Responsibilities Review and process claims related to Ayurvedic treatments and services. Verify coverage and eligibility for Ayurvedic insurance policies. Ensure accurate documentation and compliance with regulatory standards. Communicate with healthcare providers to obtain necessary information for claims processing. Resolve discrepancies and issues related to claims in a timely manner. Maintain accurate records of processed claims and updates in the system. Collaborate with the customer service team to address client inquiries about claims status. Qualifications 2 yrs of minimum experience in claims processing, specifically in Ayurvedic insurance or alternative medicine. Experience working in a hospital setting, with an understanding of healthcare operations and patient care processes. Strong understanding of insurance policies and claims regulations. Excellent attention to detail and analytical skills. Proficient in claims processing software and Microsoft Office Suite. Strong communication and interpersonal skills. Ability to work independently and as part of a team. Exp: 2 yrs location: Bangalore Job Type: Full-time Pay: ₹13,940.99 - ₹40,749.06 per month Benefits: Health insurance Paid time off Provident Fund Schedule: Day shift Work Location: In person
Administer health insurance policies, ensuring accurate implementation and adherence to insurance guidelines. Oversee the claims submission and processing workflow, ensuring timely and accurate handling of claims. Provide assistance to beneficiaries regarding their health insurance queries, claims, and services. Maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and improve processes. Ensure compliance with regulatory standards and internal policies related to health insurance. Liaise with healthcare providers and hospitals to facilitate smooth processing of claims and services. Job Type: Full-time Pay: ₹17,000.00 - ₹25,000.00 per month Benefits: Health insurance Paid time off Provident Fund Schedule: Day shift Experience: Health insurance/Claim processing: 1 year (Required) Work Location: In person
Administer health insurance policies, ensuring accurate implementation and adherence to CGHS guidelines. Oversee the claims submission and processing workflow, ensuring timely and accurate handling of claims. Provide assistance to beneficiaries regarding their health insurance queries, claims, and services. Maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and improve processes. Ensure compliance with regulatory standards and internal policies related to health insurance. Liaise with healthcare providers and hospitals to facilitate smooth processing of claims and services. Job Type: Full-time Pay: ₹17,000.00 - ₹25,000.00 per month Benefits: Health insurance Paid time off Provident Fund Schedule: Day shift Experience: CGHS: 1 year (Preferred) Work Location: In person
Trainee Claim processing(Freshers) Job Profile: Training will be provided for freshers. Processing Claims for Insurance Companies Documentation for lodging and processing of insurance claims People management skills Ability to use technology to improve outcomes Excellent oral and written communication, negotiation and decision-making skills. Ability to work effectively in a fast-paced environment with shifting priorities. Experience: 0 - 1 year Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Languages: English Location: Bangalore, Mumbai, Hyderabad, Kashipur, Nagpur If interested share your updated resume to [email protected] Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Schedule: Day shift Application Question(s): Are you interested to work in Insurance claim processing field. Work Location: In person
e are seeking a detail-oriented and efficient Ayushman Insurance Claim Processor to manage and process insurance claims under the Ayushman Bharat scheme. The ideal candidate will ensure timely and accurate processing of claims, maintain comprehensive records, and provide exceptional support to beneficiaries. Key Responsibilities: Claim Processing : Evaluate and process Ayushman Bharat insurance claims, ensuring compliance with guidelines and policies. Documentation Review : Verify the accuracy and completeness of claim documents submitted by beneficiaries and hospitals. Communication : Liaise with healthcare providers, beneficiaries, and insurance companies to resolve any discrepancies or issues related to claims. Data Entry : Maintain accurate records of claims processed in the system and ensure timely updates. Compliance : Ensure adherence to regulatory requirements and internal policies related to insurance processing. Customer Support : Provide assistance to beneficiaries regarding the claim process, including eligibility, documentation, and status updates. Reporting : Generate reports on claim processing metrics and identify areas for improvement. Experience: Similar experience preferred. Education: Any Graduation Language: English and Kannada Location: Bangalore Job Type: Full-time Pay: ₹13,833.06 - ₹30,000.07 per month Schedule: Day shift Experience: Ayushman claim process : 1 year (Preferred) Work Location: In person
Job description Type- Full Time Location- Bangalore Mission of the Position We are seeking a detail-oriented and efficient Ayushman Insurance claim processor to manage and process insurance claims under the PMJAY scheme. The ideal candidate will ensure timely and accurate processing of claims, maintain comprehensive records, and provide exceptional support to beneficiaries and clients. The role would be office based and would largely involve claim review support to clients and on-ground resources wherein the quality and accuracy of the claims processing would be the deliverable expected from the role. Primary Activities- ● Evaluate and process Ayushman Bharat insurance claims, ensuring compliance with guidelines and policies. ● Verify the accuracy and completeness of claim documents submitted by beneficiaries and hospitals. ● Liaising with healthcare providers, beneficiaries, and insurance companies to resolve any discrepancies or issues related to claims. ● Liaison with stakeholders pan India to provide virtual client support. ● Maintain accurate records of claims processed in the system and ensure timely updates. ● Ensure adherence to regulatory requirements and internal policies related to insurance processing. ● Provide assistance to beneficiaries regarding the claim process, including eligibility, documentation, and status updates. ● Generate reports on claim processing metrics and identify areas for improvement. ● Responsible for operational efficiency & service delivery ● Ensure compliance with company's policies and operational guidelines ● Escalate related risks and concerns when necessary ● Should have strong client orientation and willingness to maintain a balanced approach when resolving client complaints ● Create daily, weekly and monthly report on the performance for assigned clients Must Have – Minimum Requirements Must be a graduate or equivalent with an MBA or Management degree preferred with 1-2 years of relevant work experience. Should have at least experience of 1 Year in PMJAY/ Ayushman claim processing management Experience of working in similar profile with healthcare program/ Client management in a prior role would be preferred He/she should be able to deal with ambiguity and navigate through challenges effectively Excellent communication in English & Hindi. Knowledge of other regional languages like Kannada is a bonus Should have sound knowledge of basic computer skills Microsoft Office and web-based portal Personal Attributes- Exceptional interpersonal and organizational skills Planning for project implementations and adherence to timelines Strategic orientation combined with operational strength/task orientation Good influencing skills, able to persuade others to adopt specific courses of action Consultative approach and ability to build long-term relationships Can work autonomously but is also a team player Self-motivated and positive with “Can do” attitude Good time manager: Well organized, able to set and reset priorities Interested candidates share your resume to hr@healspan.com
Junior Associate – Claim Processing (Hospital Operations) Careers that Change Lives About Healspan: At Healspan our team provides seamless, efficient approach to managing healthcare claims. Our journey is fueled by the passion to make healthcare management effortless for providers and patients alike, ensuring that every step from claim filing to settlement is smooth and transparent. We are looking to strengthen the organization by adding the best available people to our team. Job description Type- Full Time Location- Kashipur Mission of the Position We are seeking a detail-oriented and efficient Ayushman Insurance claim processor to manage and process insurance claims under the PMJAY scheme at our client site. The ideal candidate will ensure timely and accurate processing of claims, maintain comprehensive records, and provide exceptional support to beneficiaries and clients. The role would be office wherein the quality and accuracy of the claims processing would be the deliverable expected from the role. Primary Activities- ● Evaluate and process PMJAY insurance claims, ensuring compliance with guidelines and policies. ● Verify the accuracy and completeness of claim documents submitted by beneficiaries and hospitals ● Liaising with beneficiaries, and other staff member working at client site ● Maintain accurate records of claims processed in the system and ensure timely updates ● Ensure adherence to regulatory requirements and internal policies related to insurance processing ● Provide assistance regarding the claim process, including eligibility, documentation, and status updates ● Generate reports on claim processing metrics and identify areas for improvement ● Responsible for operational efficiency & service delivery ● Ensure compliance with company's policies and operational guidelines ● Escalate related risks and concerns when necessary ● Should have strong client orientation and willingness to maintain a balanced approach when resolving client complaints ● Create daily, weekly and monthly report on the performance for assigned clients Must Have – Minimum Requirements Must be a graduate or equivalent. Should have at least experience of 1 Year in PMJAY/ Ayushman claim processing management Experience of working in similar profile with healthcare program/ Client management in a prior role would be preferred He/she should be able to deal with ambiguity and navigate through challenges effectively Excellent communication in Hindi with basic English communication skill Should have sound knowledge of basic computer skills Microsoft Office and web-based portal Personal Attributes- Exceptional interpersonal and organizational skills Planning for project implementations and adherence to timelines Strategic orientation combined with operational strength/task orientation Can work autonomously but is also a team player Self-motivated and positive with “Can do” attitude Good time manager: Well organized, able to set and reset priorities Job Type: Full-time Pay: ₹10,000.21 - ₹20,000.26 per month Schedule: Day shift Experience: Ayushman claim: 1 year (Preferred) Work Location: In person
Junior Associate – Claim Processing (Hospital Operations) Careers that Change Lives About Healspan: At Healspan our team provides seamless, efficient approach to managing healthcare claims. Our journey is fueled by the passion to make healthcare management effortless for providers and patients alike, ensuring that every step from claim filing to settlement is smooth and transparent. We are looking to strengthen the organization by adding the best available people to our team. Job description Type- Full Time Location- Kashipur Mission of the Position We are seeking a detail-oriented and efficient Ayushman Insurance claim processor to manage and process insurance claims under the PMJAY scheme at our client site. The ideal candidate will ensure timely and accurate processing of claims, maintain comprehensive records, and provide exceptional support to beneficiaries and clients. The role would be office wherein the quality and accuracy of the claims processing would be the deliverable expected from the role. Primary Activities- ● Evaluate and process PMJAY insurance claims, ensuring compliance with guidelines and policies. ● Verify the accuracy and completeness of claim documents submitted by beneficiaries and hospitals ● Liaising with beneficiaries, and other staff member working at client site ● Maintain accurate records of claims processed in the system and ensure timely updates ● Ensure adherence to regulatory requirements and internal policies related to insurance processing ● Provide assistance regarding the claim process, including eligibility, documentation, and status updates ● Generate reports on claim processing metrics and identify areas for improvement ● Responsible for operational efficiency & service delivery ● Ensure compliance with company's policies and operational guidelines ● Escalate related risks and concerns when necessary ● Should have strong client orientation and willingness to maintain a balanced approach when resolving client complaints ● Create daily, weekly and monthly report on the performance for assigned clients Must Have – Minimum Requirements Must be a graduate or equivalent. Should have at least experience of 1 Year in PMJAY/ Ayushman claim processing management Experience of working in similar profile with healthcare program/ Client management in a prior role would be preferred He/she should be able to deal with ambiguity and navigate through challenges effectively Excellent communication in Hindi with basic English communication skill Should have sound knowledge of basic computer skills Microsoft Office and web-based portal Personal Attributes- Exceptional interpersonal and organizational skills Planning for project implementations and adherence to timelines Strategic orientation combined with operational strength/task orientation Can work autonomously but is also a team player Self-motivated and positive with “Can do” attitude Good time manager: Well organized, able to set and reset priorities Job Type: Full-time Pay: ₹10,000.21 - ₹20,000.26 per month Schedule: Day shift Experience: Ayushman claim: 1 year (Preferred) Work Location: In person
Manager – Hospital Operations Careers that Change Lives About Healspan: At Healspan our team provides seamless, efficient approach to managing healthcare claims. Our journey is fueled by the passion to make healthcare management effortless for providers and patients alike, ensuring that every step from claim filing to settlement is smooth and transparent. We are looking to strengthen the organization by adding the best available people to our team. Job description Type- Full Time Location- Kashipur Mission of the Position We are seeking a detail-oriented and efficient professional to manage hospital operations and processes at our client site. The ideal candidate will ensure smooth and efficient day-to-day functioning of hospital services, patient care operations, resource management, vendor coordination, and compliance. The role includes monitoring key performance metrics and driving quality initiatives across departments to enhance patient satisfaction and operational excellence. Primary Activities- Ensure seamless functioning of front office, OPD, IPD etc. Supervise patient flow and resolve bottlenecks in coordination with the teams Monitor and improve patient satisfaction scores and implement and oversee patient feedback mechanisms Supervise and guide a team and conduct periodic training on skills, SOPs, and emergency protocol Ensure timely reporting and documentation of MIS reports (daily census, TATs, etc.) and proper use of HIS (Hospital Information Systems) for data tracking and analytics. Responsible for operational efficiency & service delivery Assist in budget planning, cost control, and resource optimization Ensure compliance with company's policies and operational guidelines Ensure quality of non-medical activities and implement as per SOPs Escalate related risks and concerns when necessary Should have strong client orientation and willingness to maintain a balanced approach when resolving client complaints Lead incident reporting and resolution processes Take up client relationship management responsibilities Must Have – Minimum Requirements Must be a graduate or equivalent with minimum 2-3 years of relevant work experience. Should have at least experience 1 year of experience in a supervisory role Experience of working in healthcare program/Hospital Operations along with operational knowledge of inventory management would be preferred. He/she should be able to deal with ambiguity and navigate through challenges effectively Excellent communication in Hindi with basic English communication skill Should have sound knowledge of basic computer skills Microsoft Office (Excel and PowerPoint) Personal Attributes- Strong leadership, team management & interpersonal skills Exceptional interpersonal and organizational skills Planning for project implementations and adherence to timelines Strategic orientation combined with operational strength/task orientation Problem-solving and decision-making abilities Good influencing skills, able to persuade others to adopt specific courses of action Consultative approach and ability to build long-term relationships Can work autonomously but is also a team player Self-motivated and positive with “Can do” attitude Good time manager: Well organized, able to set and reset priorities Job Type: Full-time Pay: ₹14,906.48 - ₹30,837.13 per month Schedule: Day shift Work Location: In person
You will be responsible for managing and processing insurance claims under the Ayushman Bharat scheme. Your role will involve ensuring timely and accurate processing of claims, maintaining comprehensive records, and providing exceptional support to beneficiaries. Your key responsibilities will include evaluating and processing Ayushman Bharat insurance claims while ensuring compliance with guidelines and policies. You will also be required to review and verify the accuracy and completeness of claim documents submitted by beneficiaries and hospitals. Effective communication with healthcare providers, beneficiaries, and insurance companies to resolve any discrepancies or issues related to claims is essential. Additionally, you will need to maintain accurate records of claims processed in the system, ensure timely updates, and adhere to regulatory requirements and internal policies related to insurance processing. As an Ayushman Insurance Claim Processor, you will provide assistance to beneficiaries regarding the claim process, including eligibility, documentation, and status updates. Generating reports on claim processing metrics and identifying areas for improvement will also be part of your responsibilities. Preferred experience in a similar role is desirable for this position. A graduation degree is required for this role, and proficiency in English and Kannada languages is essential. The job is located in Bangalore and is a full-time position with day shift schedule. Experience in Ayushman claim process for at least 1 year is preferred for this role. The work location is in person.,
Administer health insurance policies, ensuring accurate implementation and adherence to CGHS guidelines. Oversee the claims submission and processing workflow, ensuring timely and accurate handling of claims. Provide assistance to beneficiaries regarding their health insurance queries, claims, and services. Maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and improve processes. Ensure compliance with regulatory standards and internal policies related to health insurance. Liaise with healthcare providers and hospitals to facilitate smooth processing of claims and services. Skills: · Excellent people management skills · Ability to use technology to improve outcomes · 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. Experience: At least 2 years' experience in CGHS Health insurance/Insurance Brokering/TPA Languages: English, Hindi Preferred: Immediate Joiners only. Industry IT Services and IT Consulting Employment Type Full-time Job Type: Full-time Pay: ₹13,252.83 - ₹30,000.00 per month Schedule: Day shift Experience: CGHS claim processing : 1 year (Preferred) Work Location: In person
As a TPA/Health Insurance Executive, you will be responsible for managing various tasks related to Health Insurance and Third Party Administration. You should possess excellent people management skills and the ability to leverage technology for better outcomes. Your communication, negotiation, and decision-making skills should be top-notch to excel in this role. With at least 1 year of experience in Health Insurance, TPA, or Insurance Brokerage, you are expected to have a good understanding of the industry. A graduation or post-graduation degree is required for this position. Your key responsibilities will include TPA/Empanelment, managing and tracking cashless claims at hospitals, uploading and validating files, maintaining claims data, and generating reports. You will also be expected to assist patients with documentation and address any insurance-related queries they may have. Additionally, you will play a crucial role in developing and maintaining Standard Operating Procedures (SOPs) for claims processing. In this fast-paced environment with shifting priorities, your customer service and relationship-building skills will be essential. Your ability to work effectively under pressure and prioritize tasks will be crucial for success in this role.,
Job Description: Administer health insurance policies, ensuring accurate implementation and adherence to CGHS guidelines. Oversee the claims submission and processing workflow, ensuring timely and accurate handling of claims. Provide assistance to beneficiaries regarding their health insurance queries, claims, and services. Maintain and analyze data related to claims, policy renewals, and beneficiary services to identify trends and improve processes. Ensure compliance with regulatory standards and internal policies related to health insurance. Liaise with healthcare providers and hospitals to facilitate smooth processing of claims and services. Skills: Excellent people management skills Ability to use technology to improve outcomes 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. Experience: At least 2 years' experience in CGHS Health insurance/Insurance Brokering/TPA Languages: English, Hindi Preferred: Immediate Joiners only. Show more Show less
Excellent people management skills Experience: least 1 years' experience in Health Insurance / TPA /Insurance Brokerage. Willing to work in Hospital. Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Ability to use technology to improve outcomes 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. Lang: English & Hindi Interested Candidates can share your resume to [email protected] Job Type: Full-time Pay: ₹17,000.00 - ₹25,000.00 per month Benefits: Health insurance Paid time off Provident Fund Experience: Health insurance/Claim processing: 1 year (Required) Work Location: In person
Excellent people management skills Experience: least 1 years' experience in Health Insurance / TPA /Insurance Brokerage. Willing to work in Hospital. Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Ability to use technology to improve outcomes 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. Lang: English & Hindi Interested Candidates can share your resume to hr@healspan.com Job Type: Full-time Pay: ₹17,000.00 - ₹25,000.00 per month Benefits: Health insurance Paid time off Provident Fund Experience: Health insurance/Claim processing: 1 year (Required) Work Location: In person
Excellent people management skills Experience: least 1 years' experience in Health Insurance / TPA /Insurance Brokerage. Willing to work in Hospital. Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Ability to use technology to improve outcomes 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. Lang: English & Hindi Interested Candidates can share your resume to hr@healspan.com Job Type: Full-time Pay: ₹17,000.00 - ₹25,000.00 per month Benefits: Health insurance Paid time off Provident Fund Experience: Health insurance/Claim processing: 1 year (Required) Work Location: In person
Trainee Claim processing(Freshers) Job Profile: Training will be provided for freshers. Processing Claims for Insurance Companies Documentation for lodging and processing of insurance claims People management skills Ability to use technology to improve outcomes Excellent oral and written communication, negotiation and decision-making skills. Ability to work effectively in a fast-paced environment with shifting priorities. Experience: 0 - 1 year Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Languages: English Location: Bangalore, Mumbai, Hyderabad, Kashipur, Nagpur If interested share your updated resume to [email protected] Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Application Question(s): Are you interested to work in Insurance claim processing in a hospital Work Location: In person
Trainee Claim processing(Freshers) Job Profile: Training will be provided for freshers. Processing Claims for Insurance Companies Documentation for lodging and processing of insurance claims People management skills Ability to use technology to improve outcomes Excellent oral and written communication, negotiation and decision-making skills. Ability to work effectively in a fast-paced environment with shifting priorities. Experience: 0 - 1year in any Domain Work Location: Client Hospital Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Languages: English Location: Bangalore If interested share your updated resume to hr@healspan.com
JD: TPA/Health Insurance Executive Skills: Excellent people management skills Ability to use technology to improve outcomes 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. Experience: 0-1 years' experience Qualification : Any graduation degree/Post graduation. Roles & Responsibilities: TPA/Empanelment. Manage & track cashless claims at hospital File upload and validation Maintain claims data and prepare reports Support patients with documentation assistance and clarify insurance queries. Prepare and maintain SOPs for claims processing Languages: English, Kannada, Telugu Location: Bangalore/Hyderabad Job Types: Full-time, Fresher Pay: ₹13,256.32 - ₹34,708.74 per month Benefits: Health insurance Paid sick time Work Location: In person
You will be responsible for managing TPA/Health Insurance operations efficiently. Your role will involve tasks such as TPA/Empanelment, managing and tracking cashless claims at hospitals, file upload and validation, maintaining claims data, preparing reports, supporting patients with documentation assistance, and clarifying insurance queries. To excel in this role, you should possess excellent people management skills and the ability to leverage technology for improved outcomes. Your communication, negotiation, and decision-making skills should be top-notch. Additionally, you must have good customer service and relationship-building skills to thrive in a fast-paced environment with shifting priorities. The ideal candidate should have a minimum of 1 year of experience in Health Insurance, TPA, or Insurance Brokerage. A graduation degree or post-graduation qualification is also required for this position. As part of your responsibilities, you will be expected to prepare and maintain SOPs for claims processing to ensure smooth operations.,