HealthIndia Insurance TPA Services

Role & responsibilities calling Appointment booking Malayalam Tamil Mandatory Salary : 13k to 15k Address: 406-412, Neelkanth Corporate IT Park, 4th Floor, Kirol Road/ Village, Vidyavihar Society, Vidyavihar (West), Mumbai 400086. Maharashtra, India Mobile no: 8657923981 or pratiksha.parulekar@healthindiatpa.com

Company Name : Healthindia Insurance TPA Role : Executive - Fresher Experience : 0-4 Years Job Description : Receiving Inbound Calls System updating Client calling for Meical appointment fixation Report Follow up with Diagnostic center Medical appointment status confirmation Education: Graduation is not mandatory Desired Candidate profile Basic knowledge of MS-Office. Basic typing speed of at least 22 to 25 words per minute with minimum accuracy of 60% and good with numbers and calculations. Interested candidates can share their resumes on anand.nair@healthindiatpa.com

Job description URGENT OPENING FOR MEDICAL OFFICER Workings Hours: 9 Hrs Work Mode : Office Key Responsibilities: Review and assess medical claims submitted by corporate clients against policy terms and medical guidelines. Analyze clinical documents such as medical reports, diagnostic tests, prescriptions, discharge summaries, and other relevant medical records. Verify the authenticity, appropriateness, and completeness of medical documentation related to claims. Provide medical expertise to determine the validity and admissibility of claims. Collaborate with claims processing and underwriting teams to resolve discrepancies or clarifications related to medical information. Identify potential fraud, over-utilization, or discrepancies in claims through thorough medical evaluation. Maintain up-to-date knowledge of medical terminologies, treatment protocols, and emerging health trends relevant to claims assessment. Assist in developing and updating medical claim processing guidelines and protocols. Support training and capacity-building activities for claims staff on medical aspects of claims. Ensure compliance with regulatory and company policies during claims assessment. Communicate effectively with healthcare providers, corporate clients, and internal teams to clarify medical information as needed. Generate detailed reports and documentation on claim assessments and decisions. Qualification: BHMS, BMS

Role & responsibilities Assist in conducting internal audits of financial and operational processes. Help in reviewing records, reports, and internal controls to identify risks or irregularities. Participate in the preparation of audit documentation, working papers, and reports. Support the team in data collection, analysis, and verification tasks. Learn and apply auditing standards, procedures, and tools. Collaborate with various departments to understand processes and gather information. Maintain confidentiality and integrity in handling sensitive information.

Role & responsibilities Good Communication Having Excel knowledge (V-look up & Pivot Table) Helpful if He / she is having work experience of PNM Dept / TPA Should go client in a month 3-4times Should do Empanelment with diagnostic center Preferably: Male candidate Address: S. Lal Tower,Plot No 545 , Part of First Floor East SideSector 20 Dundahera,Near Hanuman Mandir, Shankar Chowk Road, Gurgaon 122016 Mobile no:865792398 or pratiksha.parulekar@healthindiatpa.com Job Types: Full-time, Permanent Pay: 15,000.00 - 18,000.00 per month Schedule: Day shift

Company Name : Healthindia Insurance TPA Role : Executive - Fresher Experience : 0-4 Years Job Description : Receiving Inbound Calls System updating Client calling for Meical appointment fixation Report Follow up with Diagnostic center Medical appointment status confirmation Education: Graduation is not mandatory Desired Candidate profile Basic knowledge of MS-Office. Basic typing speed of at least 22 to 25 words per minute with minimum accuracy of 60% and good with numbers and calculations. Interested candidates can share their resumes on sheetal.somal@healthindiatpa.com , sridhar.k@healthindiatpa.com

Company Name : Healthindia Insurance TPA Role : Executive - Fresher Experience : 0-4 Years Job Description : Receiving Inbound Calls System updating Client calling for Meical appointment fixation Report Follow up with Diagnostic center Medical appointment status confirmation Education: Graduation is not mandatory Desired Candidate profile Basic knowledge of MS-Office. Basic typing speed of at least 22 to 25 words per minute with minimum accuracy of 60% and good with numbers and calculations. Interested candidates can share their resumes on sinojk@healthindiatpa.com

Role & Responsibilities : Grievance Redressals- in legal tone to Insured/Insurer/Broker on email. Attending Online hearings of the Ombudsman. Attending online and offline (in person) Grievance cell of the Insurer. Complete documentation part and legal expert opinion CDRF Legal notices to Hospital /Insured whenever are needed. Maintaining MIS for legal notices.

Role & responsibilities: Proven experience in performing medical procedures such as Blood collection (Vacutainer, Butterfly Needle) Skill, ECG Lead Placement, and related tasks. Good communication skills in the local language to interact with clients. Ability to maintain hygiene standards and follow safety protocols during medical procedures. Knowledge of handling medical equipment, including ECG devices and blood collection kits. Ability to coordinate appointments, confirm details, and communicate effectively with clients. Proficiency in using WhatsApp and other Application platforms for medical procedure and coordination. Preferred candidate profile : 12+ (Dmlt, cmlt, Admlt) Address:406-412, Neelkanth Corporate IT Park, 4th Floor, Kirol Road/ Village, Vidyavihar Society, Vidyavihar (West), Mumbai 400086. Maharashtra, India. Mobile No: 7900114972 or ashish.gamare@healthindiatpa.com

Role & responsibilities: : Organizing and Maintaining Records: This includes creating, updating, and maintaining both digital and physical files. Managing Schedules and Appointments: This can involve scheduling meetings, coordinating travel arrangements, and managing diaries. Handling Correspondence: This includes answering phone calls, emails, and other forms of communication. Office Supplies Management: Tracking inventory, ordering supplies, and ensuring the office is well-equipped. Data Entry and Management: Maintaining databases, updating records, and ensuring accurate information. Meeting Management: Preparing agendas, taking minutes, and arranging meeting spaces. Event Planning: Assisting with organizing internal and external events. Basic Financial Tasks: Assisting with invoicing, budgeting, and bookkeeping. Maintaining Office Equipment: Ensuring equipment is functioning properly and making repairs or replacements when necessary. Supervising Other Staff: In some cases, admins may supervise other administrative or clerical staff. Ensuring Compliance: Helping to ensure that the organization is adhering to policies and regulations. Supporting Managers and Staff: Providing administrative assistance to ensure smooth workflows. Communicating with Clients and Customers: Handling inquiries, addressing concerns, and providing support. Collaborating with Other Departments: Working with HR, finance, and other departments to support organizational needs. Problem-solving: Identifying and resolving issues that arise in the office.

Key Responsibilities: Strong Communication with Insurance Companies: Call assigned Insurance Companies for general discussions to ensure smooth communication and collaboration. Timely Case Closures: Assign NNR (Number Not Reachable) cases to callers for timely closure. Ensure that 'To Be Contacted' cases are closed within 2 hours of registration. Ensure that all 'Re-call' cases, including those involving language barriers, are attended promptly. QC Fail Closure: Proactively check and ensure that all 'QC Fail' cases are closed on the same day. Optimum Utilization of Doctors: Ensure optimum utilization of assigned doctors and monitor their target achievements. Guidance for IC Companies: Guide Insurance Companies and their employees or agents on the HI escalation matrix, tele-video internal processes, and insurance portal usage. Data Sharing: Ensure daily & correct MIS is shared with insurance companies Required Skills & Qualifications: Strong communication and interpersonal skills. Excellent time management and organizational skills. Ability to multitask and meet deadlines. Knowledge of internal processes and systems (e.g., HI escalation matrix, insurance portals). Ability to handle sensitive and confidential information. Salary: 15k to 20k Need Insurance Background Qualification: Graduation mandatory Address:406-412, Neelkanth Corporate IT Park, 4th Floor, Kirol Road/ Village, Vidyavihar Society, Vidyavihar (West), Mumbai 400086. Maharashtra, India kindly drop cv: 7900114972 or ashish.gamare@healthindiatpa.com Regards Ashish Gamare Job Type: Full-time Work Location: In person

Company Name : Healthindia Insurance TPA Role : Executive - Fresher Experience : 0-4 Years Job Description : Client calling for Meical appointment fixation Report Follow up with Diagnostic center Medical appointment status confirmation Education: Graduation is not mandatory Desired Candidate profile Basic knowledge of MS-Office. Basic typing speed of at least 22 to 25 words per minute with minimum accuracy of 60% and good with numbers and calculations. Interested candidates can share their resumes on ranganath.r@healthindiatpa.com

Role & responsibilities Role Overview: Responsible Responsible for managing and coordinating the entire pre-insurance medical check-up process. Ensures smooth operations between clients, diagnostic centers, doctors, and internal teams while maintaining quality and turnaround time standards. Key Responsibilities: Coordinate and schedule pre-insurance medical check-ups for clients as per company and insurance partner guidelines. Liaise with diagnostic centers, hospitals, and medical practitioners to ensure timely completion of check-ups. Verify reports and ensure accurate documentation before submission to underwriting teams. Monitor TAT (Turn-Around Time) and escalate delays to maintain service levels. Handle customer queries and provide necessary assistance regarding the medical check-up process. Maintain MIS reports for daily operations and share regular updates with management. Ensure adherence to compliance, quality standards, and company policies during the entire process. Work with the IT and operations teams to streamline workflows and improve efficiency. Skills & Competencies: Strong coordination and communication skills. Knowledge of insurance and medical check-up processes preferred. Ability to handle multiple stakeholders (clients, diagnostic centers, doctors). Proficiency in MS Office and reporting tools. Attention to detail and customer-centric approach. Qualification & Experience: Graduate (preferably in Life Sciences/Healthcare/Management). 5-10 years of experience in insurance operations, healthcare coordination, or similar roles. Experience in pre-insurance medical check-up processes will be an added advantage. Address: 401, 4th Floor, Sakar I, Nr. Gandhigram Railway Station, Ashram Road, Ahmedabad 380009 Mobile no : 8657923981 or pratiksha.parulekar@healthindiatpa.com

Company Name : Healthindia Insurance TPA Role : Executive - Fresher Experience : 0-4 Years Job Description : Receiving Inbound Calls System updating Client calling for Meical appointment fixation Report Follow up with Diagnostic center Medical appointment status confirmation Education: Graduation is not mandatory Desired Candidate profile Basic knowledge of MS-Office. Basic typing speed of at least 22 to 25 words per minute with minimum accuracy of 60% and good with numbers and calculations. Interested candidates can share their resumes on anandraj.a@healthindiatpa.com and sinojk@healthindiatpa.com Anandraj - Mob : 8655687163

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members. For more details kindly go through company website: https://www.healthindiatpa.com Currently we have an opening in Customer Relationship Management Department for Executive Role . Location: HEALTHINDIA INSURANCE TPA SERVICES PVT LTD. PLOT NO 312 ,2ND FLOOR, PHASE 2, UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR, GURUGRAM, HARYANA -122016 Roles & Responsibilities: Handling Major Corporate Group. Solving Customer/Broker's queries related to claims and other issues. Following up with Insurance Company for endorsement and getting the same updated in system. Guiding customers to apply for claims and with policy Terms & Conditions. Register claims in system. Grievance resolution by taking follow from the operation team. Tracking up the claims file for & updating to the corporate client till the claim get settled. Following up for cheque dispatch details and NEFT details with backend and banks. Maintaining day to day activities on the worksheet. Preparing & Sending Monthly MIS to Corporate. Good Communication skills (written & verbal) and attitude is mandatory. Salary no match for the right candidate. If Interested, Kindly share updated resume on email id - roshni.rajbhar@healthindiatpa.com or contact us at - 8976760612 Roshni Rajbhar, HR Team, roshni.rajbhar@healthindiatpa.com 8976760612

1. Hospital Empanelment: Identify and approach hospitals and diagnostic centers for empanelment based on business expansion needs. Negotiate rates and services as per TPA guidelines and finalize agreements. Handle documentation and ensure hospitals meet regulatory and credentialing standards. Coordinate signing of contracts and onboarding procedures. 2. Provider Network Development: Continuously expand and strengthen the provider network in line with business needs and geographic expansion. Maintain a balance of multispecialty, tertiary care, and specialty hospitals across regions. Conduct provider gap analysis to ensure network adequacy. 3. Relationship Management: Serve as the point of contact for empaneled hospitals. Resolve provider issues related to payments, claims processing, and authorization. Conduct regular visits to hospitals to maintain rapport and ensure satisfaction. 4. Compliance & Documentation: Ensure adherence to IRDAI guidelines and company policies for provider empanelment. Maintain and update provider database, contracts, and tariffs. Ensure proper documentation and digital recordkeeping for audits and compliance. 5. Internal Coordination: Work closely with claims, pre-auth, customer service, and IT teams for provider-related issues. Share regular updates of new empanelments, tariff revisions, and hospital network changes. Job Types: Full-time, Permanent Benefits: Health insurance Provident Fund

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Currently we have an opening in Corporate Claims Processing Department for Medical Officer Role. Location: HEALTHINDIA INSURANCE TPA SERVICES PVT LTD. PLOT NO 312 ,2ND FLOOR, PHASE 2, UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR, GURUGRAM, HARYANA -122016 Roles & Responsibilities: Review and assess medical documents and clinical details for corporate insurance claims Verify authenticity of medical reports, prescriptions, and diagnostic results Evaluate medical necessity and coverage based on insurance policy terms Provide expert opinions on complex or disputed claims Collaborate with claims teams to streamline approvals and ensure regulatory compliance Identify and escalate potential fraud, abuse, or discrepancies Communicate with providers and clients for clarifications or additional information Maintain detailed records of evaluations and decisions Stay updated on medical advancements, policy changes, and regulatory requirements Support training efforts by sharing relevant medical insights and trends Good Communication skills (written & verbal) and attitude is mandatory. Salary no match for the right candidate. If interested, Kindly share updated resume on email id - roshni.rajbhar@healthindiatpa.com or contact us at - 8976760612 Roshni Rajbhar, HR Team, roshni.rajbhar@healthindiatpa.com 8976760612