407 Tpa Jobs - Page 12

Crucial role in managing the entire claims process — right from documentation and coordination to ensuring smooth and timely settlements.

Coordinating with TPA/corporate companies for approval and claim processing, Primary responsibility of TPA and Corporate Head is Follow ups and Clearing of outstanding dues with TPA’s & other govt. agencies and split billing. Required Candidate profile Reporting of daily, weekly, monthly dues outstanding follow ups to the reporting mgr. Update received from any of the TPAs or Corporates to ensure the updates are informed to all the unit team.

Bhagwan Mahaveer Cancer Hospital & Research Centre is looking for IPD Billing Executive to join our dynamic team and embark on a rewarding career journey. Generate invoices for clients using billing software Process payments and reconcile accounts Resolve billing issues and disputes with clients Maintain accurate and up-to-date billing records and documentation Monitor and track the billing process to ensure timely and accurate billing Communicate with clients to gather necessary information and resolve billing issues

Exciting Career Opportunity with MDIndia Health Insurance TPA Are you a Medical Graduate looking for a rewarding career in the Health Insurance Industry? Join MDIndia Health Insurance TPA, a leading Third-Party Administrator (TPA) in health insurance, and kick start your journey as a Medical Officer Why Join Us? - Expand Your Medical Expertise within the insurance and healthcare sectors - Work in a Corporate Environment with structured career growth - Gain Industry Exposure in medical claim assessment - Attractive Salary & Benefits Role & Responsibilities - Medical claim assessment & adjudication - Coordination with hospitals & insurance providers - Reviewing medical documents & policy guidelines - Analyze complex medical cases to determine insurance coverage - Work from office Who Can Apply? - Medical Graduates (Freshers & Experienced) - BAMS / BHMS / BDS / MBBS, or MD - Strong analytical & communication skills - Passion to make career in the Health Insurance Industry Take the first step toward a dynamic medical career! Please share this communication with all your friends, office colleagues, family members, etc. Resume may please be shared on below Email-id/Mobile No., and the candidate may please contact on below number for more details. Thank you. With Warm Regards, HR. Pratiksha Mobile/WhatsApp No.: 7058036074 [Landline No.: 020-25300178] Email id: hr9@mdindia.com MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 3rd floor, Pune Nagar Road, Vadgaonsheri, Pune. 411014

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years Language - Ability: English(Domestic) - Advanced About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingProblem-solving skillsHands-on experience with trouble-shootingStrong analytical skillsWritten and verbal communicationClaims Administration Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

About Rentokil PCI Rentokil PCI is the leading pest control service provider in India. A Rentokil Initial brand, Rentokil PCI was formed in 2017 through a joint venture (JV) between Pest Control India, the number one pest control company in India, and Rentokil, the world s leading pest control brand. Rentokil PCI aims to set new standards for customer service having operations across 300 locations in India. About the Role: OE / Sr. OE shall be owner of his / her assigned service areas within the Branch in terms of operations related actions as given in job responsibilities, and shall be responsible for providing qualified Technicians for execution of services. Responsible for Resi, SA, SMEs. Job Responsibilities: A. Core Operations Ensure availability of qualified (trained certified) Technicians at all time as per Technical Training Guidelines. Coach and train assigned technicians in order to improve the service quality and customer retention of the assigned service area, as per Technical Training Guidelines service SOPs. Ensure availability of recommended preparation, materials, and service tools in working condition to Technicians as per service SOPs Conduct daily 10 min stand up meeting, and explain safety and special instruction to assigned technicians to execute the job as per instructions received from Sales Team/Service Docket. Ensure SCP devices are effectively used by technicians, troubleshooting of SCP issues and providing refresher training to technicians on the updates as when required. Ensure all On-Site service documentation in Partner Kit are up to date as per contractual requirements and as per myRentokil (for myR customer) Ensure implementation and Compliance of service SOP, SHE golden rules, ATEX and PINK NOTE by self and the assigned technicians . Minimum 15 customer visits per week that includes- Surprise visits, Rout ride, TPA, Customer complaints, Pest Audits, etc.- Resi SA (including QSRs) Ensure APL (Approved Preparations List) listed preparations, products and materials are used in line with service SOPs Ensure material stores are maintained appropriately as per good storage practice and disposal of empty containers, used TG/Control board, pesticides wrappers and damaged materials are disposed in line with SOP Ensure proper schedule of maintenance repairs of equipment is established is followed periodically In case any of the Operations colleagues are on leave or position is vacant, should ensure entries are made in iCABS to achieve operations KPI of Branch. Ensure technicians carry out treatment within a given Standard Treatment Time (STT) in a competent manner and effectively follow the route plan and timings defined by Service Planner. Approval of conveyance amount for assigned technicians Promote highest grooming standards (uniform, Safety shoes, PPEs) B. Advance Operations Conduct PMI Pest Audit as per icabs- QSRs Small branch accounts Plan execute 01 TPAs (Technicians Performance Assessment) per assigned technician with 1 development programs per year. Identify resolve Service delivery issues in coordination with the Branch Manager Ensure customer complaints are resolved as per complaint management SOP and update the Root Cause in iCABS to ensure proper ticket closure in time. Analyse customer complaints- CO- service wise and improve skills of identified Technicians to reduce CO ensure closure by monitoring open tickets on weekly basis Compliance and closure of audits non-conformities w.r.t. service operations (Internal / External) Track and optimize material consumption as per SRF, Cost sheet and SOW and report deviations to line manager Ensure adequate stocks of materials as pending new jobs in line with APL and SOPs are available in branch, and near expiry materials are used first. Track and monitor materials consumption to ensure branch material consumption within the target. Maintaining Optimum Stock Level and Ensuring Indents are raised after checking requirement and stock. Monitor and drive service productivity and efficiency. Carry out Pest Management Inspection- Pest Audits of assigned customers as per iCAB using rAuditor Ensure Service leads are submitted by all technicians as per the target Monitor report to Line Manager on input costs at all major sites as per gross margin agreed discuss action plans to bring it within limits. Actively drive Service Product Leads for assigned technician group within service area by on the job coaching to create density of customers. Encourage technicians to plan their leaves in advance to curb absenteeism Help Resolve any Grievances IR issues of Technicians bring to the notice of the Line Manager on day to day basis Report any deviation that could impact service quality or productivity of technicians like over commitments, recommendation regarding night service, additional visits, covered area mismatch, etc. Self Development- Be updated with latest innovations, Service SOPs, SHE and PN updates. Key Result Areas: 100% completion of PMI Pest Audit as per icabs- QSRs & Small branch accounts Material consumption target to be met 100% as per Branch AoP target TPA and Development plan

About Medhavi Skills University: . About Medhavi Foundation: Established in 2012, the Medhavi Foundation is the parent body of Medhavi Skills University. It is a Section 8 Not-For-Profit company and is a recognized training partner for the National Skill Development Corporation (NSDC). The Medhavi Foundation is empaneled with the Ministry of Skill Development and Entrepreneurship as a Third-Party Aggregator (TPA) and Basic Training Provider for the promotion of apprenticeship training under the National Apprenticeship Promotion Scheme. The foundation has trained 2,20,000+ candidates and placed 1,90,000+ candidates in 20+ states. We have collaborated with 46 Skill Academies & Pradhan Mantri Kaushal Kendras. With 500+ partners, Medhavis empowered workforce is spread across 18 sectors. We take pride in sharing that the Medhavi group has enabled 38,000+ Apprentices. For more information, visit www.medhavifoundation.org Role Overview: The Placement Officer is responsible for developing and implementing strategies obtain employment and experiential opportunities in business, industry, academia for students in all programs of the college. To counsel, prepare and enhance hiring potential of students, new graduates into the job market. To assist in the internships and placement of students. Duties and Responsibilities: Placement & Internships To ensure that the pre-placement offers are instituted and systemized by increasing the PPO highest package and PPO Companies To improve the quality of placements in terms of job opportunities, quality of companies that visit the campus and increase the average salaries year on year Responsible for organizing summer and winter internships in companies that are most likely to offer conversion into final placements, as much as possible. To collect the job announcement/description - requirements, job details, and specifications from the representatives of each interested organization and share the same with the students - in a timely manner. Corporate Relationship & Coordination Key task is to bring in new clientele and manage relationships with existing corporate clients To correspond to prospective companies and invite for campus interview/online interview Support placement logistics, such as traveling, accommodation, etc. Follow up hiring steps to receive placement confirmation, joining date, offer letter, etc. Track all placements either through software or systemized methods To share the data base of eligible aspirants to the prospective companies based on the stipulated criteria To arrange for interview facilities at the campus (Auditorium, Labs, and Interview rooms). Sharing industry feedback, trends, and expectations with students and leadership Career Guidance Counsel students regularly to ensure job acceptance rate increases Advocate students as and when required to ensure their expectations and skills level match the jobs available in the market Guide students for successful result at the interview, before the interview process starts Participate in various student assessments with trainers to evaluate the student for potential placements To assist students from Interview to on-boarding, complete student career cycle. Provide information, advice, and guidance to students through various media, such as individual meetings, group sessions, email, etc. Collaborate with the Student Placement Committee in consultation with the Heads of the Department & Deans Training & Skill Development Should organize seminars and pep talks by inviting Industry Veterans. Planning, monitoring, and execution of Skill Training for various Schools Arrange Industry Visits, Guest Lectures and On Job Training for the students community To arrange skill development training for students such as soft skills, communication, interview skill, mock interviews, interpersonal skill etc. Design and deliver training for students in consultation with the Leadership Required Skill Sets: Excellent interpersonal skills and communication skills High Integrity 24/7 availability for important projects Knowledge of Industry demographics will be an added advantage Adopt in using MS suites with proficiency in MS Excel Ability to handle requirements of Engineering, Commerce, Management, Sciences, Humanities and Legal studies Willingness to travel as per professional requirements. What We Offer Being a key player in something potentially massive and world-changing Competitive salary and incentive structure, best in the industry. Opportunities for professional development and growth. A supportive and collaborative work environment. The chance to make a meaningful impact on the careers and lives of working professionals.

Role & responsibilities Managing empanelment and receivables processes with TPAs and health insurance companies to ensure a streamlined and efficient revenue cycle Ensuring timely renewal of agreements with TPAs and insurers Leading negotiations and finalization of tariffs and treatment packages with TPAs and insurance partners Overseeing the negotiation, renewal, and management of GIPSA empanelments Driving business growth through strategic engagement with TPA and insurance partners Preferred candidate profile Any Graduate or Post Graduate with 8 to 12 years of relevant experience of NABH / JCI Hospitals.

Role & responsibilities 1. Client Relationship Management: a. Serve as the lead point of contact for all customer account management matters. b. Build and maintain strong, long-lasting client relationships. c. Develop trusted advisor relationships with key accounts, customer stakeholders, and executive sponsors. 2. Sales and Business Development: a. Oversee a portfolio of assigned customers. b. Develop new business from existing clients. c. Actively seek new sales opportunities. d. Identify areas of improvement to meet sales quotas. 3. Cross-Functional Collaboration: a. Collaborate with internal departments (including Customer Service and Product Development) to improve the entire customer experience. b. Prepare sales reports and communicate progress to internal and external stakeholders. 4. Consumer Insights: a. Answer client queries promptly. b. Collect and analyze data to understand consumer behavior. c. Identify opportunities for upselling and cross-selling among existing customers. 5. Occasional Travel: a. This position may require occasional travel. Qualifications: Familiarity with account management software (CRM). Excellent client communication skills. Ability to meet ambitious individual and team-wide sales quotas Experience Worked in Hospital / Insurance company / TPA 1 to 3 years. ( added advantage ) Additional Skills. Strong verbal skills Strong problem-solving skills and enthusiasm for new tasks and challenges Relationship building skills. Ability to multitask and prioritize, with a strong work ethic and attention to detail Ability to operate with a high level of confidentiality and professionalism

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

Role & responsibilities To Maintain corporate clients To maintain Insurance in TPA To do the employee engagement activities Need to take care of Health camps and training programs Preferred candidate profile Any Degree or Marketing experience with min 2 to 5 years. Contact : recruitment@kaminenihospitals.com

Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For District Medical Officer!!! - Non Clinical Role,Immediate Joiners Preferred Qualification -MBBS(FMG - Non MCI) Experience - 0 to 1 Year Job Location - Chennai Roles and Responsibilities Involved in analyzing medical reports and do medical Audit at the Hospitals. Should have medical knowledge. Providing quality services. Updating the new medical terms and conditions as per the policy. Should be good knowledge in Academics. Resolving Claims related queries and discrepancies, Following up and responding to queries of customers. Approving and Rejection of Payments to the Customers with all verification. Updating the Status of the Customers about the respective Claim/Preauth. Play as an intermediate role between the Insurance co., and the Customer. Handling Customer queries and giving a prompt reply to the customers through email. Preparing the Weekly consolidated reports of the team and updating to the Management. Assigning and Resolving Customer Queries through email. Raising Shortfall whenever it is necessary. Approving and Rejecting of Claim/Preauth after all necessary checks I nterested Candidates can Whatsapp(no calls please ) your resume to Udaya Kumar R - 9940138034 or Apply in Naukri Itself. Regards Udaya Kumar R 9940138034

Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For Medical Officer!!! - Non Clinical Role,Immediate Joiners Preferred Qualification -BDS Experience - 0 to 1 Year Job Location - Chennai Roles and Responsibilities Involved in analyzing medical reports and do medical Audit at the Hospitals. Should have medical knowledge. Providing quality services. Updating the new medical terms and conditions as per the policy. Should be good knowledge in Academics. Resolving Claims related queries and discrepancies, Following up and responding to queries of customers. Approving and Rejection of Payments to the Customers with all verification. Updating the Status of the Customers about the respective Claim/Preauth. Play as an intermediate role between the Insurance co., and the Customer. Handling Customer queries and giving a prompt reply to the customers through email. Preparing the Weekly consolidated reports of the team and updating to the Management. Assigning and Resolving Customer Queries through email. Raising Shortfall whenever it is necessary. Approving and Rejecting of Claim/Preauth after all necessary checks I nterested Candidates can Whatsapp(no calls please ) your resume to Udaya Kumar R - 9940138034 or Apply in Naukri Itself. Regards Udaya Kumar R 9940138034

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Written Communication Claims Processing Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Job Title: Key Accounts Manager: Retention Education: Graduate Experience: 1 - 8 years Location: Bangalore, Gurgaon Role type: Individual Contributor About the Role: We're looking for a skilled Key Account Manager who will be responsible for managing the key accounts of the company and maximizing sales opportunities within them. You will be accountable for ensuring that the targeted retention and revenue metrics are achieved. Job Responsibilities: You will be responsible for managing and retaining the company's existing customers You will help in creating value for the client by setting priorities, aligning with all stakeholders, driving engagement, conducting business reviews on decided timelines You will author, manage, and deliver executive-level reporting, including weekly, monthly, and quarterly status reports to manage risks and issues in accounts You will identify and implement new initiatives with key stakeholders to develop, champion, and launch new initiatives for growing revenue through cross-selling and up-selling You will be engaging the team by providing meaningful feedback, training, and growth opportunities. Job Requirement: 4 to 8 years of experience in the insurance sector (TPA/Broking/Insurance Company) preferably in the H&B space Proven record in managing a portfolio of key clients and creating values for the clients Experience having sold to CHROs & HR team or CFOs/Finance team is a plus You are awesome at: User-voice - Ability to balance user-centric approach in decision making with business metrics and preferences Bias for action - Do things today, over tomorrow, demonstrate a sense of operational rigour and track progress to goals effectively High Emotional intelligence - Ability to empathize with team, clients and other stakeholders, and balance accountability with compassion Personal Motivation and Resilience: Passion for employee benefits, wellness & experiences Stakeholder management: Ability to rally stakeholders together despite competing opinions and creative differences

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with the HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Group s experience in technology and healthcare solutions. Prudential, with its longstanding presence in India, already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup, India s first World Cup Victory! Prudential Health India is a Zero to One team undertaking a no-legacy, greenfield health insurance deployment in India, building journeys that truly empathize with the customer and offer a differentiated experience. o To partner with us in this mission, we are looking for a talented Specialist - Regulatory Escalations to join our Customer Service team in Mumbai. Your typical week might include the following: Ensuring timely, fair, and effective handling of grievances received via IGMS and complaints which will be reported to IGMS / Bima Bharosa Portal. Exposure on handling complaints received via PHI escalation touchpoints, social media, regulatory portals (NCH, etc), as per the defined turn-around-time. Ensure timely handing of Ombudsman and legal cases as well. Act as a voice of customer for PHI by raising timely red flags which shall be instrumental in fixing gaps and enhancing service experience. Work collaboratively with internal and external teams like Distribution, Branch, Claims, Underwriting, Legal, Medical services TPA etc. to expedite complaint resolution. Be aware of all compliance related requirements. Participate in closure of process enhancement recommendations, risk identifications along with a future fix. Participate and drive service recovery initiatives to ensure enhanced customer experience and re-instil customer trust in PHI. You could be the right candidate if you: Have 6-7 years of experience with 4-5 years of complaints handling experience health insurance, general insurance or financial services industry. Have strong knowledge of IRDA guidelines, compliance protocols and insurance related grievance mechanisms. Have the ability to manage diverse teams and stakeholders, regulatory bodies and ensure cross-functional collaboration. Possess excellent communication and negotiation skills. Have a Bachelor s degree from a recognized University Are a highly driven individual who goes that extra mile to deliver an outstanding product to the business team and end users/customers. Have demonstrated the ability to work in a fast paced and hyper-growth environment using agile methodologies where Customer and Distributor expectations can be changing This could be the gig for you if you Are passionate about bringing truly consumer centric ideas and products into reality and have an attentive ear listen to new ideas. Thrive in environments that celebrate co-creation and collaboration. Are passionate about leveraging new age digital tools and technologies to transform customer experience. Like to work in a culture where everyone can see what others are doing. Take help from others when stuck and encourage others when there are setbacks. Take full responsibility for your team s contribution output while thinking wing to wing across the organization; to solve for the customer. What can make you extra special if you Have walked extra mile in solving business problems by adopting offbeat path Proven track record of exceeding Service level expectations from stakeholders. Demonstrate visible leadership supporting colleagues in a diverse, inclusive, and collaborative team environment. Be a team player who is goal orientated, committed, and an advocate and early adopter of change. A proven track record working in complex business environments executing and delivering initiatives across multiple domains, stakeholder groups and technology solutions. We are keen to listen to your story; doesn t matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly. If you think this is the one for you, drop in a line with your story at careers@prudentialhealth.in . We are eager to catch-up!

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

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

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

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