🚨 We're Hiring: Claim Processor / Adjudicator – Case Review (Medical & Technical) 📍 Location: Pune | Mode: Hybrid 💼 Experience: Minimum 2 Years 🏥 Industry: Health Insurance Claims Are you a BAMS / BHMS graduate with hands-on experience in health insurance claims processing ? Do you have a knack for evaluating medical records, identifying discrepancies, and ensuring claim accuracy? If yes, we want to hear from you! 🔍 Role Overview: We’re expanding our Health Claim Operations Team at Healthbridge India Pvt. Ltd. , and looking for medical claim professionals who can assess both technical and medical aspects of claims. This role involves adjudication, data interpretation, and fraud detection—ideal for those who thrive on detailed case evaluation and interdepartmental coordination . 🎯 Key Responsibilities: Review and adjudicate cashless and reimbursement health claims . Assess claims in accordance with policy terms and insurance guidelines . Evaluate discharge summaries, clinical notes, patient history , and medical bills. Identify discrepancies , errors, or potential fraudulent claims . Provide case-based technical and medical remarks to the data analytics team . Collaborate with IT, TPA, hospital, and internal teams to streamline processing. Ensure robust documentation and audit-readiness of each case. ✅ Candidate Requirements: Qualification : BAMS / BHMS (mandatory) Experience : 2+ years in health claim adjudication or medical case review Strong command over medical terminology, coding, and procedures Familiarity with insurance protocols, claim workflows , and regulatory compliance Proven experience in fraud detection and investigative case handling Excellent analytical and communication skills Comfort working in tech-enabled environments 💰 What We Offer: Competitive salary aligned with industry standards Performance-based bonuses Corporate health insurance (self & family) Career growth in a dynamic HealthTech ecosystem Exposure to cutting-edge insurance claim automation and tools 🌐 About Healthbridge India Pvt. Ltd.: We are a fast-growing HealthTech company transforming healthcare claims with innovation, accuracy, and speed . With a network of 700+ hospital partners , our mission is to simplify and optimize every stage of health insurance claims. 📩 Apply Now: Send your CV to info@healthbridgeindia.com or apply directly via LinkedIn. 👉 Know someone perfect for this role? Tag them or share this opportunity! Show more Show less
🌟 We’re Hiring: Claims Executive – Health Insurance Sector 📍 Location: Pune 📚 Education: Any Graduate 🧾 Experience: Minimum 1–3 Years in Health Insurance Claims 🏢 Industry: Health Insurance | TPA | Healthcare Services Are you passionate about making healthcare claims fair, accurate, and efficient? Do you thrive in a fast-paced environment where coordination, attention to detail, and policy knowledge are key? Join our growing team as a Claims Executive and be a vital part of our mission to bring transparency and accountability to the health insurance process. 🔍 Key Responsibilities: End-to-end handling of health insurance claims — both cashless and reimbursement — in line with insurer/TPA guidelines and policy terms Examine and verify all medical documents , including prescriptions, invoices, discharge summaries, investigation reports, and operative notes Maintain updated data for each case on internal claim processing systems, ensuring no lapse in documentation or tracking Proactively follow up with internal departments, patients, insured members, treating hospitals, TPAs, and insurance companies for missing information, clarification, or approvals Ensure timely submission and response to queries raised by TPAs/insurers during the adjudication process Handle rejected claims with thorough documentation and initiate reconsideration appeals as appropriate Decode insurance policies to identify applicable benefits, sub-limits, exclusions, and waiting periods Understand and apply medical terminology , billing practices, and coding systems (ICD/CPT) to evaluate claims effectively Track and monitor claims from registration to settlement , flagging delays or discrepancies proactively Ensure strict compliance with IRDAI regulations, insurer circulars, internal SOPs, and TPA operational protocols Support senior team members in audits, claim reviews, and internal assessments Identify fraudulent claims, medical mismatches, or billing anomalies and escalate them appropriately Build strong working relationships with hospitals, doctors, and claims handlers to resolve issues smoothly and professionally ✅ Requirements: Education: Any Graduate Experience: Minimum 1–3 years in health insurance claims processing (Cashless or Reimbursement) Prior experience with TPAs, insurance companies, or hospital billing departments is essential Hands-on knowledge of insurance software platforms such as Mediware, iMediNet, HealthConnect, etc. Excellent communication, documentation, and coordination skills Strong understanding of policy structures, exclusions, and medical billing practices Ability to work under pressure, manage multiple cases, and meet TAT and audit requirements 📝 Preferred Skills (Not Mandatory): Certification in medical coding or insurance Familiarity with claim audit and fraud detection practices Knowledge of common healthcare procedures, diagnostics, and hospitalization workflows 📨 How to Apply: Send your CV to info@healthbridgeindia.in or apply directly via LinkedIn. Join us in making the claims journey transparent, timely, and trust-driven for every insured patient. 💼 Show more Show less
Business Development – Healthtech & Insuretech 📍 Location: Mumbai & Pune 🕒 Experience: 2–5+ Years 🏢 Industry: HealthTech | InsureTech | Digital Health 📅 Joining: Immediate / Within 30 Days 🧩 About Healthbridge India: Healthbridge India is a rapidly growing AI-driven healthtech platform transforming healthcare access, diagnostics, and claims through intelligent automation and digital innovation. We bridge the gap between healthcare providers, payers, and patients through real-time collaboration and cutting-edge solutions. We are looking for an experienced Business Development Executive to help us expand our partnerships across Mumbai and Pune , enabling new collaborations and driving healthcare transformation at scale. 🔍 Role Overview: As a Business Development Executive , you will be responsible for building and managing strategic relationships with brokers, hospitals, TPAs, aggregators, and healthtech organizations . Your role will be crucial in identifying high-potential clients, initiating partnerships, and leading Healthbridge India’s growth across key geographies. 🎯 Key Responsibilities: Identify and pursue B2B opportunities with hospitals, clinics, diagnostic labs, TPAs, brokers, and insuretech/healthtech partners. Visit and engage regularly with insurance agents, aggregators, healthcare institutions, and ecosystem stakeholders. Lead client onboarding, MoU/documentation , and manage negotiations for commercial agreements. Promote Healthbridge India’s AI-powered solutions tailored to claims, clinical workflow, and digital transformation. Deliver impactful product demonstrations and business pitches to CXOs, doctors, administrators, and insurers. Collaborate on marketing campaigns, regional branding , and field-level promotional activities. Conduct regular follow-ups and maintain long-term business relationships for recurring revenue. Track market trends, government health initiatives, and digital health innovations to drive strategic outreach. 🛠️ Required Skills & Experience: 2–5+ years of experience in healthtech sales, insuretech, or healthcare business development . Proven success in selling Healthcare Products to healthcare institutions. Strong negotiation, networking, and interpersonal skills with a consultative approach. Ability to interact and build trust with hospital administrators, CXOs, and clinical leaders . Field-oriented mindset and a strong track record of managing end-to-end B2B sales cycles . 🎓 Preferred Qualifications: Graduate or Postgraduate in Business, Healthcare, or Technology . Experience with public sector health projects, institutional partnerships , or government health departments is an advantage. Multilingual capability – English + Hindi/Marathi preferred for regional engagement. 💼 What We Offer: Competitive base salary + incentive-based compensation Flexible work model across regions and healthcare verticals Opportunity to work with a mission-driven AI healthtech company Exposure to national-level digital health programs and groundbreaking technologies 📧 How to Apply: Please send your resume to info @healthbridge.in or apply via LinkedIn. Show more Show less
💼 We're Hiring: HR & Admin – Operations 📍 Location: Pune 🕐 Type: Full-Time (Fresher or 0–1 Year Experience) 📅 Joining: Immediate preferred Are you a detail-oriented and people-friendly individual looking to start your career in HR & Admin operations? We are seeking a proactive and organized HR & Admin Executive to support our day-to-day operations and internal coordination. ✅ Key Responsibilities: 🔹 HR Operations Assist in end-to-end recruitment: job posting, screening, scheduling interviews Handle onboarding and exit formalities Maintain and update employee data, records, and documentation Support in policy implementation and HR documentation Draft HR letters, memos, and internal communication Track attendance, leaves, and coordinate with payroll 🔹 Administrative Support Coordinate with vendors for office supplies, maintenance, etc. Maintain office infrastructure and ensure smooth day-to-day operations Organize internal meetings, training, and employee engagement activities Assist with compliance-related documentation (if required) Act as a bridge between internal teams and external partners 🎓 Who Can Apply? Any graduate (BBA, BCom, BA, BSc, etc.); HR or Admin specialization is a plus Freshers or 0–1 year experience in HR/Admin/Operations Proficient in MS Office/Google Workspace Good communication and coordination skills Problem-solving attitude and willingness to take initiative 🌟 What We Offer: Learning across HR, admin, and operations Exposure to cross-functional coordination A friendly, startup-like environment with real ownership Fixed stipend/salary and experience certificate (or full-time confirmation post-probation) 📩 How to Apply: Send your resume to info@healthbridgeindia.in with subject line: Application – HR & Admin – Operations Or apply directly via LinkedIn. Show more Show less