184 Mediclaim Jobs

The insurance broking arm of a large wealth management conglomerate is currently seeking experienced individuals for middle and senior level sales positions at their offices located across various cities in India including Mumbai, Hyderabad, Delhi, Bengaluru, and Chennai. Requirements: - Prior experience in group plans within the general insurance sector - Strong background in B2B sales, particularly in corporate insurance - Demonstrated proficiency in team management Responsibilities: - Lead B2B sales initiatives by promoting employee benefit schemes such as mediclaim, health insurance, and accidental insurance policies - Provide guidance and oversight on corporate insurance policies within the general insurance domain - Manage and support the sales team in achieving targets and fostering professional growth For more information and to express interest, kindly contact 8286011441 for further details.,

As a Third Party Administrator at HOSPITAL STAFF RECRUITMENT SERVICES, you will play a crucial role in managing various administrative tasks associated with health insurance claims while delivering exceptional customer service to patients. Your responsibilities will include processing health insurance claims accurately and efficiently, verifying patient information and eligibility, and engaging with insurance companies, healthcare providers, and patients to ensure smooth claim processing and resolution. You will be expected to maintain meticulous records, adhere to company policies and industry regulations, and collaborate with the team to achieve productivity and quality standards. Additionally, your role will involve addressing customer inquiries and concerns, identifying areas for process enhancement, and contributing to the overall efficiency of claims processing. The ideal candidate for this full-time position in Borivali, Maharashtra, India, will possess 1 to 3 years of experience as a Third Party Administrator in the healthcare industry, a strong understanding of TPA processes, familiarity with Mediclaim and cashless health insurance procedures, and excellent communication and organizational skills. If you are detail-oriented, customer-focused, and thrive in a fast-paced environment, we welcome you to join our team at HOSPITAL STAFF RECRUITMENT SERVICES and make a meaningful impact in the healthcare sector.,

Skills: Godrej Forklift, Stacker, Hand Pallet Trolley, Battery operated platform trucks etc., Sales Skills/ Sales process training, Sound Communication skills in English/Hindi, Prospecting Skills, Product Presentation Skills, Sales Planning, Client Relationships, Negotiation skills,. Industry:Engineering. Location & no of position:Kolkata02, Siliguri01. Benefits:PF, Family Mediclaim, Gratuity, Bonus, Leave Encashment, Incentive etc.. Qualification:GRADUATE, Mechanical/Automobile/Electrical Engineering. (Btech /Diploma). Product & Brand to be handled:Godrej Forklift, Stacker, Hand Pallet Trolley, Battery operated platform trucks etc. Skills. Sales Skills/ Sales process training. Sound Communication skills in English/Hindi. Prospecting Skills. Tele-Calling. Product Presentation Skills. Sales Planning. Client Relationships. Negotiation skills. Motivation for Independent Sales. Proper Knowledge of MS office -Word, XLS, PPT. Roles And Responsibilities. Frequent Client visits and product presentation. Studying various Industry sectors, data digging for concerned client details and tele-calling for prospecting. Sells products by establishing contact and developing relationships with prospects, recommending solutions. Identifies current industry trends, market activities, and competitors. Prepares reports by collecting, analysing, and summarizing information. Monthly report on Lead/ opportunities, Client visit Data, prospecting,lost deals

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 1st Floor, H8M9+677, Block D, Noida Sector 3, Noida, Uttar Pradesh 201301 Interested candidates can share their resumes to WhatsApp to 9795919025

Responsibilities: Ensure timely claim settlements within policy limits Process medical bills accurately Collaborate with healthcare providers on claims resolution Manage mediclaim claims from start to finish

Required for processing and analyzing data to provide actionable insights into market trends, consumer behavior, and competitive dynamics. This role involves ensuring data accuracy through cleaning and integration. The analyst uses statistical methods and visualization tools to interpret data and create detailed reports and dashboards. They collaborate with cross-functional teams to support strategic decision-making and continuously improve research methodologies. Strong analytical skills, proficiency in statistical software, and the ability to communicate findings effectively are essential for this position. Required to work from office. KEY JOB RESPONSIBILITIES: Perform data checks using Quantum, SPSS and Excel Writing data cleaning scripts Do data manipulation like labeling, stacking, recoding etc. Resolving client queries and updating their

Role Overview: We are seeking a dynamic and experienced professional to lead our Employee Benefits Client Servicing team. This individual will be responsible for driving service excellence, managing high-value corporate relationships, and overseeing a team of servicing professionals to ensure timely and quality delivery of EB solutions. The ideal candidate will possess deep technical knowledge of EB products and strong experience in managing group health and life claims, client relationships, and internal cross-functional coordination. Key Responsibilities: Client Leadership & Relationship Management Act as the senior point of contact for key EB clients. Build and maintain strong C-level client relationships, understanding their evolving needs. Lead client governance meetings, renewal discussions, and strategic reviews. Team Management Lead, mentor, and manage the EB Client Servicing team across locations. Define KPIs, ensure adherence to SLAs, and continuously improve team performance. Develop team capability through training, coaching, and performance management. Policy Administration & Endorsements Oversee and ensure timely processing of endorsements including addition and deletion of employees and dependents in line with client requirements and insurer guidelines. Ensure accuracy and completeness in data sharing with insurers/TPAs for seamless endorsements. Implement standard operating procedures to track and audit endorsement workflows. Claims Management Oversee end-to-end claims handling processes for group health, life, and other benefits. Liaise with insurers and TPAs to ensure timely and accurate claim settlements. Resolve escalated claim issues, ensuring high client satisfaction and minimal friction. Organizing Wellness activities for the clients. Process Improvement & Delivery Excellence Streamline service workflows for efficiency and scalability. Standardize client onboarding, MIS/reporting, policy documentation, and service charters. Drive implementation of digital servicing tools or platforms for enhanced client experience. Internal Collaboration Work closely with Placement, Sales, Underwriting, and Product teams to ensure coordinated service delivery. Lead internal service review meetings and present account-level insights to management. Wellness Program Management Conceptualize, organize, and implement employee wellness programs for corporate clients, including health camps, awareness sessions, webinars, and engagement initiatives. Coordinate with wellness vendors, medical partners, and clients for seamless execution. Track participation metrics and client feedback to enhance future wellness offerings. Technical & Professional Skills: Deep domain expertise in Employee Benefits, especially Group Health, Group Life, and Wellness offerings. Strong knowledge of insurance regulations, IRDAI guidelines, and TPA processes. Proven experience in managing large-scale employee benefit programs and high-volume claims. Excellent communication, stakeholder management, and conflict resolution skills. Advanced proficiency in Excel, PowerPoint, and client-facing reporting tools. Strategic mindset with strong execution capability.

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Client Servicing Responsible for developing the corporate customer base for MDIndia Health Insurance Services. Map the territory and maintain a strong pipeline of potential customers. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. Develop strong relationship with Insurance Companies/Brokers. Promptly attending Emails, Phone calls, Whats App messages of Clients. Maintain proper MIS & Internal reports and present it to the management. Ability to work independently, achieve targets and be absolutely result oriented Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive Two wheeler is Mandatory If interested kindly share your resume to ta4@mdindia.com

Underwriting of Retail Health, Personal Accident & Travel proposals Team Management IRDAI related UW activities Processing of Non Disclosures/Frauds /Audit /ISO/IRDA data Crucial MIS & analysis for Garo data Back up for handling pre-policy activities Required Candidate profile BAMS, BHMS, BDS or Similar 5+ years of experience in Health Insurance & Underwriting Good knowledge of Risks, Processes & Data Collection & Analysis Must know IRDAI related process Good communication Perks and benefits Good Opportunity

Location City Pune Department Finance and Accounts Experience 0 - 2 Years Salary - INR Designation Associate Total Position 1 Employee Type Permanent Job Description Associate- Accounting JOB DESCRIPTION: Primary Responsibilities: Accounting concepts & Processing Required to have a good knowledge of transaction processing Understanding of concepts of accounts payable/ accounts receivable and the complete cycle of P2P/ O2C. Strong analytical skills and comfortable working on Excel. Core Competencies: Service Orientation Should be aware of both - the internal as well as external customers and their needs; and is committed to meeting the customers evolving, long-term needs the focus is on SERVICE Result Orientation Should be able to direct efforts towards developing and implementing realistic action plans to meet business objectives; with a sense of urgency the focus is on achieving RESULTS Initiative One must not only understand and accept the responsibilities towards his/her job; but also proactively works towards identifying challenges and its resolution the focus is on seeking SOLUTIONS Professionalism Should have in-depth knowledge of all functions and displays not only required skill set, but also ethics and integrity while conducting the job the focus is on PROFESSIONALISM Cooperation One must ensure completion of all tasks at hand and simultaneously extends support to team members and displays joint ownership towards achieving business objectives the focus is on TEAMWORK Communication/Feedback Should believe in providing feedback to other associates and receiving feedbacks to enhance performance, thereby meeting business objectives the focus is on OPEN COMMUNICATION Other Benefits: MedicalInsurance (self-coverage): IncludesGroup Mediclaim policy and Group Personal Accident Policy. Transportationsupport: Bus facility(where available) is allocated to you based on your requirement andavailability of seats. Focuson individual career growth: via career aspirations discussions, rewards &recognition, long service awards. HealthCheck-up Camp: Accessto a mobile application that provides expert guidance on physical, emotional,and mental well-being to you and your immediate family members. Working Model: Work-from-office Shift Timings : Nexdigm operates in multiple shifts to help cater to our clientsbetter: Morning shift - 7:00 am to 4:00 pm General shift - 9:30 am to 6:30 pm Evening Shift - 3:30 pm to 12:30 am Please Note: Shift timingsdiffer basis the role. The shift timing allocated to you will depend on thescope of work and will be communicated to you during the offer discussion. DESIRED CANDIDATE PROFILE: A dynamic personality and a passion to constantly improvise technology to suit the organization s needs A B. Com/M. Com/MBA degree along with prior exposure of 0 2 years. A flair for working in a team and working hand in hand to achieve individual goals and team goals The drive to bring about change and a desire to constantly look for ways to use technology to derive efficiencies. An ability to understand the organization s goals and objectives and link them with the deliverables of the assigned function, in addition to overseeing delivery and operations Crossed the boundaries of operational delivery and stepped into the space of organizing, planning and development if you relate to this, what are you waiting for? Please apply! Hiring Process: Your interaction with us will include, but not be limited to, Technical / HR Interviews Finally, our people are our most valuable asset; ifyou agree with us on this, we would love to meet you!

Hiring for the position of Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. Skill Required : Excellent Communication Skills. Familiarity with Excel, Power Point, Word and an ability and interest in learning on the job. Candidates from TPA industry will be considered for the requirement. Interested candidates can share their updated resume to ta4@mdindia.com

Vidal is hiring for claim Processor Designation: Executive-Claims Location: Gurgaon, Key Responsibilities: Review and validate claim documents submitted by hospitals or insured members Scrutinize medical records and bills for completeness and accuracy Apply policy terms, conditions, and exclusions to adjudicate claims Perform ICD and procedure coding as per ailment and treatment Coordinate with medical officers for clinical opinion when required Maintain claim logs and update CRM systems with claim status Ensure adherence to defined SLAs and minimize processing errors Flag suspicious or potentially fraudulent claims for investigation Communicate with stakeholders for clarifications or missing documents Support audit and compliance teams with documentation and reports Shortfalls & Queries Required Skills & Competencies: Strong understanding of health insurance policies and TPA workflows Familiarity with medical terminology and coding (ICD, CPT) Attention to detail and analytical thinking Proficiency in claims processing software and MS Office tools Good written and verbal communication skills Ability to manage high volumes under pressure Commitment to confidentiality and data protection norms Qualifications & Experience: Graduate in any discipline (preferably life sciences or healthcare) 1-3 years of experience in claims processing within a TPA or insurer

[{"Salary":"35k - 50k","Posting_Title":"Site Engineer" , "Is_Locked":false , "City":"Kolkata" , "Industry":"Real Estate","Job_Description":" KRAs: Execution of all civil works, i.e., Pile foundation, RCC works with conventional as well as MIVAN/Aluform shuttering according to Drawings Preparation of daily work schedule Manpower controls the execution of the work Study of AutoCAD GFC Drawing for REBAR & other parameters Coordination with the Contractor/Sub-Contractors Preparation of measurement sheets for RA bill of Contractor/Sub-Contractors Properly handing over the structural elements to the finishing team Preparation of reconciliation of statements for all materials (i.e., Steel, Cement, RMC, and other raw materials) Execution of the works as per quality & safety norms. Proper study of GFC drawing and close any observation before execution Requirements Must-have Skills:- Must be B.E./B.Tech/Diploma in Civil Engineering. Experience in Aluform Shuttering/Mivan-based projects. Experience in High-rise buildings. Preferred Skills/Experience:- Experience in Finishing work would be an added advantage. Benefits # All statutory compliances and benefits of a permanent employee. # Health Benefits & Mediclaim. # EPFO (as per applicability). # Yearly PMS. # Yearly Leave Encashment. # Yearly Bonus. ","Work_Experience":"5 years","Job_Type":"Full time","Job_Opening_Name":"Site Engineer","State":"West Bengal" , "Country":"India" , "Zip_Code":"700135" , "id":"122725000004642677" , "Publish":true , "Date_Opened":"2025-07-18" , "Keep_on_Career_Site":false}]

1. Employee Lifecycle Management 2. Onboarding & Induction 3. Employee Experience & Engagement 4. Internship & Development Programs 5. HR Administration & Compliance 6. Exit Management Qualifications: Bachelor's/masters degree in human resources, Business Administration, or related field. 47 years of progressive experience in HR operations or business partnering roles. Understanding of HR policies, labor laws, and compliance requirements. Proficient in HRMS tools, Excel, and data reporting.

Job Description Coordinate with patients, insurance companies, and internal departments for smooth processing of cashless claims. Facilitate timely pre-authorization approvals and ensure all required documents are submitted. Maintain records of all TPA communications and claim documents. Handle queries from patients and their attendants regarding insurance claims. Follow up with TPAs/insurance companies for pending approvals and payments. Reconcile TPA receivables and ensure timely payment posting and recovery. Assist the billing team in preparing final bills for insured patients. Ensure compliance with hospital policies and insurance guidelines. Regularly update TPA software and internal MIS systems with accurate information. Required Candidate Profile: Any Graduate with 14 years of experience in hospital insurance. Pleasant personality with good communication and interpersonal skills. Basic computer proficiency and familiarity with hospital billing/TPA processes. Ability to work in a fast-paced hospital environment. Interested candidates please forward your resume to the below mentioned contact number Thanks & Regards, HR Team- 7299052617. Miot International.

Hiring for the position of Sr. Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. Skill Required : Excellent Communication Skills. Familiarity with Excel, Power Point, Word and an ability and interest in learning on the job. Candidates from TPA industry will be considered for the requirement. Interested candidates can share their updated resume to recrutiment1@mdindia.com

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only Pune address: C-Wing, First Floor, Manikchand Icon, Balkrishna Sakharam Dhole Patil Rd, Sangamvadi, Pune, Maharashtra 411001 Mumbai address: 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to WhatsApp to 9632777628

Require GP or any types of doctors for Medical Insurance company . Candidates should have experience in settling Medical Claims. This job is work from home so interested candidates please email your CV on bhavesh.exova@gmail.com

KEY RESPONSIBILITIES Scrutiny of medical documents and adjudication. • Assess the eligibility of medical claims and determine financial outcomes. • Identification of trigger factors of insurance related frauds and inform the concerned department. • Determine accuracy of medical documents ADDITIONAL SKILLS • Good communication • Familiarity with Computers and interest in learning on the job. ACADEMIC & PROFESSIONAL QUALIFICATIONS • BHMS/BAMS/BDS HR Pratiksha Shitole, Sr.Executive Talent Acquisition, MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 3rd floor, Pune Nagar Road, Vadgaonsheri, Pune 411014. Email Address: hr9@mdindia.com Contact No. 7058036074

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package, etc. Understand the process difference between a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and respond to mails accordingly. Interested Candidates can share their resumes to kishan.dwivedi@mediassist.in or WhatsApp on 9795919025

Urgent opening for TPA Medical Officer/customer service manager profile in Raipur, Rajkot, Kanpur, Baramati, Trivandrum locations. Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Administration. 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit Candidate must have excellent knowledge of health insurance / Health TPA domain. Candidate must have excellent bill/medical negotiation skills & customer handling skills.Good communication skills in Hindi/English and regional language of the state/region .Ready to relocate himself/herself at location within India as may be required according to the job requirement. Candidate must own vehicle to travel in various hospital assigned to him Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals. Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally, 20-25 Hospitals for Case Audit and Management Proficient in handling complex situations and customers. Candidate must possess clinical knowledge for evaluation of medical files Sound knowledge of surgical procedures and disease cure management Interested candidates can share their CV on priyanka.shrivatsa@icicilombard.com or contact on 9664261933.

Cashless Executive, TPA Executive, Insurance Executive Responsibilities: Patient Eligibility Verification: Claim Processing: Pre-authorization and Approvals: Coordination: Status Tracking and Follow-up: Cashless Admission Facilitation:

Key Roles : Ensure accurate documentation and timely claim settlement Follow up with TPA and Govt. bodies for approvals/payments Strong knowledge of Govt. healthcare panels (ECHS, CGHS, ESIC, etc.) Experience in hospital billing & claim processing Annual bonus Provident fund Health insurance

Managing CGHS, ECHS, CAPF and Ayushman Bharat Government Portals: Claim Processing Audit Uploading Query Management Reconciliation and Recovery Management. Annual bonus Provident fund Health insurance

TPA Executive to manage pre-authorizations, insurance claims & coordination with TPAs and government health scheme. The role requires accurate documentation, timely claim submissions, & effective communication with internal departments and insurers. Required Candidate profile Graduate with 1–3 years of hospital TPA experience. Proficient in handling CGHS, ECHS, PMJAY claims, insurance coordination, billing & documentation. Strong communication, MS Office & software skills.