323 Mediclaim Jobs - Page 8

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS- 7631162388 Whatsapp CV mail id -varsha.kumari@mediassist.in

Job Description: Processing of Claims Health files. Claim Registration and Claim Adjudication. Identifying the Fraud. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, provider, sales and grievance teams. Eligibility Criteria: Pharm-D, BSc Nursing, B .Pharmacy freshers only(Qualified Graduates with all certificates in hand). Any Graduate with minimum 2+ years of Claims Health processing experience. Salary Budget - up to 4 lakhs. Job location Ameerpet, Hyderabad. Evaluation would be based on competency, age, experience, stability

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

1 Company Name : MUTHOOT FINCORP LTD 2 Position / Designation : SENIOR EXECUTIVE-HR 3 Grade : B2 4 Department : PEOPLE & CULTURE>TA & BUSINESS PARTNERING 5 Employment Type : PERMANENT 6 Reporting to Designation & Grade : ASSOCIATE VP-HR 7 Areas of Responsibility : Handling end to end recruitment & onboarding process. Updating MIS of Joining/BVC/Bank account/Joining kits dispatched to HO/Recruitment etc Handling Employee Grievance related to Salary and Leave with coordination to ZHR and HO-HR Educating Employee on ESIC and drive the initiative of HR on the same. Taking Exit Interview on Sample Basis, Collecting actual fact of all resignation through Branch/AM. Follow-up with different team on...

*2-4 years exp. in Indian Insurance end-to-end group medical claims, *Resolved queries via Freshchat/Freshdesk (Customer Support) *Policy Document assessments *Stakeholders Mgmt., Collaboration & led escalations *Email/WhatsApp comms. Required Candidate profile *2-4 years exp. in Indian Insurance claims processing, CRM/Servicing/Claims handler roles in Insurer /TPA. *Graduate in healthcare, insurance *Verbal proficiency in English & Hindi must.

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...

Senior Associate Payroll Mumbai Functional Deliverables : Implement, maintain, and review payroll systems for accurate, timely salary, benefits, and deductions processing. Ensure updates for new hires, terminations, and pay changes are processed accurately. Prepare and maintain payroll records and reports. Provide documentation for audits. Scrutinize General Ledger and pass accounting entries. Address employee queries. Coordinate with clients and understand their requirements. Perform other assigned duties. Technical Qualification : Strong knowledge of payroll functions, tax slabs (old and new regimes), 80C investments, HRA exemptions, car perks, and mediclaim deductions. Familiar with exemp...

Location City Gurugram Department Finance and Accounts Experience 0 - 2 Years Salary 188000 - 300000 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...

Hiring Alert Medical Officer (Claims) | Contract Role Location: 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 Company: Medi Assist Insurance TPA Private Limited Timing: 9:30 AM 6:00 PM | MonFri (Rotational Saturdays working) Eligibility: BAMS or BHMS graduates only 03 years experience (freshers welcome!) Role Overview: You will scrutinize and process insurance claims based on policy terms, verify treatment/diagnosis, raise queries for incomplete documents, and ensure accurate and timely closure of claims. Key Skills: Strong medical understanding Basic com...

Location City Pune Department Finance and Accounts Experience 1 - 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...

Company Name MUTHOOT FINCORP LTD Position / Designation SENIOR EXECUTIVE-HR Grade C2 Department PEOPLE & CULTURE>TA & BUSINESS PARTNERING Employment Type PERMANENT Reporting to Designation & Grade ASSOCIATE VP-HR Areas of Responsibility Handling end to end recruitment & onboarding process Updating MIS of Joining/BVC/Bank account/Joining kits dispatched to HO/Recruitment etc Handling Employee Grievance related to Salary and Leave with coordination to ZHR and HO-HR Educating Employee on ESIC and drive the initiative of HR on the same Taking Exit Interview on Sample Basis, Collecting actual fact of all resignation through Branch/AM Follow-up with different team on Data/MIS/ Monthly Active repor...

1 Company Name MUTHOOT FINCORP LTD Position / Designation SENIOR EXECUTIVE-HR Grade C2 Department PEOPLE & CULTURE>TA & BUSINESS PARTNERING Employment Type PERMANENT Reporting to Designation & Grade ASSOCIATE VP-HR Areas of Responsibility Handling end to end recruitment & onboarding process. Updating MIS of Joining/BVC/Bank account/Joining kits dispatched to HO/Recruitment etc Handling Employee Grievance related to Salary and Leave with coordination to ZHR and HO-HR Educating Employee on ESIC and drive the initiative of HR on the same. Taking Exit Interview on Sample Basis, Collecting actual fact of all resignation through Branch/AM. Follow-up with different team on Data/MIS/ Monthly Active ...

1 Company Name MUTHOOT FINCORP LTD Position / Designation MANAGER-HR Grade C2 Department PEOPLE & CULTURE>TA & BUSINESS PARTNERING Employment Type PERMANENT Reporting to Designation & Grade ASSOCIATE VP-HR Areas of Responsibility Handling end to end recruitment & onboarding process. Updating MIS of Joining/BVC/Bank account/Joining kits dispatched to HO/Recruitment etc Handling Employee Grievance related to Salary and Leave with coordination to ZHR and HO-HR Educating Employee on ESIC and drive the initiative of HR on the same. Taking Exit Interview on Sample Basis, Collecting actual fact of all resignation through Branch/AM. Follow-up with different team on Data/MIS/ Monthly Active report/BI...

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT, MPT,BUMS 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 rotational shift (Including night). Job Location - Mohali Interested candidates can share resume - karthickumar.sekar@cotiviti.com Regards, Kart...

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answeri...

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...

Fortis Hospital Mohali is hiring for following vacancies; 1. OPD 2. IPD 3. TPA 4. Counsellor interested candidates can come directly for the interview as per schedule or share resume at baljinder.singh@fortishealthcare.com

Responsibilities: * Ensure accurate Hospital Billing of cash/insurance patients. * Manage TPA claims from submission to settlement * Collaborate with insurance companies on claim resolution and settlement. Please contact 9326009595

Perform daily SLA Analyze and review daily fraud reports Identify and report suspected frauds and risks Process Daily Payouts Accounts Verifications Updating routine records of findings and action taken along with proper reasoning Proactively highlighting the risk and fraud mitigation areas Responding to customer as we'll as internal queries with appropriate resolutions Requirement Has knowledge of card games Experience of working in fraud compliance domain in consumer facing Industry Excellent analytical, investigative and data interpretation skills High Conflict Management and Problem-Solving skill Ability to work under pressure and to deliver within given time frames Good interpersonal sk...

To ensure that all underwriting placement/ client service requirements of clients are met as per Company defined TATs Structuring and sourcing quotes for fire, marine, property, engineering, liability, motor and other miscellaneous insurance policies of clients Ensuring optimal product coverage & premium pricing Negotiating with insurers for best rates terms Vetting policy documents received from insurers in terms of terms, coverage, etc., Timely reconciliation of each account Ensuring timely updation of data details in appropriate tools solutions Effectively coordinating between client insurers for any document collection handover Effectively coordinating with the TPA for daily service requ...

Role & responsibilities To greet incoming patients or their representatives and to record complete information required for processing cashless facility. To hand over Pre-Auth form to patient and explain the procedure in detail. To process Initial approval, interim bill and final enhancement and co-ordinate with billing. To answer questions and to provide information directly to the person or on the telephone. For eg.Explaning Policy terms and conditions and hospital Policy regarding payment of bills. To prepare and maintain data of patients availing cashless facility and status, check payable report. To explain hospital regulations to patients, concerning Insurance process and discharge for...

Interested Candidates may connect with Ms.Zoya Shamsi +91 7251000195 (11am-5pm) About the Role: We are seeking a highly motivated and experienced individual with a medical background to join our dynamic team as a Medical Claims Call Center Representative. In this role, you will be the frontline of our customer service, handling inbound calls related to medical claims and rejections. Your primary focus will be to provide exceptional customer service while resolving inquiries and concerns effectively, ensuring a positive experience for every Niva Bupa member. Key Responsibilities: Answer incoming customer calls promptly and professionally. Assist customers with navigating medical claims, inclu...

Responsibilities: * Manage claims from intake to settlement. * Adjudicate medical necessity & settle claims fairly. * Ensure timely claim payment & employer satisfaction. * Process mediclaim & health insurance claims accurately.

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolut...

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