KPI for Medical Officer

  • Proficient with medical terms & system.
  • Strong quantitative and reasoning abilities.
  • Strong interpersonal and communication skills and the ability to work effectively.
  • Scrutinizing of Health claim files and has to check the genuinety of claim.
  • Understand enterprise architecture in health care and public health organizations.

KPI for Claim Executive

  • Claim intimation of the claims Files as per date of admission and policy period.
  • Bill Entry of the Claim File according to the various bills under sub heads like
    consultations, investigations, medicines etc..


  • To retain the current business and to develop new business for the company by
    maintaining good relationship with the clients.
  • Responsible for Full & Final settlements of the mediclaim process of corporate clients.
  • Maintaining track of all pending claim cases &ensure on the closure of the same within
  • Coordinating with broker &insurance companies for resolution on pending cases.
  • Ensuring proper implementation of Mediclaim Policy.
  • Preparing MIS reports for the clients on weekly basis.
  • Preparing Presentation for clients during renewal & quarterly review meetings.
  • Conducting weekly/monthly/quarterly meetings with the clients/brokers/insurance
    company to ensure smooth running of the business.

KPI for Co-ordinator

  • Strong interpersonal and communication skills and the ability to work effectively.
  • Coordinate with Clients and Diagnostic centers executive to arrange pre-policy
    medicals on fixed timings.
  • Daily or Monthly MIS report sent to management as per their advice.

KPI for Operation Manager

  • Processing & settlement of claims reported under various line of business for
    commercial & retail clients with the objective of fair settlement & customer retention.
  • Understanding of the Policy Conditions for different Insurance companies / corporate and
    adherence of same for processing with due linkage with the claims system.
  • Monthly presenting performance review to higher management.
  • Tightening the Internal TAT to achieve and surpass SLA sets by Insurance
    Company / Customer.
  • MIS request gets delivered to insurance company/insurance brokers as and
    required or as decided.


  • Able to present value propositions to large audiences at industry events and in
    one-on-one meetings with key analysts.
  • Well versed in cost effective branding and marketing programs to quickly drive market
    awareness and high quality leads.
  • Should be well experienced in corporate sale and presentations.
  • Bringing the business from various corporate Regular and continuous liaison with risk
    and Insurance executives and Regional Managers of the insurance companies in
    connection with business opportunities.
  • Responsible for generating higher revenues for the company by bringing in more business.
  • Interaction with Insurance companies and internal team to complete the work process.

KPI for Backoffice Executive

  • Candidate would be responsible for handling Back office activities.
  • Feeding data, Summarizing and analyzing the same.
  • Should be well experienced in corporate sale and presentations.
  • Documentation - MIS Preparation - Data entry, letter drafting, e-mail, Ms-office.
  • Coordination with clients and other internal departments for smooth work process.

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Please fill-up application form online
Email us at :
Write to us at :
Human Resource Dept.
ERICSON TPA Healthcare Pvt. Ltd.
4th Floor, New Vijay Cinema Building,
S. T. Road, Chembur,
Mumbai-400071, Maharashtra.
Tel: 022-25280280

We will get in touch with you.

News and Events

We have developed our own state-of-art claims IT system.

We are in process to built up tone of the largest direct billing hospital (Cashless) network hospitals across the India.

We are in better position to provides full-range comprehensive health insurance services, including, enrollment, claims processing, pre-authorization, case management, emergency assistance, network maintenance and other customer services right in all over india.

Innovation, flexibility, speed and superior service are the hallmarks of our commitment to our valued clients. We are ready to provide you with the best customer service for now and in the future.