434 Mediclaim Jobs - Page 16

To identify, source and secure both long term and short-term pest control & prevention business opportunities. To develop new business opportunities within current and new customer bases in accordance with the sales strategy. To look after client retention by ensuring customers ongoing expectations is met. To manage day to day sales activities, including proposal, service agreement, and prospecting and market development. To support the service team by providing customer feedback. To develop good client relationships. To provide reports as per the requirement. To assist with debt collection Do you have what it takes? If you want to be considered for this role you will need: Graduate or MBA F...

Handling TPA related all process from billing to co-ordinate with TPA companies. Maintaining & uploading patient's files on the portal. Handling billing Department, Implants bill updating & reconciliation.

Location City Pune Department Finance and Accounts Experience 0 - 2 Years Salary - INR Designation Associate Total Position 1 Employee Type Third Party 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 S...

[{"Salary":null , "Remote_Job":false , "Posting_Title":"Junior Executive - Customer Relationship Management" , "Is_Locked":false , "City":"Coimbatore South","Industry":"Real Estate","Job_Description":" Key Responsibilities: Assist CRM team in day-to-day customer coordination Follow up with clients for documents and payment schedules Maintain customer data and update records regularly Handle incoming calls, emails, and walk-in customer queries Support senior executives in reports and documentation Requirements Skills Competencies: Good communication and coordination skills Basic knowledge of MS Office (Excel, Word) Pleasant personality with a customer-centric approach Willingness to learn and...

Role & responsibilities Sending Monthly Reports to insurance co (new additions, deletions etc) He/she will be a SPOC for all employees with reference to handling queries regarding their medical benefits/hospitalizations To close Service tickets pertaining to medical matters within a specified TAT Managing emergency support to employees Liasing closely with the insurance company for faster processing of claims Monitoring CD balance and replenishing the same in co-ordination with the accounts team

Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously unde...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my Mail ID - varsha.kumari@mediassist.in Thanks & Regards Varsha Kumari Email - varsha.kumari@mediassist.in

Hiring Executive CRM (Corporate and Client Relationship) Company - MD India Health Insurance TPA Job Description Responsible for managing client relationships with key decision makers Subject matter expert for partners and internal staff for the assigned product Addresses the gaps identified between client requirement & the service provided Ensure that the service is delivered in accordance with the agreed service level agreement Act as a point of contact for any escalation or feedback from clients Collaborate with the other functional Group to evaluate the product performance and to recommend Refinements and improvements in service performance Establish and maintain on-going partner relatio...

Role & 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. 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 Visit us @ www.mdindiaonline.com

EDUCATIONAL QUALIFICATION: MBBS graduate (No experience required) BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector). Role & responsibilities Analyzing and summarizing medical records for pre and postsettlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. Adhering to company policies/ARCHER principles and hence taking good care of Archer culture. Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time. Daily reporting to Medical team lead for productivity & quality Preferred candidate profile Technical Skills: Knowledge of basic level of health care data analysis and clinical revi...

Claims Executive- EB website Link: www.dishainsurance.com Job Summary: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Roles & Responsibilities: One stop solution for all client queries and requirements Represent our company, with a comprehensive understanding of our services in the area of claim process...

Hiring Clinical Investigator for Mohali location ! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/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. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Hiring Clinical Doctors for Medical coding role in Mohali !! 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. (CPC/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. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Location City Gurugram Department Accounting and Finance Controllership Experience 0 - 2 Years Salary - 1 INR Designation Associate Total Position 1 Employee Type Fixed Term Job Description JOB DESCRIPTION: DESIRED SKILL: o PrimaryResponsibilities Accounts payable Routine accounting, bill passing, and payment processing Reconciliation - Bank, vendor, etc Experience / conceptual knowledge in GST, TDS Accounting of imports o SecondaryResponsibilities Proficient in MS Office - Especially Excel Good communication skills Working knowledge of Tally Other Benefits: MedicalInsurance (self-coverage): IncludesGroup Mediclaim policy and Group Personal Accident Policy. Long TermInvestment & EngagementPl...

Location City Pune Department Finance and Accounts Experience 0 - 2 Years Salary - INR Designation Associate Total Position 1 Employee Type Third Party 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...

Candidates with >5 years experience in TPA/Insurance Desk, apply for the position of Senior Manager.

Assistant Manager – HR General Role • Streamlining HR activities. • Maintaining Employee Life Cycle from Induction to Exit. • Structured employee connection like conducting Skip Meetings, town halls, brown bags, open forums. • Strategizing on new Required Candidate profile hrbp back High technical competency (Compensation Management, Employee Relations Management) • Leadership, Strateg • Proactive and sound level of business knowledge. Send CV:9967524837/sonam@peshr.com

Roles and Responsibilities Manage HR operations, including onboarding, induction, exit formalities, medical insurance, and generalist activities. Coordinate with various stakeholders to ensure smooth joining formalities for new employees. Assist in managing employee data and maintaining accurate records. Perform generalistic tasks such as recruitment coordination, benefits administration, and compliance monitoring. Provide support to the team by handling day-to-day HR operations efficiently. Desired Candidate Profile Strong understanding of HR operations, policies, and procedures. 1-2 years of experience in an HR role or related field. Excellent communication skills with ability to work effe...

Urgent requirement for BHMS,BDS,BAMS -Hyderabad Fresher/Expereince candidate should have atleast 1 year of TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: 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. Required Candidate profile: BHMS,BDS,BAMS graduate Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Fresher...

Walk-In Interview registration will end by 11:00AM Job responsibilities : Processing of Health Claims. Claim Registration and Claim Adjudication. Identifying the Frauds. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, Provider, sales and grievance teams Office Address: Tata AIG General Insurance Company Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad

Venue Walk-In Interview on 30-May-2025, Registration will End by 11:00AM Responsibilities: Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files. Grievance redressal, handling escalations and Identifying the fraudulent claims. Required understanding and evaluation criteria: Qualified MBBS, BAMS, BHMS having all certificates in hand Preferably from Insurance and TPA experience Clinical Acumen/knowledge in terms of hos...

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak Hindi & Malayalam. CTC – Upto 3.5 LPA.

CPC Certified Medical Coders (Trivandrum) - Ecorgy Solutions CPC Certified Medical Coders (Trivandrum) CPC Certified Medical Coders (Trivandrum) 9:30 PM to 630 AM Job location: Elippode, Trivandrum Experience : 0 5 years of experience. Qualification: Any bachelors degree. Certified Professional Coder (CPC) certification is mandatory. Job Description : As the Medical Coder , you will play a crucial role in ensuring the accuracy and integrity of our home healthcare data. Your primary responsibility will be to review medical records and assign appropriate codes for diagnoses and procedures. You will work closely with healthcare providers to guarantee compliance with all coding guidelines and re...

To identify, source and secure both long term and short-term pest control & prevention business opportunities. To develop new business opportunities within current and new customer bases in accordance with the sales strategy. To look after client retention by ensuring customers ongoing expectations is met. To manage day to day sales activities, including proposal, service agreement, and prospecting and market development. To support the service team by providing customer feedback. To develop good client relationships. To provide reports as per the requirement. To assist with debt collection Do you have what it takes? If you want to be considered for this role you will need: Graduate or MBA F...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in