Company: Link-K Insurance TPA P Ltd Position: CR & IL (CRM) Industry: Insurance/TPA Preference: Immediate Joiner CTC: 3.5LPA to 4.5LPA Location: Coimbatore ü Act as the primary point of contact between the insurance company, corporate client enrolment and claims teams ü Build and maintain strong relationships with insurance companies and their various offices. ü Coordinate for policies, data and endorsements. ü Tracking outstanding claims waiting for insurers approvals and claims waiting for endorsements. Follow up with insurers for logical closure of those claims. ü Taking up resolution of claims pending for payment requiring underwriting office interference. ü Coordinate with other teams for logical closure of claims associated with insurers approvals. ü Periodical visits to underwriting offices, track meeting outcome and report. ü Attend agent meets wherever retail business is allocated ü Attend periodical meetings called for by insurers to represent the company ü Understand the business portfolio of various insurers, seek relevant reports from MIS and have all information handy to respond to insurer queries ü Build strong relationship with brokers and corporate clients. ü Foster long-term relationships with clients and brokers to maximize retention. Provide exceptional customer service and act as a point of contact for any client inquiries or issues. ü Collaborate with internal such as operations, claims, and IT to ensure seamless service delivery and exceed client expectations. ü Team management of corporate relationship/client servicing executives in the region. Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹35,000.00 per month Benefits: Provident Fund Schedule: Day shift Work Location: In person

Company: Link-K Insurance TPA P Ltd Position: CR & IL (CRM) Industry: Insurance/TPA Preference: Immediate Joiner CTC: 3.5LPA to 4.5LPA Location: Coimbatore ü Act as the primary point of contact between the insurance company, corporate client enrolment and claims teams ü Build and maintain strong relationships with insurance companies and their various offices. ü Coordinate for policies, data and endorsements. ü Tracking outstanding claims waiting for insurers approvals and claims waiting for endorsements. Follow up with insurers for logical closure of those claims. ü Taking up resolution of claims pending for payment requiring underwriting office interference. ü Coordinate with other teams for logical closure of claims associated with insurers approvals. ü Periodical visits to underwriting offices, track meeting outcome and report. ü Attend agent meets wherever retail business is allocated ü Attend periodical meetings called for by insurers to represent the company ü Understand the business portfolio of various insurers, seek relevant reports from MIS and have all information handy to respond to insurer queries ü Build strong relationship with brokers and corporate clients. ü Foster long-term relationships with clients and brokers to maximize retention. Provide exceptional customer service and act as a point of contact for any client inquiries or issues. ü Collaborate with internal such as operations, claims, and IT to ensure seamless service delivery and exceed client expectations. ü Team management of corporate relationship/client servicing executives in the region. Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹35,000.00 per month Benefits: Provident Fund Schedule: Day shift Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Senior Medical Officer for our Claims Team at our Chennai Corporate office. Job Role: Senior Medical Officer Industry: TPA/Health Insurance Location: Anna Nagar, Chennai Experience: 5 Years+ Qualification: MBBS, BDS, BAMS, BHMS,.. Roles and Responsibilities Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. Get fully trained and understand claims software, functionality and validations. Verify whether the claim falls within the coverage/ scope of the health insurance policy. Check medical details in the claim documents and determine admissibility of the claim. Examine medical records, diagnostic reports, treatment plans, and other relevant documents to verify the authenticity and medical necessity of the services claimed. Check for pre-existing conditions, policy exclusions, waiting periods, and any other relevant policy provisions. Coding of ailments /procedures as per the regulatory requirement of coding the ailments/diseases/ procedures Validate the accuracy billing information submitted in the claims to prevent fraudulent or inflated billing. Evaluate the medical necessity of the treatments or procedures claimed, considering standard medical guidelines and best practices. Raising appropriate queries to hospitals, doctors, other healthcare providers and members to gather additional information or clarify details related to the claims. Be vigilant in identifying potential fraudulent claims and report them to the appropriate authorities for further investigation. Make informed decisions regarding the approval, partial approval, or denial of insurance claims based on the medical assessment and policy terms and conditions. Maintain a high level of accuracy and quality in claims processing to ensure customer satisfaction and adherence to regulatory standards. Help and support to other team members in billing, quality check, CRM, CS and contact center to clarify customer queries satisfactorily. Stay up-to-date with relevant healthcare laws, regulations and industry standards to ensure compliance in claims processing. Give necessary inputs to team leads for enhancement in IT system and better processes. Regular interaction with Provider Network management team and claims investigation teams to give inputs about the billing practices of hospitals for better negotiations, any suspected fraudulent billing practices noticed to red flag providers and suggestion for better internal controls Job Types: Full-time, Permanent Pay: ₹50,000.00 - ₹70,000.00 per month Benefits: Provident Fund Schedule: Day shift Experience: TPA & Health Insurance: 5 years (Required) Work Location: In person

Link-K Insurance TPA Private Limited, Hyderabad Industry - Health Insurance / TPA Role - Business Head Experience - 5 to 7 Years CTC - 11 to 13 LPA Preference - Immediate Joiner Roles & Responsibilities Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹80,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Medical Officer for our Claims Team at our Kerala office. Job Role: Medical Officer Industry: TPA/Health Insurance Location: Trivandrum, Kerala Qualification: MBBS, BDS, BAMS, BHMS,.. Roles & Responsibilities of Cashless / Claims - Medical Officer / Doctor : Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. Get fully trained and understand claims software, functionality and validations. Verify whether the claim falls within the coverage/ scope of the health insurance policy. Check medical details in the claim documents and determine admissibility of the claim. Examine medical records, diagnostic reports, treatment plans, and other relevant documents to verify the authenticity and medical necessity of the services claimed. Check for pre-existing conditions, policy exclusions, waiting periods, and any other relevant policy provisions. Coding of ailments /procedures as per the regulatory requirement of coding the ailments/diseases/ procedures Validate the accuracy billing information submitted in the claims to prevent fraudulent or inflated billing. Evaluate the medical necessity of the treatments or procedures claimed, considering standard medical guidelines and best practices. Raising appropriate queries to hospitals, doctors, other healthcare providers and members to gather additional information or clarify details related to the claims. Be vigilant in identifying potential fraudulent claims and report them to the appropriate authorities for further investigation. Make informed decisions regarding the approval, partial approval, or denial of insurance claims based on the medical assessment and policy terms and conditions. Maintain a high level of accuracy and quality in claims processing to ensure customer satisfaction and adherence to regulatory standards. Help and support to other team members in billing, quality check, CRM, CS and contact center to clarify customer queries satisfactorily. Stay up-to-date with relevant healthcare laws, regulations and industry standards to ensure compliance in claims processing. Give necessary inputs to team leads for enhancement in IT system and better processes. Regular interaction with Provider Network management team and claims investigation teams to give inputs about the billing practices of hospitals for better negotiations, any suspected fraudulent billing practices noticed to red flag providers and suggestion for better internal controls. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹35,000.00 per month Benefits: Provident Fund Schedule: Day shift Work Location: In person

Greetings From Link - K Insurance TPA We are hiring Claims Senior Executive for our claims Department at our Chennai Corporate office. Year of Experience : 1 to 3 Years Qualification: Any Degree Industry: TPA \ Health Insurance (Indian Based Claims ) Roles and Responsibility Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount. Get fully trained in claims software and complete understanding of features and validations in the system Get good understanding of process flow, movement of claim and stakeholders expectations w r t claims services Accurate data entry of bills into appropriate columns/fields Verify the accuracy of details entered at inward level and correcting wherever required. Adhere to SoPs defined Processing the number of claims allocated. Prioritizing claims as required. Be aware of all insurers SoPs and application of relevant protocols. Be updated about the new products and features in health policies Interaction with customer service team and help with any clarifications in billing Ensure clarity in communication to customers. Identify and report potential fraudulent claims, following established procedures and guidelines. Coordinate with doctors and CRMs to aid in assessing claims accurately. Maintain daily report of claims processed and report to team lead. Actively participate in training sessions and workshops to enhance knowledge of insurance products, claims processing techniques, and industry developments. Assist medical officers in responding to audit queries of insurers. Important Note: Health Insurance / TPA profile only eligible Interested candidate can share your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹30,000.00 per month Benefits: Provident Fund Schedule: Evening shift Experience: Cashless and Reimbursement: 1 year (Required) Work Location: In person

Link-K Insurance TPA Private Limited, Delhi Industry - Health Insurance / TPA Role - Business Head Experience - 5 to 7 Years CTC - 11 to 14 LPA Preference - Immediate Joiner Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Health Insurance / TPA profile only eligible. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Delhi, Delhi: Reliably commute or planning to relocate before starting work (Preferred) Experience: Insurance sales: 5 years (Preferred) Work Location: In person

Link-K Insurance TPA Private Limited, Mumbai Industry - Health Insurance / TPA Role - Business Head Experience - 5 to 7 Years CTC - 11 to 14 LPA Preference - Immediate Joiner Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Health Insurance / TPA profile only eligible. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Goregaon, Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Preferred) Experience: Insurance sales: 5 years (Preferred) Work Location: In person

Link-K Insurance TPA Private Limited, Trivandrum Industry - Health Insurance / TPA Role - Business Head Experience - 5 to 7 Years CTC - 11 to 14 LPA Preference - Immediate Joiner Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Health Insurance / TPA profile only eligible. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Trivandrum, Kerala: Reliably commute or planning to relocate before starting work (Preferred) Experience: Insurance sales: 5 years (Preferred) Work Location: In person

Link-K Insurance TPA Private Limited, Hyderabad Industry - Health Insurance / TPA Role - Business Head Experience - 5 to 7 Years CTC - 11 to 14 LPA Preference - Immediate Joiner Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Health Insurance / TPA profile only eligible. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Ameerpet, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred) Experience: Insurance sales: 5 years (Preferred) Work Location: In person

Link-K Insurance TPA Private Limited, Chennai Industry - Health Insurance / TPA Role - Business Development Experience - 5 to 7 Years CTC - 11 to 13 LPA Preference - Immediate Joiner Roles & Responsibilities: Liaison with insurance companies for empanelment of TPA till signing of SLA Develop and implement comprehensive business development plans and strategies to achieve revenue and growth targets. Setting up region wise, business segment wise targets for the year and driving towards achievement Preparing reports for monitoring the progress and review formats for periodical reviews Identify new market opportunities and potential areas for expansion. Work with top management in preparing the AOP (Annual Operating Plan) Maintaining excellent relationship with all insurers HOs through constant liaisoning. Maintaining excellent relationship with brokers Presenting the review updates and projections to top management Representing the company in TPA evaluations for major clients Prepare compelling proposals and presentations to showcase the company's capabilities, services, and benefits, highlighting how the TPA can meet the client's specific insurance requirements. Utilize data-driven insights to make informed decisions and position the TPA company effectively in the marketplace. Lead the efforts to acquire new clients and business partnerships. Build and maintain strong relationships with existing clients to maximize retention and foster customer loyalty. Be part of review meetings for all large corporate clients and involve in renewal of the policy and retention of client Build, track and maintain a strong pipeline of potential clients. Oversee the sales team and guide them in pursuing leads, closing deals and achieving sales targets. Provide support in complex sales negotiations and strategic deals. Collaborate with internal teams to identify opportunities for new insurance products, value-added services and process improvements to meet the evolving needs of clients and stay ahead of the competition. Lead, mentor, and develop the business development and customer retention team to enhance their skills and performance. Set clear objectives, provide feedback and ensure a high level of motivation within the team. Oversee the negotiation and finalization of contracts with clients and partners. Represent the TPAat industry events, conferences and seminars to enhance the brand's visibility and build valuable connections within the insurance sector. Regularly monitor and report on Key Performance Indicators (KPIs), business development activities, and market trends. Should have very good understanding of internal processes, offerings, strengths and weaknesses. Constant interaction with Operations and IT functions to communicate customer requirements and feedback Only Health Insurance / TPA profile can apply. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹125,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Anna Nagar, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Experience: Insurance sales: 5 years (Preferred) Willingness to travel: 100% (Preferred) Work Location: In person

Link-K Insurance TPA Private Limited, Bengaluru Industry - Health Insurance / TPA Role - Business Head Experience - 5 to 7 Years CTC - 11 to 14 LPA Preference - Immediate Joiner Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Health Insurance / TPA profile only eligible. Interested candidate can send your updated resume to careers@linkktpa.com Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Preferred) Experience: Insurance sales: 5 years (Preferred) Work Location: In person

We’re Growing – Join Our Team! Looking for passionate professionals ready to take their career to the next level. Position: MIS Manager Industry: Insurance/TPA Experience: 3 - 4 Years CTC: 4LPA to 5.5LPA Location: Chennai Roles & Responsibilities: Develop and execute the MIS strategy aligned with the company's overall business objectives. Meeting all the deadlines for periodical reports to various internal & external stakeholders Responsible for filing all the reports of IRDAI BAP portal. Collaborate with senior management to define MIS priorities and requirements. Prepare and publish relevant dashboards to other departments like cashless, claims, Provider network and Business development and customer retention teams Help Accounts & Finance dept in preparing monthly MIS and other analytical reports Get clear understanding of data fields in the core application vis-à-vis requirements from IRDAI, insurers, brokers and corporates. Work with IT to evaluate, select, and implement suitable MIS solutions to meet the company's needs. Monitor and manage system upgrades, migrations, and customization projects. Ensure the accurate and timely collection, storage, and analysis of relevant data. Use data analytics to generate insights and reports for management decision-making. Assess the team size to meet the customer service / corporate relation team ad-hoc reporting requirements of all stakeholders Lead, mentor, and motivate the MIS team, fostering a collaborative and high-performing work environment. Conduct performance evaluations, identify training needs and provide professional development opportunities. Act as a liaison between technical and non-technical teams, translating business needs into technical solutions. Important Note: Health Insurance/TPA Profile only eligible. Any graduate with excellent Advance MS Excel knowledge. Interested candidate can send your updated resume to careers@linkktpa.com. Job Types: Full-time, Permanent Pay: ₹35,000.00 - ₹45,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Anna Nagar, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Application Question(s): How many years of experience do you have in the insurance industry? Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Medical Officer for our Claims Team at our Kerala office. Job Role: Medical Officer Industry: TPA/Health Insurance Location: Trivandrum, Kerala Experience: 3 Years+ Qualification: MBBS, BDS, BAMS, BHMS,.. Roles & Responsibilities: Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. Get fully trained and understand claims software, functionality and validations. Verify whether the claim falls within the coverage/ scope of the health insurance policy. Check medical details in the claim documents and determine admissibility of the claim. Examine medical records, diagnostic reports, treatment plans, and other relevant documents to verify the authenticity and medical necessity of the services claimed. Check for pre-existing conditions, policy exclusions, waiting periods, and any other relevant policy provisions. Coding of ailments /procedures as per the regulatory requirement of coding the ailments/diseases/ procedures Validate the accuracy billing information submitted in the claims to prevent fraudulent or inflated billing. Evaluate the medical necessity of the treatments or procedures claimed, considering standard medical guidelines and best practices. Raising appropriate queries to hospitals, doctors, other healthcare providers and members to gather additional information or clarify details related to the claims. Be vigilant in identifying potential fraudulent claims and report them to the appropriate authorities for further investigation. Make informed decisions regarding the approval, partial approval, or denial of insurance claims based on the medical assessment and policy terms and conditions. Maintain a high level of accuracy and quality in claims processing to ensure customer satisfaction and adherence to regulatory standards. Help and support to other team members in billing, quality check, CRM, CS and contact center to clarify customer queries satisfactorily. Stay up-to-date with relevant healthcare laws, regulations and industry standards to ensure compliance in claims processing. Give necessary inputs to team leads for enhancement in IT system and better processes. Regular interaction with Provider Network management team and claims investigation teams to give inputs about the billing practices of hospitals for better negotiations, any suspected fraudulent billing practices noticed to red flag providers and suggestion for better internal controls. Important Note: Only candidates with an experience in TPA or Health Insurance are eligible. Interested candidates can send their updated resume to careers@linkktpa.com . Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹35,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Trivandrum, Kerala: Reliably commute or planning to relocate before starting work (Required) Experience: TPA / Health Insurance: 3 years (Required) Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Senior Medical Officer for our Claims Team at our Chennai Corporate office. Job Role: Senior Medical Officer Industry: TPA/Health Insurance Location: Anna Nagar, Chennai Experience: 5 Years+ Qualification: MBBS, BDS, BAMS, BHMS,.. Roles and Responsibilities Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. Get fully trained and understand claims software, functionality and validations. Verify whether the claim falls within the coverage/ scope of the health insurance policy. Check medical details in the claim documents and determine admissibility of the claim. Examine medical records, diagnostic reports, treatment plans, and other relevant documents to verify the authenticity and medical necessity of the services claimed. Check for pre-existing conditions, policy exclusions, waiting periods, and any other relevant policy provisions. Coding of ailments /procedures as per the regulatory requirement of coding the ailments/diseases/ procedures Validate the accuracy billing information submitted in the claims to prevent fraudulent or inflated billing. Evaluate the medical necessity of the treatments or procedures claimed, considering standard medical guidelines and best practices. Raising appropriate queries to hospitals, doctors, other healthcare providers and members to gather additional information or clarify details related to the claims. Be vigilant in identifying potential fraudulent claims and report them to the appropriate authorities for further investigation. Make informed decisions regarding the approval, partial approval, or denial of insurance claims based on the medical assessment and policy terms and conditions. Maintain a high level of accuracy and quality in claims processing to ensure customer satisfaction and adherence to regulatory standards. Help and support to other team members in billing, quality check, CRM, CS and contact center to clarify customer queries satisfactorily. Stay up-to-date with relevant healthcare laws, regulations and industry standards to ensure compliance in claims processing. Give necessary inputs to team leads for enhancement in IT system and better processes. Regular interaction with Provider Network management team and claims investigation teams to give inputs about the billing practices of hospitals for better negotiations, any suspected fraudulent billing practices noticed to red flag providers and suggestion for better internal controls. Important Note: Only candidates with an experience in TPA or Health Insurance are eligible. Interested candidates can send their updated resume to careers@linkktpa.com . Job Types: Full-time, Permanent Pay: ₹600,000.00 - ₹850,000.00 per year Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Anna Nagar, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Experience: TPA/ Health Insurance: 5 years (Required) Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Business Development at our Chennai Corporate office. Job Role: Business Development Industry: TPA/Health Insurance Location: Anna Nagar, Chennai Qualification: Graduate in any discipline (preferably MBA marketing) Experience: 10 Years+ Core Competence: Exposure to Health Insurance market with good connects with insurers and brokers. Good understanding of health policies and latest developments in health policies/products. Ability to do cost benefit analysis with respect to accepting rates, do hard negotiation to get best rate, offer value adds based on judgment. Roles & Responsibilities: · Liaison with insurance companies for empanelment of TPA till signing of SLA Develop and implement comprehensive business development plans and strategies to achieve revenue and growth targets. Setting up region wise, business segment wise targets for the year and driving towards achievement Preparing reports for monitoring the progress and review formats for periodical reviews Identify new market opportunities and potential areas for expansion. Work with top management in preparing the AOP (Annual Operating Plan) Maintaining excellent relationship with all insurers HOs through constant liaisoning. Maintaining excellent relationship with brokers Presenting the review updates and projections to top management Representing the company in TPA evaluations for major clients Prepare compelling proposals and presentations to showcase the company's capabilities, services, and benefits, highlighting how the TPA can meet the client's specific insurance requirements. Utilize data-driven insights to make informed decisions and position the TPA company effectively in the marketplace. Lead the efforts to acquire new clients and business partnerships. Build and maintain strong relationships with existing clients to maximize retention and foster customer loyalty. Be part of review meetings for all large corporate clients and involve in renewal of the policy and retention of client Build, track and maintain a strong pipeline of potential clients. Oversee the sales team and guide them in pursuing leads, closing deals and achieving sales targets. Provide support in complex sales negotiations and strategic deals. Collaborate with internal teams to identify opportunities for new insurance products, value-added services and process improvements to meet the evolving needs of clients and stay ahead of the competition. Lead, mentor, and develop the business development and customer retention team to enhance their skills and performance. Set clear objectives, provide feedback and ensure a high level of motivation within the team. Oversee the negotiation and finalization of contracts with clients and partners. Represent the TPA at industry events, conferences and seminars to enhance the brand's visibility and build valuable connections within the insurance sector. Regularly monitor and report on Key Performance Indicators (KPIs), business development activities, and market trends. Should have very good understanding of internal processes, offerings, strengths and weaknesses. Constant interaction with Operations and IT functions to communicate customer requirements and feedback. Important Note: Only candidates with an experience in TPA or Health Insurance are eligible. Interested candidates can send their updated resume to careers@linkktpa.com . Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Anna Nagar, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Experience: TPA / Health Insurance: 10 years (Required) Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Business Head for our Business Development team at our Mumbai office. Job Role: Business Head Industry: TPA/Health Insurance Location: Mumbai Experience: 7 Years+ Qualification: Graduate in any discipline Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Only candidates with an experience in TPA or Health Insurance are eligible. Interested candidates can send their updated resume to careers@linkktpa.com . Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Experience: TPA / Health Insurance: 7 years (Required) Work Location: In person

Greeting From Link-K Insurance TPA Pvt Ltd We are hiring Business Head for our Business Development team at our Delhi office. Job Role: Business Head Industry: TPA/Health Insurance Location: Delhi Experience: 7 Years+ Qualification: Graduate in any discipline Roles & Responsibilities: Take overall responsibility for the day-to-day management of the branch. Responsible for revenue targets of the branch. Lead a team of professionals in business development and customer retention and provide guidance to meet excellent customer service expectations. Develop and implement strategies to expand the branch's client base and increase revenue. Identify opportunities for growth and market penetration while maintaining existing client relationships. Maintaining excellent relationship with brokers and insurers Liaison with insurance companies and brokers in the smooth service delivery Regular client meetings, tracking and reporting to HO Attend review meetings of all large clients and ensure renewal of accounts. Managing branch expenses and maintaining efficient spend. Ensure that the branch operates in full compliance with all industry regulations, company policies, and legal requirements. Maintain a high standard of customer service by addressing customer queries, resolving issues, and handling escalations. Strive to enhance customer satisfaction, nurture customer delight and thereby loyalty. Foster a positive and productive work environment for the branch team. Provide leadership, motivation and mentorship to team members to maximize their potential and performance. Prepare regular reports on the branch's performance, financials and other relevant metrics. Present the reports to top management and participate in strategic planning discussions. Identify training needs within the branch and arrange suitable training programs to enhance the skills and knowledge of team members. Contant interaction with HO to address escalations. Collaborate with other branches, departments, and stakeholders within the organization to achieve overall company objectives and ensure seamless operations. Important Note: Looking Candidate for Immediate Joiner. Only candidates with an experience in TPA or Health Insurance are eligible. Interested candidates can send their updated resume to careers@linkktpa.com . * * * Job Types: Full-time, Permanent Pay: ₹90,000.00 - ₹120,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Mumbai District, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Experience: TPA / Health Insurance: 7 years (Required) Work Location: In person

We’re Growing – Join Our Team! Looking for passionate professionals ready to take their career to the next level. Position: MIS Manager Industry: Insurance/TPA Experience: 3 - 4 Years CTC: 4LPA to 5.5LPA Location: Chennai Roles & Responsibilities: Develop and execute the MIS strategy aligned with the company's overall business objectives. Meeting all the deadlines for periodical reports to various internal & external stakeholders Responsible for filing all the reports of IRDAI BAP portal. Collaborate with senior management to define MIS priorities and requirements. Prepare and publish relevant dashboards to other departments like cashless, claims, Provider network and Business development and customer retention teams Help Accounts & Finance dept in preparing monthly MIS and other analytical reports Get clear understanding of data fields in the core application vis-à-vis requirements from IRDAI, insurers, brokers and corporates. Work with IT to evaluate, select, and implement suitable MIS solutions to meet the company's needs. Monitor and manage system upgrades, migrations, and customization projects. Ensure the accurate and timely collection, storage, and analysis of relevant data. Use data analytics to generate insights and reports for management decision-making. Assess the team size to meet the customer service / corporate relation team ad-hoc reporting requirements of all stakeholders Lead, mentor, and motivate the MIS team, fostering a collaborative and high-performing work environment. Conduct performance evaluations, identify training needs and provide professional development opportunities. Act as a liaison between technical and non-technical teams, translating business needs into technical solutions. Important Note: Health Insurance / TPA Profile only eligible. Any graduate with excellent Advance MS Excel knowledge. Looking Candidate for Immediate Joiner. Interested candidate can send your updated resume to careers@linkktpa.com. Job Types: Full-time, Permanent Pay: ₹40,000.00 - ₹50,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Chennai District, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Application Question(s): What is the duration of your notice period? Experience: TPA / Health Insurance: 3 years (Required) Work Location: In person

We’re Growing – Join Our Team! Looking for passionate professionals ready to take their career to the next level. Position: Customer Retention & Insurance Liaison (CRM) Industry: Insurance/TPA Experience: 4 years+ CTC: 3.5LPA to 5LPA Location: Ameerpet, Hyderabad Roles & Responsibilities: Act as the primary point of contact between the insurance company, corporate client enrolment and claims teams Build and maintain strong relationships with insurance companies and their various offices. Coordinate for policies, data and endorsements. Tracking outstanding claims waiting for insurers approvals and claims waiting for endorsements. Follow up with insurers for logical closure of those claims. Taking up resolution of claims pending for payment requiring underwriting office interference. Coordinate with other teams for logical closure of claims associated with insurers approvals. Periodical visits to underwriting offices, track meeting outcome and report. Attend agent meets wherever retail business is allocated Attend periodical meetings called for by insurers to represent the company Understand the business portfolio of various insurers, seek relevant reports from MIS and have all information handy to respond to insurer queries Build strong relationship with brokers and corporate clients. Foster long-term relationships with clients and brokers to maximize retention. Provide exceptional customer service and act as a point of contact for any client inquiries or issues. Collaborate with internal such as operations, claims, and IT to ensure seamless service delivery and exceed client expectations. Team management of corporate relationship/client servicing executives in the region. Important Note: Health Insurance / TPA Profile only eligible. Looking Candidate for Immediate Joiner. Interested candidate can send your updated resume to careers@linkktpa.com. Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹40,000.00 per month Benefits: Provident Fund Schedule: Day shift Ability to commute/relocate: Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required) Experience: TPA / Health Insurance: 2 years (Required) Willingness to travel: 100% (Required) Work Location: In person