434 Mediclaim Jobs - Page 11

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.

Greetingd from Niva Bupa! Key Roles & Responsibilities: Answer incoming customer calls in a professional and timely manner. Assist customers with inquiries including medical claims and rejections. Provide accurate and detailed information about claim procedures, documentation requirements, and coverage. Investigate and resolve customer concerns, ensuring high levels of customer satisfaction. Collaborate with internal departments, such as claims processing to address and resolve complex issues. Maintain thorough and up-to-date knowledge of products, medical billing codes, and claim processes. Document customer interactions and update customer records accurately in the system. Identify and esc...

Role & responsibilities 1. General Insurance Management Procure and renew policies for Property All Risk, FLOP/MLOP, Marine, Motor, and Liability. Coordinate risk inspections, asset valuations, and insurance audits. Ensure adequate coverage of plant, stock, and machinery. 2. Employee Insurance (GMC, GPA, GTLI) Design and manage group insurance programs. Align policies with HR grades and employee categories. Organize employee awareness and communication sessions. 3. Claims Management Oversee fire, machinery breakdown, transit, and liability claims. Manage employee health & life claims with TPAs and brokers. Drive claim analytics, MIS dashboards, and settlements. 4. Stakeholder Collaboration C...

Hiring Clinical Doctors for Medical coding role in Mohali !! Job Location - Mohali Role : Auditor I (IPDRG) Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Interested candidates can share resume - abdul.rahuman@cotiviti.com Regards, Abdul Rahuman 9080276...

We are seeking a dynamic and detail-oriented Insurance Professional for the Legal Department to manage end-to-end insurance policy administration, claims processing, and risk management across multiple sites. The ideal candidate will have experience in insurance handling, preferably in the solar sector, and the ability to manage and coordinate across teams and insurance partners. COMPENSATION & BENEFITS: Medical Insurance Performance Incentives Cool Work Environment Travel Reimbursement (as per company policy) Exposure to challenging legal and insurance portfolios Supportive team and professional development ABOUT SADBHAV FUTURETECH LIMITED: Company Size - ~100 employees Headquarters - Gurga...

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical ...

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. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insura...

ABOUT US: About Rentokil Initial Hygiene Rentokil Initial Hygiene India, operating in more than 75 countries is the trusted hygiene solution provider globally. Together with 100 years of experience with tailored solutions to meet customised business needs, assuring 100% peace of mind with Rentokil Initial services. Rentokil Initial offers the widest range of washroom hygiene services including the provision and maintenance of products such as air fresheners, sanitisers, feminine hygiene units, hand dryers, soap dispensers, floor protection mats. For more details: https://www.initial.com/in/ About the Role: The Store Manager / Store Executive will be responsible for managing the inventory. Th...

Role & responsibilities i) Health Check-Ups Annual medical health check-ups for all employees are planned and scheduled on time, and reports for critical illness are to be shared within 1 hour from the incident reported. ii) Claim Reimbursement Employee claim reimbursement is to be processed and paid out within defined timeline from the final bill submission iii) Employee Connect Ensuring employees who are unwell/hospitalised are met/spoken to and tracking records of such employees are maintained every week. Providing on-time information to employees related to the ESIC / Mediclaim process and generating unique code from ICICI iv) Process Information Annual Health Check-ups as per schedule O...

Roles and Responsibilities Handle claims from receipt to settlement, ensuring timely and accurate processing. Verify claim documents, including medical records, bills, and reports. Coordinate with hospitals, doctors, and other stakeholders for necessary documentation. Conduct thorough investigations into complex cases to resolve disputes efficiently. Ensure compliance with regulatory requirements and company policies.

Resolve customer queries over calls, chat Address and resolve customer complaint or issues related to healthcare services Inform customers about health plans, insurance coverage, and healthcare service connect Hr Harshita - 84450 22026 Required Candidate profile Excellent communication skills in English Only B.Pharma/ M.Pharma/ D.Pharma passed Freshers or Experienced can apply Strong understanding of medical terminology Immediate Joiners Rotational shifts Perks and benefits Incentives Health Insurance

Overview About us : At Ecorgy Solutions, we re transforming the way patient care is provided in the US Home Healthcare industry. To support our US home healthcare operations, we are on a talent hunt for passionate Dynamic Clinical Quality Managers to drive exceptional patient care and elevate our service delivery to the new levels. Role Overview : As our Clinical Quality Manager, you will play a pivotal role in enhancing clinical processes and maintaining regulatory compliance. You will spearhead quality improvement initiatives and ensure adherence to established clinical standards. The role demands a meticulous approach and a commitment to clinical excellence. Qualifications : BDS, BAMS, BS...

Responsibilities & Key Deliverables Ensuring the legal and statutory compliances are met as per the legal calendar.Maintain Harmonious relation between Union and Management.Legal Cases, Disciplinary Action and Contract Labor Management, TMW.Maintaining all GPA and Mediclaim data as per the requirements and schedule.OHSAS Documentation and sustainability adherence.Liaison with Government Agencies like ESI, PF, Labor Department, Labor court, Industrial Court, High Court, police, health and safety, local administration, welfare board, apprenticeship advisor, ITI.Ensuring all ESIC and PF activities.Organizing and conducting welfare activities.Canteen and Transport Management.WST and third party ...

Ensuring the legal and statutory compliances are met as per the legal calendar.Maintain Harmonious relation between Union and Management.Legal Cases, Disciplinary Action and Contract Labor Management, TMW.Maintaining all GPA and Mediclaim data as per the requirements and schedule.OHSAS Documentation and sustainability adherence.Liaison with Government Agencies like ESI, PF, Labor Department, Labor court, Industrial Court, High Court, police, health and safety, local administration, welfare board, apprenticeship advisor, ITI.Ensuring all ESIC and PF activities.Organizing and conducting welfare activities.Canteen and Transport Management.WST and third party staff management in its entirety Pre...

Manage end-to-end claims process for corporate insurance policies (GMC, GPA, WC, Fire, etc). Coordinate with clients, insurers, and TPAs to ensure timely documentation and settlement . Track claim status and provide regular updates to clients. Analyze claim patterns and support clients with insights and loss mitigation strategies. Ensure service level agreements (SLAs) are met and maintain claim MIS reports. Assist clients during audits or investigations, where required. Requirements: Minimum 2 years of experience in corporate insurance claims handling. Strong understanding of Group Mediclaim , GPA , and WC policies. Excellent communication and client coordination skills. Organized, detail-o...

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical ...

0 to 10 years of relevant experience in medical transcription Job Description : Role Overview: Join our dynamic and growing team at Ecorgy Solutions as a Medical Transcriptionist, where your expertise will help convert critical clinical content into structured and accurate electronic health records (EHRs). This role is instrumental in supporting our Clinical Quality Review Team, ensuring every document aligns with internal quality standards and US healthcare compliance protocols. You ll work closely with clinical documentation sourced from Registered Nurses (RNs), Physical Therapists (PTs), Occupational Therapists (OTs), and other allied health professionals, ensuring clarity, accuracy, and ...

- Produce and upload medical reports onto the client portal accurately and efficiently. - Collaborate with the operations team to validate cases and information on a monthly basis, ensuring the submission of accurate invoices to clients.

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Prepare final bill when cash/TPA/corporate/fund cards come for discharge. In the case of TPA credit patients, if the bill exceeds the approval final bill with discharge summary is send it to the insurance dept for the final approval. If there is any collection to be done from patient it is done (E.g. co-payment, room restriction, non applicable charges etc). Every day morning all the previous day discharged cards are to be cross checked whether they have paid the bill and show discharge in the HIS. In case of cash patient if they have not paid who has given permission should give a letter which should be attached with the card & it is filed in the billing dept. In case of credit bills after ...

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred L...

Identify, approach, & onboard hospitals & clinics for cashless treatment & financing solutions Promote Medical Loans (0% EMI) and Advance Against Mediclaim to hospital partner Coordinate with internal teams for smooth activation & issue resolution Required Candidate profile Hospital onboarding, TPA coordination, healthcare sales, or medical loans HealthTech, NBFC, insurance, or hospital B2B sales Self-starter, target-oriented, and willing to travel locally