Experience Worked in Hospital / Insurance company / TPA 1 to 3 years. (Mandatory) Additional Skills. Strong verbal skills Strong problem-solving skills and enthusiasm for new tasks and challenges Relationship building skills. Ability to multitask and prioritize, with a strong work ethic and attention to detail Ability to operate with a high level of confidentiality and professionalism