694 Tpa Jobs - Page 14

Roles and Responsibilities Handle claims from receipt to settlement, ensuring timely and accurate processing. Verify claim documents, including medical records, bills, and reports. Coordinate with hospitals, doctors, and other stakeholders for necessary documentation. Conduct thorough investigations into complex cases to resolve disputes efficiently. Ensure compliance with regulatory requirements and company policies.

Job Description: We are looking for a dynamic and detail-oriented Medical Operations Executive to join our team. You will be responsible for coordinating and executing medical services for clients, ensuring smooth communication between doctors and patients, and maintaining proper documentation. Responsibilities: Coordinate end-to-end medical services for corporate clients and patients. Maintain a high level of accuracy in medical data entry and operational documentation. Liaise between doctors, patients, diagnostic partners, and internal teams. Support virtual consultations, second opinions, and medical report collection. Ensure timely scheduling of health check-ups, teleconsultations, and f...

Overview Hi Team, I am currently working at CTS Speciality Hospital in the Insurance Department, where I have been for the past year. In total, I have over three years of experience in the health insurance sector, handling various responsibilities related to medical claims, policy coordination, and patient insurance support. I am confident that my experience and skills in health insurance operations make me a valuable asset for roles in this field. Tagged as: insurance Before applying for this position you need to submit your online resume . Click the button below to continue. Related Jobs Financial Advisor AGEAS FEDERAL GROUP Bangalore Freelance 2025-03-14 RELATIONSHIP OFFICER IN BANK Bank ...

Overview Roles & Responsibilities: 1) Candidates Should have worked in hospital Insurance desk 2) Provide Medical opinion for health Insurance claims 3) Processing of cashless requests & Health Insurance claims document 4) Proficient with medical terms & system 5) Understanding of policy terms & system. 6) Understanding of Claims adjudication/ Claims Processing Tagged as: insurance Before applying for this position you need to submit your online resume . Click the button below to continue. Related Jobs RELATIONSHIP OFFICER IN BANK Bank Jorhat Full Time 2024-01-19

Medical Typist Location : Greater Noida Designation : Medical Typist Department : TPA Qualification : Any Graduate Experience : 1-3 years experience in Pathology/ Radiology/ Report Typing Job Description : Pathology/ Radiology/ Report Typing Skill Required : Relevant Notes : Full Time Job Submit

Qualification: Any Graduate Experience: 8-10Years Must have worked for TPA / Corporate/ PSU/Referral Marketing Contact: HR Department Email : www.umkalhospital.com Mo. : 8860077509,7988561761

We are hiring TPA Manager for very reputed hospital in Delhi location. Need min 10 years experience & well versed with the following:- TPA Empanelment (visit in TPA and Insurance companies) Co-ordination with OPD/IPD Department (Admission & Discharge of cashless patient) Processing all the co-ordination activities from cashless patient's admission to discharge. Counselling the patient's family to explaining the pre-auth process. Maintaining & uploading patient's files on the portal. Handling all TPA Portals. Maintaining separate file for every patient with highlight co-payment and authorization letter. Telephonic follow up to the insurance company for conveniently claim settled. Maintaining ...

Manage end-to-end claims process for corporate insurance policies (GMC, GPA, WC, Fire, etc). Coordinate with clients, insurers, and TPAs to ensure timely documentation and settlement . Track claim status and provide regular updates to clients. Analyze claim patterns and support clients with insights and loss mitigation strategies. Ensure service level agreements (SLAs) are met and maintain claim MIS reports. Assist clients during audits or investigations, where required. Requirements: Minimum 2 years of experience in corporate insurance claims handling. Strong understanding of Group Mediclaim , GPA , and WC policies. Excellent communication and client coordination skills. Organized, detail-o...

Job Title: Sr Manager Health Insurance Claims Location: Bangalore (Hybrid) Company: Pazcare Type: Full-time About Pazcare Pazcare is transforming employee healthcare and wellness for 2000+ companies including Mamaearth, Chaayos, Mindtickle, and more. We simplify health insurance and wellness benefits, giving HR teams superpowers through real-time claim tracking, analytics, and stellar employee experiences. Role Overview As a Claims Manager, you will be the frontline owner of ensuring claims are settled within the agreed turnaround time (TAT) across TPAs. You will play a critical role in driving TPA performance, resolving escalations, and advocating on behalf of our clients to ensure no valid...

Roles and Responsibilities Manage team performance, ensuring timely completion of tasks and projects. Conduct audits, rate analysis, package management, policy issuance, and negotiations with clients. Develop strong coordination skills to ensure effective communication among team members. Identify areas for improvement and implement process enhancements to increase efficiency. Collaborate with cross-functional teams to achieve business objectives. TPA EXperience will be preffered.

Job Title : CRM Manager TPA Industry Industry : Health Insurance / Third Party Administration Role Objective To lead and optimize the organizations CRM strategy, ensuring seamless client interactions, data integrity, and service delivery across health insurance workflows. The CRM Manager acts as a bridge between technology, client servicing, and operational teams to enhance customer satisfaction and retention. Key Responsibilities Functional Area RM Strategy & Execution - Design and implement CRM strategies aligned with business goals - Drive customer engagement, retention, and satisfaction initiatives Client Data Management - Ensure accurate and secure client data entry and maintenance - Mo...

Designation-Executive/Team Lead in CRM for Client Servicing for Big Corporate. Location: Ludhiana, Punjab Industry-TPA Company or Health Insurance will only be preferred Job Description: Key Responsibilities Functional Area Responsibilities Client Management & Retention - Lead the retention and engagement strategy for top corporate clients in the region - Work closely with the servicing team to ensure consistent delivery and relationship strengthening Leadership Reporting - Review reports on corporate clients, insurance companies, and brokers with senior leadership - Identify potential service gaps and resolve proactively before escalation SLA Fulfillment - Monitor and ensure adherence to ag...

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

Minimum 1 year of Medical Coding Experience. Strong Knowledge on coding appropriate ICD s, CPT s and HCPC Codes. Strong Knowledge to ensure in assign codes based on coding and customer guidelines. Hands - on Knowledge in CCI edits, LCD, NCD coverage determination etc Strong Knowledge in Medical terminology, Human Anatomy and Physiology Knowledge of coding all CPT s related to Simple Procedures - Both Pro/ Fac Laceration repair Incision and Drainage Foreign body removal Splint Fracture reduction Nail Procedures Epistaxis Cerumen Impaction removal Moderate Sedation Procedure Blood Transfusion Foley/ Straight Cath Placement Bladder Scan Fracture Care Intraosseous Line Placement TPA for Stroke P...

POSITION: MEDICAL OFFICER/CONSULTANT 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 Mumbai Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) 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 ...

POSITION: MEDICAL OFFICER/CONSULTANT 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 Mumbai/Bangalore Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) 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 th...

Urgent requirement of Senior Executive (Recovery) - TPA@ Amrita Hospital Faridabad Experience - 2 to 5Yr Qualification - UG & PG Interested Candidates Can Contact - Rahul Chauhan - 9911892435 Email ID - rahul.chauhan@fbd.amrita.edu

Urgent requirement of Senior Executive (Recovery) - TPA@ Amrita Hospital Faridabad Experience - 2 to 5Yr Qualification - UG & PG Interested Candidates Can Contact - Rahul Chauhan - 9911892435 Email ID - rahul.chauhan@fbd.amrita.edu

Urgent requirement of Senior Executive (Recovery) - TPA@ Amrita Hospital Faridabad Experience - 2 to 5Yr Qualification - UG & PG Interested Candidates Can Contact - Rahul Chauhan - 9911892435 Email ID - rahul.chauhan@fbd.amrita.edu

Urgent requirement of Senior Executive (Recovery) - TPA@ Amrita Hospital Faridabad Experience - 2 to 5Yr Qualification - UG & PG Interested Candidates Can Contact - Rahul Chauhan - 9911892435 Email ID - rahul.chauhan@fbd.amrita.edu

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.

Join our dynamic international business team across Bangalore and Hyderabad Job Description Claims Service Support (CSS) - AM/Manager Summary: We at Prudent Insurance Brokers, are seeking an experienced Employee Benefit-Claims Service Support professional for our International Business (IB) vertical. Employee Benefits Practice at Prudent is a strategic business unit dedicated to strengthening Prudent’s global brand in the international market. The individual will be responsible to Serve as primary point of contact for all employee claim queries etc. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and cons...

Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Jun 3, 2025 Bangalore, India, 560064 Who we are The opportunity Responsible for General Ledger, Intercompany including but not limited to General Ledger transactions, Support Balance sheet review, Intercompany reconciliations preparation, Billing and compliance with internal and business controls. Communication and (internal) stakeholder management with higher management levels within the Global Teva organization is required in this process. How you ll spend your day Technical/functional knowledge in Intercompany Accounting, Closing and reporting process area Handle various types of intercompany t...

Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For District Medical Officer!!! - Non Clinical Role,Immediate Joiners Preferred Qualification -MBBS(FMG - Non MCI)/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 t...

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...