184 Mediclaim Jobs - Page 2

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 escalate critical or unresolved issues to the appropriate department or supervisor. • Adhere to company policies, procedures, and compliance guidelines. Key Requirements A minimum of 1-3 years of experience in a call center environment, preferably in a healthcare or medical insurance setting. Strong knowledge of medical terminology, insurance claim procedures, and billing codes. Ability to contribute to revenue basis cross sell. • Excellent verbal and written communication skills. Ability to handle high call volumes and prioritize customer needs effectively. Strong problem-solving and decision-making abilities. Attention to detail and accuracy in data entry and documentation. Exceptional customer service skills with a friendly and professional demeanor. Proficiency in using computer systems, including customer relationship management (CRM) software and Microsoft Office Suite. • Ability to work effectively in a team-oriented environment. • Flexibility to work shifts as per business requirements. Key Requirements Education & Certificates • Any Life science, Paramedical, Medical Graduates and Postgraduates (Pharmacy, Physiotherapy, Nursing, Health education) or equivalent degree Interested candidates can walkin for the interview directly in the office Second floor, Logix Infotech Park, Sector-59, Noida from Monday to Friday from 11 am to 1:30 PM

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 Coordinate with Finance, HR, Legal, EHS, and Plant teams. Engage insurance brokers for training and process support. Preferred candidate profile 12+ years of insurance experience, preferably in the pharma, chemical, or agrochemical sectors. Strong understanding of both general insurance and employee benefit policies. Proven experience with claim settlements, policy negotiations, and risk valuation. Excellent coordination skills with brokers, TPAs, and internal teams. Exposure to surveyor dealings, legal escalations, and compliance processes.

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 9080276094

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 - Gurgaon, Haryana Company Turnover - 300-350 Cr. Founded Since - Year 2020 Sadbhav Futuretech is committed to providing comprehensive and end to end solutions for farmers across India. Sadbhav addresses the major challenges of farmers through its three service verticals while ensuring value creation for all stakeholders. Our endeavor is to establish Sadbhav Futuretech as Indias first choice for solar project execution, co-operative farming, and cold chain management. We project to become the largest aggregator of farmers in India over the next 5 years. VISION: To be the largest Renewable and Agri-Tech based platform in the country impacting the lives of more than 1 million farmers over the next 10 years. OUR SPECIALITIES: Solar Agricultural Pumps, PM KUSUM Scheme, Kusum Component C, Kusum Component B, FaaS - Farming as a Service, Empowering Farmers, Solar Rooftop Solutions, Solar EPC, Solar Ground Mounted, Solar Rooftop, and Solar Solutions JOB RESPONSIBILITY: Manage complete insurance policy lifecycle, including issuance, renewals, and cancellations for company assets and projects Handle insurance claims for assets, equipment, and warehouse-related incidents Coordinate with internal stakeholders and insurance service providers for smooth claims resolution Ensure timely documentation and submission of all claims and follow-ups until settlement Analyze claim trends and risk exposure and recommend strategies for risk mitigation Maintain updated insurance-related records and compliance documentation Assist in risk assessments and inspections at warehouses and project sites Generate periodic reports and MIS on insurance coverage, claims status, and premium schedules Support internal legal compliance initiatives related to insurance law and statutory obligations DESIRED PROFILE: Minimum 3 to 4 years of experience in insurance handling and claim settlements Must hold a Diploma in Insurance or equivalent certification Experience in the solar sector or renewable energy is preferred Willingness to travel across India (30% to 40%) for on-site inspections and audits Proficient in Hindi and English (spoken and written) Strong coordination and analytical skills DESIRED SKILLS: Knowledge of general & property insurance policies (fire, asset, liability, etc.) Excellent written and verbal communication Hands-on experience in claims documentation and settlement Sound understanding of insurance laws, contracts, and coverage terms Proficient in MS Excel, Word, and reporting tools Strong negotiation and relationship management skills WHY JOIN US? • Work with a fast-growing leader in renewable energy • Be part of an organization making a sustainable impact across India • Dynamic and inclusive work culture • Opportunity to lead key insurance and legal operations independently PREFERENCE: Corporate Office; Unicorn Start-Up; Young Energetic Person

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 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. • • • Responsibilities 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. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

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 insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients Required Skills and Experience Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 1 year in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently. Detail-oriented with a professional and confidential approach.

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. The incumbent will have to work towards processing inventory orders, logging items that have been received and items

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 On-time payment of Claim Reimbursement Timely resolution of ESIC/Mediclaim Query Prompt connect and support to Unwell/Hospitalized Employees Preferred candidate profile Competencies (Skills essential to the role): Insurance and claims knowledge Accuracy and Timeliness Vendor Management Good communication both verbal and written Good interpersonal skills and ability to work with cross-functional teams Ability to work independently Educational Qualification / Other Requirement: Bachelor’s Degree MS-Office & G-Suite

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, BSMS, BHMS, Pharm D 1-5 years of clinical or healthcare setting experience. Profound knowledge of medical terminology and clinical processes. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). Excellent English communication, written and verbal. Strong attention to detail and analytical skills for complex data handling. Willing to work night shifts (9:30 PM to 6:30 AM) from our office at Elippode, Trivandrum. Responsibilities: Clinical Process Enhancement: Evaluate clinical procedures and documentation to identify areas for improvement, ensuring adherence to industry standards. Audits and Assessments: Conduct compliance audits and assessments to provide continuous improvement feedback and maintain industry compliance. Team Collaboration: Collaborate with clinical teams, guiding them on best practices and fostering a culture of clinical excellence. Data Analysis: Collect, analyze, and interpret clinical quality data and metrics for performance evaluation and decision-making. Client Audit Preparedness: Prepare and engage in client audits, including regular mock audits, ensuring preparedness and compliance. Reporting and Recommendations: Create comprehensive reports and presentations on quality findings, suggesting enhancement strategies. Quality Initiative Support: Assist in developing and implementing initiatives focused on enhancing quality standards. Regulatory Adherence: Stay updated on industry regulations, clinical guidelines, and best practices to ensure compliance and innovation. Effective Communication: Communicate quality-related issues and recommendations to stakeholders efficiently. Training Participation: Engage in quality-focused training and educational programs for continuous professional development. Benefits of Joining : Joining Ecorgy Solutions offers exposure to a dynamic healthcare environment, providing opportunities for professional growth and development in the field. We value your commitment to excellence and offer a supportive work culture. Benefits Include: EPF, ESI or Group Mediclaim policy after 6 months of joining and Gratuity; Rewards & growth based upon performance; professional development opportunities; training and mentorship programs. For more information on compensation and benefits, Tagged as: ayurveda doctors, dentists, homeopathy doctor, medical doctors, pharm d doctors Before applying for this position you need to submit your online resume . Click the button below to continue. About Ecorgy Solutions Overview: Ecorgy Solutions, a US-based healthcare BPO, seeks Client Relationship Officers (US Voice) to manage communication with patients, physicians, and vendors, ensuring efficient and professional service. Responsibilities: Answer incoming calls and assist with patient care needs. Schedule patient appointments in the practice management system. Provide information to physicians, patients, and family members. Maintain professionalism and friendliness in all interactions. Address inquiries and resolve issues efficiently. Ensure accuracy and timeliness in all tasks. Requirements: Strong command of English and excellent communication skills. 1-5 years of experience in English Voice Processing. Experience in healthcare or patient care coordination is a plus. Candidates with an American accent preferred. Excellent multitasking and time management skills. Willingness to work night shifts (10:30 PM to 7:30 AM) from our office at Elippode, Trivandrum. Immediate joiners preferred, with local candidates from Trivandrum preferred. Benefits: EPF, Group Mediclaim policy after 6 months, gratuity, and rewards based on performance. Professional development, training, and mentorship programs. How to Apply: For more details on compensation, call 9061161927. To apply, send your resume to careers@neogencare.net.

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 staff management in its entirety Preferred Industries Manufacturing Education Qualification General Experience 5-10 Years Critical Experience System Generated Core Skills System Generated Secondary Skills

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 Preferred Industries Manufacturing Education Qualification General Experience 5-10 Years Critical Experience System Generated Core Skills System Generated Secondary Skills

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-oriented, and comfortable handling multiple cases. Knowledge of insurer and TPA claim portals is a plus.

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 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. • • • Responsibilities 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. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies

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 timeliness in medical records. Requirements: Bachelor s degree in any discipline. 0 to 10 years of relevant experience in medical transcription. Proficiency in English (spoken and written) with strong grammar and comprehension skills. Sound understanding of medical terminology, home healthcare concepts, and clinical workflows (preferred). High attention to detail and ability to work independently under tight deadlines. Proficient in typing, Microsoft Word, and EHR platforms (preferred). Strong sense of responsibility, integrity, and ownership of deliverables. Why Join Us? Employee Benefits: EPF and ESI/Group Mediclaim policy after 6 months of employment Gratuity benefits in line with employment tenure Growth & Recognition: Rewards and career advancement based on performance Professional development & upskilling programs On-the-job training and expert mentorship Work Culture: Supportive team environment Opportunity to work in a healthcare process aligned with global standards Career path in the ever-growing US healthcare industry How to Apply? Ready to be a part of a company that values precision, growth, and integrity? Send your updated resume to: careers@ecorgysolutions.com

- 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 receiving the payment it is been settled against the respective credit bills and the same is sent to accounts. Attending to patient/company queries as and when it is required. Give them the information required. Any other jobs to be attended as and when there is an instruction from the Senior Associate/H.O.Ds.

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 Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

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

POSITION: MEDICAL OFFICER 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 Medical Officer Claims PA/RI Approver Reporting to Location Assistant Manager Claims Noida Educational Qualification BHMS, , BAMS Shift 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 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. • • • Responsibilities 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. • • • • Error-free processing (100% Accuracy) Maintaining TAT Productivity (Achieve the daily targets) Key Results and Outcomes driven by this role: 0- 5 years Relevant Experience No of years of experience 0-5 years None Demonstrated abilities if any Technical Competencies • Analytical Skills • • Basic Computer knowledge Type writing skills • • Communication skills Decision Making Behavioral competencies