Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic TPA EXPERIENCE mandatory.Clinical Exp.

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic TPA EXPERIENCE mandatory. Clinical Exp.

Roles and Responsibilities Ensuring a positive and professional client service experience. Managing client inquiries via phone, email, online, or in person. Directing client complaints or complex queries to relevant departments in a timely manner. Providing clients with technical assistance on products and services. Expediting serious issues to management toward prompt resolution. Building positive client relations by checking in regularly and following up on active processes. Maintaining client records and documenting processes. Identifying potential client services concerns and facilitating proactive intervention steps. Keeping track of new products on offer, as well as emerging trends in client services. Recommending product improvements based on client services feedback. Desired Candidate Profile 1- 4 years of experience in client services, sales, or a similar role. Exceptional ability in providing professional, efficient, and friendly client services. Ability to coordinate with other departments on client-related matters. Advanced ability to provide technical assistance, resolve issues, and recommend improvements. Willingness and the ability to travel to client locations, when required. Ability to keep updated on new developments in the field of client services. Excellent interpersonal and recordkeeping skills.

The candidate must have completed BHMS, BAMS, or BUMS from a reputed university." Experience : 0 to 2 years Locations : Bangalore, Chennai and Mumbai / Pune Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic

Role & responsibilities Key Responsibilities: Serve as the primary point of contact for clients regarding medical insurance claims and policy-related queries. Assist clients with claim documentation, submission, and tracking. Liaise with insurance companies, brokers, and hospitals for smooth processing of claims. Provide guidance to clients on claim eligibility, coverage details, exclusions, and procedures. Resolve client issues and escalate complex cases to relevant departments as needed. Maintain updated records of all client interactions, claims, and documentation. Conduct periodic reviews and follow-ups with clients to ensure satisfaction and timely resolution. Educate clients on changes in policy terms, procedures, or regulatory updates. Support new client onboarding by explaining service processes and setting expectations. Collaborate with internal departments. Preferred candidate profile Min 4 years of experience in client servicing, preferably in the health or medical insurance sector. Strong understanding of health insurance terms, claim processes, and TPA coordination. Excellent communication and interpersonal skills. Problem-solving mindset and ability to handle pressure. Proficiency in MS Office. Knowledge of IRDAI regulations is a plus.