323 Mediclaim Jobs - Page 9

Resolve customer queries over calls, chat Address and resolve customer complaint or issues related to healthcare services, ensuring a positive and satisfactory experience Inform customers about health plans, insurance coverage, and healthcare service 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

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...

Job Description: Skills Required: Strong leadership, team management skills with Excellent communication and interpersonal skills Comprehensive understanding of hospital admission processes and billing systems Customer service oriented with problem-solving capabilities Ensuring accurate billing for services provided to inpatient (hospitalized) patients, including room charges, medical procedures, medications, and consultations. Leading and managing the team responsible for processing and generating bills for inpatient services. Collaborating with other departments like clinical, pharmacy, and insurance for timely and accurate billing. Overseeing day-to-day administration, directing and contr...

Inpatient/Outpatient Billing. Overseas/Corporate/Insured/TPA billing. Payment Tracking. Bed Management. TPA files follow-up and closure. Tracking of discounts/Cancelled bills/refunds/free bills/posting of packages. Service Recovery in the billing Area. Training of the HIS modules in billing with the power users.

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...

Company Overview: Onsitego is India s leading after-sales service provider and offers Extended Warranty, Damage Protection, AMC Plans, and On-Demand Repair Services. We cover all electronic devices and home appliances. Our plans are widely available across retail stores and online marketplaces. We are driven by the mission to consistently deliver WOW experiences to customers. Our customer obsession allows us to have the highest Net Promoter Score (NPS) globally in after-sales services. Our hassle-free & reliable services are widely available across electronic stores and online marketplaces. We invite the brightest minds to join us in this journey that helps improve the lives of millions of d...

Job Summary: We are looking for a dynamic and experienced Manager Employee Benefits to join our team in Bangalore. The ideal candidate will have strong experience in employee benefits program management, relationship management, data analytics, and coordination with insurers and TPAs. Prior experience in a brokerage firm will be an added advantage. Key Responsibilities: 1. Client Relationship & Account Management: Act as the primary point of contact for assigned corporate clients. Build and maintain strong relationships with HR and employee stakeholders. Conduct regular review meetings with clients to understand needs, resolve issues, and offer strategic advice. Support renewals and policy u...

Urgent requirement for BHMS/BAMS/BDS -Chennai(Annasalai) Freshers/candidate with clinical or 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: BAMS / BHMS / BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can als...

Role & responsibilities - Due Diligence - Document Indexing & Management - Sanction Screening - Compliance checks - Premium Bordereaux Processing - Knowledge of insurance systems like Acturis, Applied Epic/Eclipse will be added advantage - Experience in the insurance sector, preferably with brokers or MGAs, will be an added advantage - Familiarity with Lloyds systems integration (XIS, XCS, ICOS/IPOS) is a plus - Updating the process documents - Providing supporting documents during various internal/external audits - Advance excel knowledge Preferred candidate profile Need Fresher or who have experience into claims and settlement Must be fluent with communication

Job Title: Hospital Billing Executive Qualification: Any Graduate Job Type: Full-Time Job Summary: We are seeking a detail-oriented and experienced Billing Executive to join our hospital's finance and accounts team. The ideal candidate will have a strong background in hospital billing processes, insurance claims, and patient account management. Key Responsibilities: Generate accurate inpatient and outpatient bills in accordance with hospital policies. Verify patient insurance details and coordinate with TPA (Third-Party Administrators). Ensure proper documentation for billing, including medical records, investigations, and doctors notes. Process and submit insurance claims within stipulated ...

We are looking for candidate with Experience into Brokerage Calculations, Renewals, QuoteSharing , Booking Revenue. Preferred candidate profile Ensure Brokerage is calculated Properly Understanding of Insurance Services Excellent Written and Oral Communications

We are looking for candidate with Employee Data, Premium Calculation , Exp into GPA , GMC, GTA , GTL will be aded advantage. Preferred candidate profile Ensure Brokerage is calculated Properly Understanding of Insurance Services Excellent Written and Oral Communications

Role & responsibilities Ensure team members are visiting the customers place as per the schedule Monitor the team members activity in terms of volumes (documents collected) Review the queries received from the customer and the responses from the team members Help team members in resolving escalationsfrom customers Review the reports sent by the team members and take necessary actions (issues with respect to claim registrations) based on the report. Coordinate with front end team and help in getting the claims registered Conduct weekly/monthly one on one review with the team membersto understand their concerns and help simplify the process Review the claims dump along with front end team and ...

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

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 excellent English. CTC – Upto 3.5 LPA.

Role & responsibilities Empanelment / TPA's / Insurance companies / Brokers / Corporate Companies Lead generation activities which include one on one screening with our consultants Corporate Engagements - webinars and Camps Visiting the clients and giving them information regarding hospital initiatives Preparing, maintaining and timely submission of MIS related to leads and conversions Follow up on Receivables from TPA's / Insurance companies Preferred candidate profile Graduate / MBA 3-8 years Perks and benefits Company standards

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...

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 varsha.kumari@mediassist.in Thanks & Regards Varsjha Kumari Email - varsha.kumari@mediassist.in

Minimum 1 year in IPQA. Education Qualification: MSC/B.PHARM Division: QA Location: Santej Ahmedabad. Transportation Facility Available (As Per Circumference Of Sunrise Remedies) Mediclaim and Food Facility provide By Company. Key Responsibilities: To take plant round for monitoring of entire production operations and confirm quality conformance to specifications in shift. To issue and control of SOPs, BMRs, BPRs, BCRs and also finished product label/product container seals /sealing of the containers as the part of IPQA activities. To review BMRs, BCRs and analysis records before release of products. To perform sampling of APIs, maintain its records and ensure the cleaning of sampling tools....

Urgent requirement for BHMS/BAMS/BDS doctors-Pune (Vadgaonsheri) Candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and 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. Required Candidate profile: BAMS / BHMS / BDS graduate. Good Medical & basic computer knowledge. Should have completed internship (Permanent Registration number is mandatory) P...

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Company Overview: Onsitego is India s leading after-sales service provider and offers Extended Warranty, Damage Protection, AMC Plans, and On-Demand Repair Services. We cover all electronic devices and home appliances. Our plans are widely available across retail stores and online marketplaces. We are driven by the mission to consistently deliver WOW experiences to customers. Our customer obsession allows us to have the highest Net Promoter Score (NPS) globally in after-sales services. Our hassle-free & reliable services are widely available across electronic stores and online marketplaces. We invite the brightest minds to join us in this journey that helps improve the lives of millions of d...

System Integration & Business Consultant Siemens Opcenter RDnL BSH Household Appliances Manufacturing Private Limited | Full time | System Integration & Business Consultant Siemens Opcenter RDnL Bangalore Your responsibilities We are looking for a highly experienced System Integration & Business Consultant with deep expertise in Siemens Opcenter. Including Solution Architect, Business Consultant, Product Owner, and Security Manager. Lead end-to-end implementation and integration of Opcenter RDnL in R&D/lab environments. Manage CI/CD pipeline and Release Management for Opcenter RDnL Act as technical contact towards Siemens regarding enhancements and operational demands Analyze complex busines...

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...

Hiring Alert Medical Officer (Claims) | Contract Role Location: IBC KNOWLEDGE PARK, Bhavani Nagar, S.G. Palya, Bengaluru, Karnataka 560029 Company: Medi Assist Insurance TPA Private Limited CTC: 3.4 LPA Timing: 9:30 AM 6:00 PM | MonFri (Rotational Saturdays working) Duration: 12-month contract (with chance of contract extension/on-roll conversion) Eligibility: BAMS or BHMS graduates only 0–3 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 computer & typin...