Medical Officer Job at Navi | Claim Escalation Role in Bangalore
Looking for a medical officer job in the fintech and insurance sector? Navi is hiring a Medical Officer – Claim Escalation to strengthen its customer-first claims experience. This opportunity is ideal for medical graduates seeking MBBS jobs in Bangalore or professionals exploring exciting growth opportunities through Navi careers. If you have expertise in medical claims, strong communication skills, and experience in handling escalations, this role offers a dynamic and impactful career path.
Job Details:
- Job Position: Medical Officer – Claim Escalation
- Location: Bangalore, India
About the Company:
Navi is on a mission to make finance simple, accessible, and affordable for a billion Indians. Guided by a strong customer-first approach, Navi builds tech-first solutions that work at scale. Its offerings include financial products and services across Loans, Insurance, Mutual Funds, Digital Gold, and UPI. Founded by Sachin Bansal and Ankit Agarwal in 2018, Navi is one of India’s fastest-growing financial services organizations. The company culture promotes high ownership, speed, collaboration, and excellence—making Navi careers highly attractive for ambitious professionals.
Job Description:
This medical officer job involves working in the De-Escalation Team, managing and mitigating escalated claim-related issues. The role focuses on handling sensitive customer interactions in a calm and empathetic manner. The Medical Officer will work closely with customer service teams, claims teams, and healthcare professionals to provide expert medical advice and support in resolving claims disputes. The ideal candidate should have strong communication skills, a deep understanding of medical protocols and insurance claims, and the ability to diffuse complex situations effectively.
Qualifications:
- Medical Graduate in any stream (MBBS / BDS)
- Strong understanding of medical protocols and insurance claims
- Exceptional oral and verbal communication skills
- Excellent logical reasoning skills
- Ability to grasp the domain quickly and develop business insights
- Proactive in identifying potential issues and implementing corrective measures
- Strong stakeholder management skills
- Prior experience managing escalations is preferred
- Previous experience in hospitals or health insurance claims is advantageous
- Proficiency in Hindi and English (knowledge of additional languages is a plus)
Key Responsibilities:
Medical Expertise in Claims Escalation: Provide clinical expertise and insight into escalated claims, particularly where medical treatment, procedures, or diagnoses are involved. Review and assess the medical aspects of claims to ensure alignment with policy coverage.
De-escalation of Customer Issues: Serve as the primary contact for escalated customer claims and concerns. Respond with calm empathy, address issues diplomatically, and ensure customer satisfaction while adhering to company policies.
Conflict Resolution Through Internal Collaboration: Act as the voice of the customer within Navi. Work closely with claims processing and related teams to ensure smooth resolution of escalated cases.
Rejection Call Handling: Manage rejection calls with empathy. Clearly explain the reasons behind claim rejections and provide guidance on next steps.
Customer Experience & Retention: Enhance overall customer experience by demonstrating patience, empathy, and understanding. Provide clear, understandable, and compassionate communication regarding claims.
