434 Mediclaim Jobs - Page 10

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 admissibil...

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...

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. Addition...

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 Communi...

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 admissibil...

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 Q...

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 cli...

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 Co...

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 SERVI...

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. Skil...

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 missin...

[{"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, ...

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 MI...

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. ...

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 admissibil...

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 ...

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 ow...

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