Role to investigateSource-checked · reviewed 21 Oct 20264 sources cited

Insurance claims Medical Officer

Check medical documents against health insurance policy terms.

At a glance

For youChoose a qualificationChoose your degree on the Explore page to see what the sources say for you.
CostNot establishedNo official, current cost is recorded.
Pay1 sourcedNew India Assurance's 2025 AO (Health) notice states a scale starting at basic Rs. 50,925 and gross emoluments of about Rs.…
HoursNot establishedConfirm shifts and on-call work with the employer.
Employers ask8 sourcedThis Medi Assist listing includes MBBS, BHMS, BAMS and B.Sc Nursing, with Indian registration mandatory and 0–3 years of…

Checked 21 Oct 2026 · 4 sources · next review 20 Nov 2026

Cost, pay and hours

As sourced

1
Extra costNot established
No official, current cost is recorded. Check the programme or credential provider.
2
Pay1 sourced
- New India Assurance's 2025 AO (Health) notice states a scale starting at basic Rs. 50,925 and gross emoluments of about Rs. 90,000 per month in metropolitan centres.
  Basis:
  Indian rupees
  per month
  Administrative Officer (Scale-I), including AO (Health), 2025 notice
  basic pay scale plus other admissible allowances
  Show scopeHide scope
  Scope:AO Scale-I at a public-sector insurer, 2025 cycle, metro gross.
  Note:
  Not the pay of a TPA claims Medical Officer, and not a current vacancy.
  The 'approximately' figure is the employer's own estimate for metros only.
  Excludes Non-practising allowance (the notice says AO (Health) gets none)
  Show 2 moreShow fewer
  outside metro centres the gross is not stated
  pension is under NPS per the notice.
3
Shifts & hoursNot established
Confirm shifts, weekend work and on-call expectations with the employer.

Reality check

From the sources

The work

Check the medical admissibility of claims, scrutinise them against policy terms, raise a request when documents are missing, and handle escalations.
The cited listing includes approving or denying claims within the turnaround time
under IRDAI’s published FAQ, a denial is communicated by the insurer.

Entry requirements

Medi Assist explicitly lists BAMS, BHMS, B.Sc Nursing and MBBS, with Indian registration mandatory and 0–3 years of experience.
These are this employer’s listed requirements, not shown here as a regulatory rule.
Other degrees need separate employer evidence.

Trade-offs to consider

Accuracy and turnaround targets are part of the cited listing.
Salary and shift pattern are not established.

Skills & employers

From the sources

Skills to investigate

Computer and typing skills
Analytical skills
Communication
Decision-making

Employers named in sources

Medi Assist
Paramount Health Services & Insurance TPA
The New India Assurance Company Ltd

Examples in cited pages, not a hiring list.

Study or credential neededNot established. Required versus optional credentials must be checked for the specific employer or programme.

What employers ask for

8 sourced

This Medi Assist listing includes MBBS, BHMS, BAMS and B.Sc Nursing, with Indian registration mandatory and 0–3 years of experience.
Names: MBBS, BHMS, BAMS, B.Sc NursingSource: Medi Assist ↗
Show scopeHide scope
Scope:
- One employer listing; vacancy availability and exact registration requirements must be confirmed.
- Not a guarantee of eligibility or employment.
- Medi Assist explicitly lists BAMS, BHMS, B.Sc Nursing and MBBS, with Indian registration mandatory and 0–3 years of experience.
- Other degrees need separate employer evidence.
Source: Medi Assist ↗
Show scopeHide scope
Scope:Employer listing · Bangalore, Mumbai, Noida · vacancy availability unconfirmed
Paramount Health Services' careers page lists a Medical Officer opening (50 vacancies across 15 cities) that processes cashless and reimbursement claims, with BHMS / BAMS / BDS / BPT and 0-5 years of experience.
Names: BHMS, BAMS, BDS, BPTSource: Paramount Health Services & Insurance TPA ↗
Show scopeHide scope
Scope:
- One TPA's careers page as read on 24 Oct 2026; undated
- locations include Ahmedabad, Andheri, Thane, Bangalore, Baroda, Chennai, Delhi, Hyderabad, Pune, Mohali, Patiala, Moga, Amritsar, Bathinda, Worli.
Not established:
- Does not list MBBS or nursing for this row, does not give a registration rule, pay, shift or hours, and the page has no per-job URL or posting date.
- Two older per-job pages that search engines showed (Hidequery.aspx?ID=5 and ID=31) now return 404, so the listings are not stable.

Show 5 more

On the same Paramount page a separate 'Claims' role (approve and settle claim payments, 0-5 years) asks only for 'Graduate', i.e. no medical degree is named for that claims role.
Source: Paramount Health Services & Insurance TPA ↗
Show scopeHide scope
Scope:One TPA listing, undated.
Not established:
- Does not say a medical degree is irrelevant to progression, nor what a non-medical claims executive may decide.
- It is a different role from the Medical Officer.
New India Assurance (public-sector general insurer) recruited AO (Health) officers in its 2025 Administrative Officer drive, open to MBBS/MD/MS, BDS/MDS and BAMS/BHMS holders with at least 60% marks and a valid registration.
Names: MBBS, BDS, BAMS, BHMSSource: The New India Assurance Company Ltd ↗
Show scopeHide scope
Scope:
- 2025 cycle only (online registration 07-30 Aug 2025, Phase-I 14 Sep 2025).
- The company's recruitment list page ('Last Update: 11/08/2026') shows no newer AO notice, so no current cycle is confirmed.
Not established:
- The advertisement does not describe the AO (Health) job duties, so it does not show that the post reviews health claims.
- It is an officer-cadre post, not a TPA medical officer.
- Vacancy numbers for the Health row are unclear in the notice's table layout, so none is given.
- Medi Assist's Medical Officer listing names BAMS, BHMS, B.Sc.
- Nursing and MBBS as accepted degrees and marks Indian registration as mandatory.
Names: MBBS, BAMS, BHMS, B.Sc NursingSource: Medi Assist ↗
Show scopeHide scope
Scope:One Medi Assist listing (Bangalore, Mumbai, Noida; 0 to 3 years of experience). Page is undated.
Not established:
- Does not name which council the registration is with.
- Does not say BDS or BPT are accepted at Medi Assist.
- Does not mention B.Tech, BCA or MCA, so it neither includes nor excludes them.
- Paramount Health Services lists its Medical Officer post (50 openings, 0 to 5 years) as open to BHMS, BAMS, BDS or BPT holders
- the page states no registration requirement.
Names: BDS, BAMS, BHMS, BPTSource: Paramount Health Services & Insurance TPA ↗
Show scopeHide scope
Scope:
- Single careers-page table row for Medical Officer
- the Claims row on the same page says only 'Graduate'. Page is undated.
Not established:
- The page is silent on council registration, on MBBS, and on shifts, hours and pay.
- Silence is not evidence that registration is not needed.
- The New India Assurance 2025 recruitment notice for AO (Health) requires a valid registration with the Medical or Dental Council of India or a State Council (allopathy or dental)
- a parallel clause covers AYUSH councils.
Source: The New India Assurance Company Ltd ↗
Show scopeHide scope
Scope:Registration dates 07 to 30 August 2025, so this notice is closed.
Not established:
- AO (Health) is an insurer officer cadre, not a TPA claims Medical Officer.
- Does not show what private TPAs require. Closed notice.

The work and what comes next

5 sourced

The work, from the sources

The Medi Assist Medical Officer listing includes checking the medical admissibility of claims, scrutinising claims against the terms and conditions of the insurance policy, raising an insufficiency request when documents are missing, and handling escalations and emails.
Source: Medi Assist ↗
Show scopeHide scope
Scope:Employer listing · Bangalore, Mumbai, Noida · vacancy availability unconfirmed
The Medi Assist Medical Officer listing includes approving or denying claims as per the terms and conditions within the turnaround time, and handling escalations.
Source: Medi Assist ↗
Show scopeHide scope
Scope:
- One employer listing. The officer’s actual authority varies by employer and policy.
- Vacancy availability unconfirmed.

Show 2 more

IRDAI’s FAQ says an insurer shall settle or reject a claim within thirty days of the last necessary document, and that a denial or repudiation is communicated only by the insurer, citing the policy conditions.
Source: IRDAI ↗
Show scopeHide scope
Scope:
- A regulator’s FAQ summary, not the regulation text.
- It does not say what a TPA claims reviewer may decide, which depends on the insurer’s health services agreement.
Medi Assist's listing says the Medical Officer checks the medical admissibility of a claim by confirming diagnosis and treatment details.
Source: Medi Assist ↗
Show scopeHide scope
Scope:One employer listing, undated.
Not established:
- Authority to approve or deny varies by insurer agreement
- the page does not say which decisions are final.

What can come next

The notice sets a four-year minimum service undertaking, transfer anywhere in India (minimum 5 years at the first posting), and says AO (Health) officers receive no non-practising allowance.
Source: The New India Assurance Company Ltd ↗
Show scopeHide scope
Scope:2025 AO notice, this employer only.
Not established:
- Does not apply to TPAs or other insurers.
- Bond figure: one year's gross salary as liquidated damages, per Section 3.

Sources and unanswered questions

Employer listing · Bangalore, Mumbai, Noida · vacancy availability unconfirmed.
Source checking confirms only the scoped statements on this page, not anyone’s individual eligibility.
Confirm current requirements with the employer or programme.

Medi Assist Medical Officer ↗Medi Assist · accessed 21 Oct 2026
Show scopeHide scope
Scope:Employer listing · Bangalore, Mumbai, Noida · vacancy availability unconfirmed
Page checked automatically on 2026-10-25: the page opened.
IRDAI FAQs on health insurance regulations ↗IRDAI · accessed 23 Oct 2026
Show scopeHide scope
Scope:
FAQ summary of the regulations; the text of Regulations 26, 27 and 33 it cites was not read.
It does not describe a Medical Officer’s own authority, which varies by employer.
Checked by a person; not monitored automatically.
Paramount Health Services careers ↗Paramount Health Services & Insurance TPA · accessed 24 Oct 2026
Show scopeHide scope
Scope:
One TPA's careers page as read on 24 Oct 2026; undated
locations include Ahmedabad, Andheri, Thane, Bangalore, Baroda, Chennai, Delhi, Hyderabad, Pune, Mohali, Patiala, Moga, Amritsar, Bathinda, Worli.
Not established:
- Does not list MBBS or nursing for this row, does not give a registration rule, pay, shift or hours, and the page has no per-job URL or posting date.
- Two older per-job pages that search engines showed (Hidequery.aspx?ID=5 and ID=31) now return 404, so the listings are not stable.
Checked by a person; not monitored automatically.
Recruitment of 550 Administrative Officers (Generalists & Specialists) (Scale-I), Ref CORP.HRM/AO/2025 dated 07.08.2025 ↗The New India Assurance Company Ltd · accessed 24 Oct 2026
Show scopeHide scope
Scope:
2025 cycle only (online registration 07-30 Aug 2025, Phase-I 14 Sep 2025).
The company's recruitment list page ('Last Update: 11/08/2026') shows no newer AO notice, so no current cycle is confirmed.
Not established:
- The advertisement does not describe the AO (Health) job duties, so it does not show that the post reviews health claims.
- It is an officer-cadre post, not a TPA medical officer.
- Vacancy numbers for the Health row are unclear in the notice's table layout, so none is given.
Checked by a person; not monitored automatically.

Your next step: Read the employer criteria and record any qualification, registration or experience gap.

Practise scenarios Open the comparison Build a resume for this path

A source names these qualifications for this profile: MBBS · Medicine, BHMS · Homoeopathy, BAMS · Ayurveda, BDS · Dentistry, B.Sc Nursing, BPT · Physiotherapy