694 Tpa Jobs - Page 10

Job Title: Manager - Legal Claims Role Overview: As a Manager - Legal Claims, you will be responsible for managing the life cycle of MACT (Motor Accident Claims Tribunal) and WC (Workmen's Compensation) claims from start to finish. You will ensure effective coordination with advocates, timely referrals of awards, and take all necessary actions to ensure prompt claim settlements and legal defenses. Key Responsibilities: Handle MACT and WC claims life cycle end to end, including claim review, timely referral of awards, compromise referrals, payment release, and coordination with advocates for settlements and defenses. Issue a clear line of action for claims and ensure all steps are taken to ac...

Claims Management Process for all the Health product line and portfolio Co-ordinate with multiple teams and stakeholders e.g. Underwriting, Hospitals, Claims. Evaluation of Health Claim Ratio Required Candidate profile Any Medical Graduate like BHMS, BAMS with TPA exp Minimum 1-3 years of relevant experience Work Location - Hyderabad

Greetings From Scorelabs Inc! Dealing with patients health care related documents Ensuring error free processing of pre authorisation within agreed TAT (Turnaround time) Entering accurate information into the application defined by the organization Required Candidate profile TPA Experience Claims Processor Person Should have 1 year Exp in Any claims ( TPA ) candidate with TPA medico process Any Doctorate (BAMS / BHMS )

As a Billing and TPA (Third Party Administrator) Executive, your primary responsibility will be to oversee the billing and insurance claims procedures within a healthcare setting. This role will require you to collaborate closely with internal departments as well as external insurance providers. Your core tasks will involve processing medical bills, managing insurance claims, ensuring the accuracy of records, and addressing any discrepancies in billing. This is a full-time position with a day shift schedule. Additionally, there is a performance bonus structure in place to reward your efforts. The work location for this role is in person, requiring your presence at the designated healthcare f...

Healthcare Insurance Decoding - 3 roles Location: Koramangala, Bangalore Hospital: Superhealth Hospitals Pvt. Ltd. Salary: Up to 50,000/month (Based on experience) Are you experienced in decoding health insurance policies and working with TPAs Join our dynamic Revenue Cycle team and help us ensure transparency and clarity in patient coverage. *Key Responsibilities:* Decode and interpret insurance policy benefits and terms Support billing and pre-auth teams with accurate policy data Liaise with TPAs and insurers for real-time information Maintain digital records and ensure compliance *Eligibility:* 24 years of hospital/TPA experience Proficient in reading policy documents and benefit charts S...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

Job description Walk-in Drive For Clinical Doctors at Cotiviti, Mohali Walkin Date :4th & 5th August 2025 Walkin Timing: 9:00AM TO 1:00 PM Interview Address: IT C-7, KMG Tower, 3rd Floor, Sector-67, SAS Nagar, Mohali, Punjab, 160062. Eligibility Criteria: Education: BHMS, BAMS, BPT, BUMS, MPT, MBBS Candidates with prior US Healthcare or Clinical exp will be preferred. (Freshers/Candidates with 1-3 Years of exp) Good team player with strong interpersonal skills and high integrity. Should be ready to work in rotational shifts including night shifts. Should be ready to work from office. Job Location: Mohali, Punjab

Urgent requirement for BHMS,BAMS -Nagpur 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. Need to Do field Visit Required Candidate profile: BHMS,BAMS graduate. both male and female can apply Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers ...

Job Title: Healthcare Insurance Decoding Executive Location: Koramangala, Bangalore Openings: 3 Salary: Up to 50,000/month (Based on experience) Industry: Healthcare / Hospitals Functional Area: Revenue Cycle / Insurance Processing Employment Type: Full-Time Job Description: We are hiring experienced professionals to join our Revenue Cycle team. If you have expertise in decoding health insurance policies and working with TPAs, this role is for you. Key Responsibilities: Decode and interpret health insurance policies and benefit terms Provide accurate policy insights to billing and pre-authorization teams Coordinate with TPAs and insurance providers for timely updates Maintain digital records...

Mega Walk-in Drive for Clinical Doctors on 02nd Aug 2025 (Saturday) @ Hyderabad . Eligibility: Education BHMS, BAMS, BUMS, BPT, BDS ( Physicians Only ) Candidates with prior US Healthcare or Clinical experience will be preferred. Good Communication Skills. Candidates with corporate experience will be preferred. Good team player with strong interpersonal skills & high integrity. Ready to work from office. Should be flexible to work in rotational shifts. Interested and eligible candidates can walk-in directly to below mentioned venue on time. Venue: Cotiviti India Pvt Ltd 10th Floor, Galaxy, Plot No.1, Sy.No.83/1, HYD Knowledge City, Raidurgam, Serilingampally Mandal, Hyderabad, Ranga Reddy, T...

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

As a Third Party Administrator at HOSPITAL STAFF RECRUITMENT SERVICES, you will play a crucial role in managing various administrative tasks associated with health insurance claims while delivering exceptional customer service to patients. Your responsibilities will include processing health insurance claims accurately and efficiently, verifying patient information and eligibility, and engaging with insurance companies, healthcare providers, and patients to ensure smooth claim processing and resolution. You will be expected to maintain meticulous records, adhere to company policies and industry regulations, and collaborate with the team to achieve productivity and quality standards. Addition...

Responsible for hospital empanelment, agreement coordination, maintaining relationships, supporting admissions/discharges, ensuring timely claim submissions, VIP support, and regular follow-ups for claim documents and health check requests for TPA.

Role & responsibilities Credit Cell Department Leadership : Lead and manage the Credit Cell department, overseeing day-to-day operations, staff performance, and ensuring efficient claim processing. Establish clear performance goals, KPIs, and targets for the Credit Cell team and track progress regularly Documentation and Compliance : Ensure checklist of each TPA/ Government institutions for claims are properly followed Develop and maintain strong relationships with external insurance providers, TPAs, Government Institutions and internal hospital departments Address and resolve complex issues between the hospital, insurance companies, and patients Ensure all dispatches are timely processed wi...

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 Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Bangalore Educational Qualification Shift BHMS, , BAMS, Pharm D 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 confirm...

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...

Role: Hospital Desk Executive Hospital Desk Executive will be the Single point of contact at the Hospital for the Medi Assist Raksha Prime Service. Roles and Responsibilities Close Coordination with the Hospitals and the Medi Assist Internal Stake Holders for patients best discharge experience. Collaborate with the operations team to ensure timely and accurate data processing. Ensure maximum discharges are happening through the Raksha Prime Services. Use relevant tools and MIS tools to organize data for reporting purposes. Qualification : Bachelor's/Masters Degree in the field of Pharmaceutical/Hospital Management/Medical Sciences/Insurance (but not Mandatory) Experience: 2-3 Years Experienc...

Call on- 8588047050 Job Objective: To lead, develop, and implement marketing and business development strategies for the hospital with a focus on TPA coordination, corporate tie-ups, and patient acquisition. Key Responsibilities: TPA & Insurance Coordination: Maintain and strengthen relationships with Third Party Administrators (TPAs) and insurance companies. Ensure timely empanelment, renewals, and smooth coordination for cashless and reimbursement services. Liaison with billing and front office for pre-authorizations, approvals, and claim settlements. Corporate Tie-Ups & Business Growth: Develop and maintain relationships with corporate clients, government organizations, and PSUs. Organize...