300 Tpa Jobs - Page 11

Res. 4 for the Prod. Oprs. within a pharmaceutical company, ensuring all Mfg. processes comply with stringent regulatory stds. set by the TPA & the FDA, often managing a team & holding Res. 4 QC, Docs., & compliance throughout the production cycle. Required Candidate profile BSc or related science field with Ext. Exp. Of 3-5 Yrs. in Pharma Mfg., ideally with a focus on sterile prod. or complex drug delivery systems. Thorough u/s of TPA & FDA regulations & compliance reqs.

Role & responsibilities Job Title: Medical officer Open Positions: 4 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications: Degree in BAMS, BHMS, BSMS, or MBBS (strictly required). Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Medical Adjudication, and Billing experience. Understanding of GIPSA/MA packages, SOC, and Tariff deviations. Identifying bill inflations in insurance billing. Knowledge of surgeries, advanced treatments, and procedure costs. Behavioral Competencies: Strong communication skills (verbal & written). Teamwork and collaboration. Time management and multitasking.

Oversee the implementation of the MJPJAY scheme. Coordinate with hospitals and healthcare providers to ensure services are delivered. Manage beneficiary enrollment and verification processes. Handle claims processing and reimbursement.

Oversee the implementation of the MJPJAY scheme. Coordinate with hospitals and healthcare providers to ensure services are delivered. Manage beneficiary enrollment and verification processes. Handle claims processing and reimbursement.

Assist in developing underwriting guidelines, carrying out market mapping, underwrite transactions authority limits within defined TATs, Market mapping of UW guidelines, Appropriate & timely resolution of escalations, Review Underwriting guidelines

Role: Team Leader - Account Management (CRM) Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify thatall queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can reach out via email at varsha.kumari@mediassist.in

Role & responsibilities : Patient Support and Coordination: Assisting patients and their families with understanding insurance policies and procedures. Coordinating with patients, hospital staff, and insurance companies to ensure smooth and efficient treatment. Ensuring patients are eligible for cashless treatment. Providing updates on claim status to patients and their families. Claims Processing: Verifying patient eligibility and insurance coverage. Preparing and submitting claims to insurance companies. Tracking the status of claims and following up with insurance companies. Ensuring accurate and timely processing of claims. Pre-Authorization and Approvals: Obtaining pre-authorization for procedures and treatments. Ensuring all necessary documentation is submitted to insurance companies. Following up on approvals and denials. Compliance and Regulations: Ensuring compliance with relevant laws, regulations, and industry standards. Staying updated with changes in healthcare regulations and insurance policies. Maintaining accurate records and documentation. Other Responsibilities: Handling billing inquiries and resolving billing issues. Maintaining a positive and professional relationship with patients, staff, and insurance companies. May be involved in value-added services such as ambulance assistance and wellness programs. Qualifications and Skills: Strong understanding of insurance policies and procedures. Excellent communication, interpersonal, and customer service skills. Proficiency in using healthcare software systems and claims processing platforms. Ability to work independently and as part of a team. Attention to detail and ability to manage multiple tasks. Familiarity with medical terminology.

"Should possess working knowledge of ISO 27001 in Audit, Implementation, documentation training. Implementation, execution and maintenance of ISO Policies, Process, Procedures and other applicable legislations, policies, guidelines etc. Responsible for Internal / External Audits and compliance / closures Document all high Severity incidents (MIR) and critical activities as per the ISO standard and ensure teams facilitated with SOP, SOW. Perform/support all the audits by TPA/External/Internal Auditors as per the ISO standards Carry out Documentation, technical report writing etc. pertaining to ISO 27001"

Visit Health Senior Manager - Operations FULL-TIME BENGALURU About us Visit Health is changing the face of employee health and wellness in India. 1 mn+ users across 200+ large Indian conglomerates to new age start ups trust Visit as their Health and Wellness Partner, catering to the missing and unexplored Wellness Primary Healthcare needs. Traditionally, the term Employee Health Benefits was synonymous with insurance / hospitalisation benefits only; ie, Secondary Care. Whereas today, 90% of individual healthcare and wellness related expenses in India are out of pocket on Primary Care; be it Mental Wellness, Fitness, Nutrition, Diagnostics, Medicines, and most of all, regular doctor appointments. The Covid-19 Pandemic has not only caused such expenses to increase multi fold, but also created a need for accessible systems. In a professional setting, such offerings are either lacking, or provided in an ad hoc, broken manner through various individual platforms. As a result, the experience for an employee is disconnected, with limited utilisation and engagement. This is where Visit Health comes in - a one stop solution for all employee health benefits needs. We help Companies build a Customized Wellness solution focused on Primary Care aspects such as Fitness, Mental Health, Doctor Teleconsultation, OPD programs, etc. for employees and their families, thereby reducing out of pocket expenses and creating healthier workforces. We have stitched up the broken pieces of employee health benefits in India to make one streamlined platform while increasing employee engagement through gamification. Visit Health has raised in total of $9million and is backed by renowned investors such as PolicyBazaar, Twitter Co-founder Biz Stone and Kunal Bahl of Snapdeal. Dont just take take our word. Check us out @ https://vsyt.me/o/app We are looking for a Senior Manager Operations to join our high energy team You will have a direct impact on the Operations framework. Youll lead a high-energy team thats scaling across all functions. Pushing high quality Operations Management while also balancing the pros/cons of speed/quality will be critical. As part of your day-to-day work, you will Building long term relationship with key clients. Increasing existing volumes by interacting regularly with client s and also helping the sales team by cross selling and upselling the service or product Monitoring all the set SLA s by periodical reviews with different stakeholders Act as point of contact for complaints or grievance management Must Haves Ensuring the medical appointments scheduling within TAT of 4 hours Arranging monthly/weekly review calls with the Insurer Collaborating closely with other departments (like Call Centre, QC Team, Billing Team, other location Branches) to build strategies Ensuring regular MIS flow to the Insurer as per the required format and data Make sure the medical reports TAT targets are met month on month. Escort the HNI customers for their medical check-up as and if required Graduate/Post Graduate with Minimum 7-10 years of experience in client management preferably in Insurance/ TPA industry Good understanding of Life Insurance operations Good Knowledge of MS Office Strong process team management skills Salary Range - 12 - 13 LPA - Depends on current skillset and past experience.

About us Visit Health is changing the face of employee health and wellness in India. 1 mn+ users across 200+ large Indian conglomerates to new age start ups trust Visit as their Health and Wellness Partner, catering to the missing and unexplored Wellness Primary Healthcare needs. Traditionally, the term Employee Health Benefits was synonymous with insurance / hospitalization benefits only; ie, Secondary Care. Whereas today, 90% of individual healthcare and wellness related expenses in India are out of pocket on Primary Care; be it Mental Wellness, Fitness, Nutrition, Diagnostics, Medicines, and most of all, regular doctor appointments. The Covid-19 Pandemic has not only caused such expenses to increase multi fold, but also created a need for accessible systems. In a professional setting, such offerings are either lacking, or provided in an ad hoc, broken manner through various individual platforms. As a result, the experience for an employee is disconnected, with limited utilization and engagement. This is where Visit Health comes in - a one stop solution for all employee health benefits needs. We help Companies build a Customized Wellness solution focused on Primary Care aspects such as Fitness, Mental Health, Doctor Teleconsultation, OPD programs, etc. for employees and their families, thereby reducing out of pocket expenses and creating healthier workforces. We have stitched up the broken pieces of employee health benefits in India to make one streamlined platform while increasing employee engagement through gamification. Visit Health has raised in total of $9million and is backed by renowned investors such as PolicyBazaar, Twitter Co-founder Biz Stone and Kunal Bahl of Snapdeal. Dont just take our word. Check us out @ https://vsyt.me/o/app We are looking for Associate - Accounts Management to join our high-energy team at Marathahalli, Bengaluru, Karnataka. Role Responsibilities Building long term relationship with key clients. Increasing existing volumes by interacting regularly with client s and helping the sales team by cross selling and upselling the service or product Monitoring all the set SLAs by periodical reviews with different stakeholders Act as point of contact for complaints or grievance management Ensuring the medical appointments scheduling within TAT of 4 hours Arranging monthly/weekly review calls with the Insurer Collaborating closely with other departments (like Call Centre, QC Team, Billing Team, other location Branches) to build strategies Ensuring regular MIS flow to the Insurer as per the required format and data Make sure the medical reports TAT targets are met month on month. Escort the HNI customers for their medical check-up as and if required Desired Candidate Profile Graduate/Postgraduate with a Minimum 1 to 2 years of experience in client management preferably in the Insurance/ TPA industry Good understanding of Life Insurance operations Good Knowledge of MS Office Should be Flexible Should be work result-oriented Good communication skills Time management skills Employment Type - Full-time Mode Of Work - Work From Office Location - Marathahalli, Bengaluru, Karnataka

Role: Manager / Senior Manager / Chief Manger /AVP-Health Investigations Vertical : ICLM Health Investigations Experience : 0 To 10+ years Lead and manage large teams for Health Claim investigations(CAT) Allocating claims investigation to internal and external resources Fraud Detection Identifies issues and potential solutions on all aspects of the claim processing & Investigation Taking regular and timely follow-up of allocated claims with internal and external resources. Carry out audit on the closure provided by internal and external resources. Adherence to TAT and Quality Guidelines Analysis of MIS reports / dashboards on time to time, inputs share to concern stakeholders. For constructive change which help in betterment of growing business. Education qualification: Needed is MBBS/ BHMS / BAMS/ BDS / D Pharm / B Pharm / Physiotherapis t Key Skills Health Claim Investigations Fraud Detection & Analysis Claim Processing Risk Assessment Team Leadership Digital & Hybrid Investigation Techniques Evidence Collection & Documentation Compliance & Regulatory Adherence MS Office & Excel Proficiency Professional Interested candidates can share their updated profile at shobha.samal@ext.icicilombard.com or 7045338823

To hand over Pre-Auth form to patient and explain the procedure in detail.To process Initial approval,final enhancement and co-ordinate with billing.To prepare and maintain data of patients availing cashless facility and status, check payable report.

Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Voice coordinator Respond to queries from the employees of the corporate over Phone Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Interested candidates can share their CVs to hariprasad.m@mediassist.in or WhatsApp on 9035613355.

Role & responsibilities We are looking for a mature individual who are good in Business Development, Relationships, High on energy and are Process oriented and can individually handle west zone. The job will require Sales, Building relationships, Deal negotiations, Process Mapping with Medical Providers. The candidate should be comfortable with Operations/ IT and once the contract is signed with the Medical Provider, they would need to conduct process mapping / integration with them. The Candidate would need to maintain a Medical Network database and fill in the gaps wherever required. The Candidate might require travelling on need basis - Network Empanelment for corporate / retail healthcare services - Empanelment with hospitals / Diagnostics canters / Wellness networks - Co-ordination with service provider - Network service finalization and negotiations - Service Agreement and implementation - Manage data and records. Required Candidate Profile Candidates from TPA or Insurance companies who are into Networks. Candidates need to tie up with the Diagnostic centres & Hospitals Travel to other locations. Co-ordinate with service provider

About Tech Mahindra Foundation (TMF): TMF is the corporate social responsibility arm of Tech Mahindra Limited, a Mahindra Group Company. Since 2006, the Foundation has been working tirelessly in the areas of education, employability, and disability with a keen focus on corporate volunteering. To know more about our SMART Academies, please visit: https://www.smart-academy.in/careers/ To know more about the organization, please visit: www.techmahindrafoundation.org At TMF, we believe our team members are the heartbeat of our organization. We foster a vibrant and inclusive workplace where every individual is cherished, respected, and empowered to thrive. We're on the lookout for an exceptional individual/s to join our team. If you enjoy teaching students and help them gain insights, then we currently have a position open in our Academics team. Please find below the detailed Roles and Responsibilities: Roles and Responsibilities: Planning of the teaching programmer including an orientation programmer in consultation with the HOD Academics. Planning for students Practical experience, ward assignments and trainings in consultation with the HOD Academics. Planning of curriculum with the cooperation and collaboration of the HOD Academics. Competent in Handling Hospital Front desk in terms of Patient Appointments and queries. Preferred Team handling exposure of patient care coordinators. Inbuilt empathy towards the patient and patient relatives. Knowledge of Hospital Billing components for IPD and OPD. Experience of handling TPA coordination and TPA queries for cashless facility. Knowledge of Hospital Billing and tax law applicable to the hospital or healthcare industry. Competent in Professional English (written and spoken) in terms of different professional - operational scenarios. Proficient in training to provide outstanding services and ensure customer satisfaction. To educate students on how to address customer concerns and complaints promptly and professionally. To respond to customer needs and requests in a timely manner. Competent in teaching telephone etiquettes and resolve queries. To train to resolve billing concerns of customers and handle card and cash transactions. Knowledge of healthcare operations and quality parameters. Excellent communication, IT Skills and people skills. Desired Skill Sets: Excellent professional knowledge. Excellent written and verbal communication skills. Good computer skills. Broad-minded personality, which is open and curious about new teaching methods, responsible, reliable, team-minded and resilient. Attention to detail, empathy and inclusive approach. Qualification: MBA/MHA Hospital and Healthcare management with 1 to 3 years of experience or any graduate with experience in hospital billing department with 3 to 4 years of experience. Experience : Minimum 2 years of Clinical experience with one year of experience working in Hospital billing department or 2-4 years of experience in Hospital Management. Location: Pen , Alibag, Kalyan, Mira bhayandar Term: 3-year fixed term contract Request you to please share your updated CV at shruti.m@techmahindrafoundation.org

Payment Mapping working of ESIC-LDH,ESIC-CHD/DHS,NRHM,CMS Keeping records of all panel payment mapping and gives to account department Coordination with ESIC LDH,ESIC CHD/DHS,NRHM,CMS for any query & sanction account maintaining Prepare daily MIS etc

The Associate Field Biologist/Field Biologist/Sr. Field Biologist shall be responsible for Pest Audits of Branch Large / HD Customers (having Third-party Audits- USFDA, AIB, BRC, FSSC, SQF, LEED, etc), Key national customers in various segments - Food & Pharma Mfg, w/h, Large food retailers (excluding QSRs, Fast food chains), Large ITES & MA s, etc. The incumbent will report administratively to the DM & functionally to Opex QA and work as a part of the multi-functional team involving collaboration with the internal & external stakeholders. Job Responsibilities: Carry out Pest Audits of Global accounts, Key designated NK accounts- Food & Pharma units, Food & Pharma warehouses, Large food retailers (excluding QSRs, Fast food chains), Large ITES & MA and Branch accounts - Large HD accounts (Third party Audits- AIB, BRC, FSSC, SQF, LEED, etc.). Specific accounts will be assigned at the time of induction in consultation with BM, DM and OpEx. Responsible for proper, on time completion & submission of all audits with reports as per contract agreement of assigned customers by visiting customer sites due as per iCABs calendar plan at an agreed frequency. Share completed audits with customers and internally for actions within 24 hours, after completion of audit inspection. Support, and guide branch operation team to streamline documentation at Global, NK & LA customer sites assigned. Must Generate service leads based on recommendations during audits. Conduct TPA for technicians handling Global, NK & Branch-HD & LA assigned. Conduct surprise visits at NKA & HD accounts as and when required. Identify key improvement areas of site technicians during an audit, encourage and groom them for better performance in service Leads from the customer sites. Must have a complete understanding of Service Operation i.e. technician, supervisor and admin activity. A clear understanding of various Food standards and SOPs, Pink Notes, Standard Forms, SHE, Atex L 2 and other regulations. Be able to Identify Atex atmospheres during audits and report to Opex/ SHE Know and understand pest identification, especially for uncommon pests; Know and understand about life cycle, classification, morphology, and habitat of uncommon pests. Key Result Areas: 100% Audit completion as per iCABS PMI Frequency for assigned accounts At least one (01) service lead per audited site through the recommendations. 100% TPA & development of assigned technicians handling accounts site Meeting NKA customers and developing relations Promote Heat & Co2 Treatment Competencies (Skills essential to the role): Skills in various PMS, sound knowledge of pest & pest management options (ERDM principle) SHE and SCP operating knowledge Good team player with the ability to collaborate with cross-functions Possess strong communication, analytical, keen observation, report preparation & presentation skills Positive Attitude and take pride in their work Ability to work Independently Negotiation skills for getting work done, persuasive Educational Qualification / Other Requirement: Bachelors or Master s Degree in Agriculture / Botany / Zoology / Biology / Microbiology / Chemistry / Biochemistry / Entomology / Agro-chemicals & Pest Management. Successfully completed RPCI s BPM-2/CBU/IPM/L2 Training Program (for internal candidates only) Excellent computer skills and proficiency in Excel/spreadsheets, word docs, PowerPoint presentation / G slides / GSuite Excellent communication skills in English both verbal and written. Minimum two years of experience in Handling HD Accounts Preferably possess a two-wheeler with a valid driving license, able to ride 2 wheeler with all safety precautions. Agile & flexible to perform on-site inspection and willing to travel extensively. Role Type / Key working relationships: External team - Customers and customer representatives Internal team - Opex, GM/DM/ADM, BM/ABM/Base Manager / Site Incharge, Operations & Sales Colleagues including NKA, Service Planners

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. • Answering to specific trigger in reports. • Manage multiple cases with confidence and accuracy and respond well to working to meet targets and tight deadlines. • Prepare reports, maintain records and keep track of evidence trails. Address - MDIndia Health Insurance TPA Pvt. Ltd. First Floor, Lakhami Enclave, 41, Hosur Rd, near Forum Mall, Nanjappa Layout, Adugodi, Bengaluru, Karnataka 560030. Contact Number - 7030949730 ( Neha Nanoti )

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At least 1 year in TPA or healthcare insurance sectors, with experience in claims processing and billing. Skills: Strong communication, interpersonal skills, attention to detail, and proficiency in relevant software applications.

Role & responsibilities Responsible for entire branch management, handling complete operational activities, client/corporate servicing, and branch administration. Branch business retention & new business acquisition. Liasoning with Insurance Companies, Brokers, etc. Attending meetings of Corporates, Clients, Insurance Companies, etc. Build and maintain effective and influential relationships with the officials of Corporates, Clients, ICs, etc. Drafting forecasts and business plans. Managing budgets, allocating branch funds & petty cash mgt. Coordinating with various department of HO & Branches. Involvement in new projects planning and execution. Maintenance of the database of clients and corporate for the new business/es. Responsible for conducting briefing about any changes, new updates or process change from time to time. Preparing various report and analysis on regular basis and submit to the reporting manager & the HO. Ability to effectively deal with and manage stressful situation. Ability to work efficiently in a team, as well as an individual and take responsibilities. Open to travel to various cities/offices, as & when required. Thorough knowledge of the policy terms and conditions of various ICs. Maintain good CSAT level, client relationship mgt., etc. Preferred candidate profile Familiarity with TPA/Insurance industry's rules and regulations regarding Mediclaim business. Experience in operations mgt. /client servicing. Results driven and customer focused. Good in communication, presentation and interpersonal skills. Qualification : Graduate in any discipline. (b). MBA degree holders will be given preference Interested candidates can share their updated resume to pnegi@mdindia.com

JOB RESPONSIBILITIES: 1. Must handle CGHS, ECHS, Corporate, Insurance and PSUs Billing Supervising the work done by billing executives Instructing the billing executives for finalizing the bills Over viewing of the prepared bills by the staff Getting approval for bills from the concerned authorities Submitting the bills in the accounts section OT execution of charges in the patient's account 2. Will be responsible for recoveries Filing of patients activity and other billing details Getting clearance for the patient discharge from various concerned departments Maintaining the corporate relation with the various industries Making the corporate aware about the policies of the Hospital Making sure that requirements of the corporate are properly addressed The corporate affairs manager is tasked with representing a company's brand and reputation in public, through both oral and written communications He or She becomes the face of the organization, interacting with employees, clients, the media and other stake holders. Location - Amritsar Total Exp - 8 to 10 years (Healthcare Experience) Interested candidates can forward resume at amandeep.kaur@livasahospitals.in or whats-app on 7743005537 Thanks and Regards Amandeep Kaur

Designation - Helpdesk Executive Location - Bandra East Interview mode - Telephonic Responsibilities - Provide first level contact and convey resolutions to employee issues Provide timely resolutions to clients' issues related to health insurance policies. Manage client queries and concerns through phone calls, emails, or chats. Scrutinize the mediclaim files. Utilize excellent customer service skills and exceed employees expectations Ensure proper recording, documentation and closure Preserve and grow your knowledge of help desk procedures, products and services Manage client queries and concerns through phone calls, emails, or chats. Handle customer escalations in a professional manner to maintain high levels of satisfaction. Maintain accurate records of all interactions with clients. Quality Check of contents of Deficiencies raised, through physical verification of documents & files rectification to be done. Maintaining TAT in solving query related claims & controlling possible escalations. Client Address- C-806, 8th Floor, ONGC Vasudhara Bhavan, Western Express Highway, Bandra (East), Mumbai 400051 Training Location- MDIndia Health Insurance TPA Pvt. Ltd. Mezzanine Floor, Ballard House, Adi Marzban Path, Ballard Estate, Bearing CTS Number 1185, Fort, Mumbai 400001 Note- Immediate joiners are preferred.

JD Executive-Account Management Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify that all queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can forward their CVs to dona.antony@mediassist.in or WhatsApp to 9632777628

JD Executive-Account Management Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify that all queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can forward their CVs to dona.antony@mediassist.in or WhatsApp to 9632777628

TPA / Health Insurance Exp. is preferred Assessment of Health Claims Assessment of Treatment & Medication given in the papers sent for claim Cost optimization Approval of Claims for Processing MBBS , BHMS & BAMS Doctors only