1024 Tpa Jobs - Page 15

JD Account Management- Senior Executive Job Responsibilities: Client Servicing 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. 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. Respond to queries from the employees of the corporate over Phone Maintain weekly repo...

Vidal is hiring for Assistant Manager role in CRM Client Servicing Job Title : Assistant Manager -CRM-Client Servicing -TPA Industry Industry : TPA Location: Gurgaon Only candidates from the Health Insurance and TPA industry will be considered for this role. Applicants from other industries are kindly requested not to apply as domain-specific experience is essential. Key Responsibilities: 1 . Management and Retention of Top corporate for the region. 2. Reports on top corporate/insurance companies/brokers to be reviewed with Leadership Team and proactively act on issues before escalations. 3. Fulfilment of SLAs of top stakeholders for the respective region. 4. Oversee timely submission of MIS...

Qualification: BDS/ BHMS + MHA Key Responsibilities: Experience in TPA, Insurance Company, UTI TSL , Hospital Sector Understanding of the product and provide training and product demo to new and existing clients Team management/ handing team of Medical officers / quality analysts Handling operations of the accounts Meeting and understanding of the customer requirements, plan implementation Travel to the customer's site as and when required for training and implementing Ensure service levels are maintained at hospitals Establish objectives and operational criteria for accounts managed. Understand the requirements of Clients regularly and implement the process at hospitals. Motivating / retain...

Qualification: BDS/ BHMS + MHA Key Responsibilities: Experience in TPA, Insurance Company, UTI TSL , Hospital Sector Understanding of the product and provide training and product demo to new and existing clients Team management/ handing team of Medical officers / quality analysts Handling operations of the accounts Meeting and understanding of the customer requirements, plan implementation Travel to the customer's site as and when required for training and implementing Ensure service levels are maintained at hospitals Establish objectives and operational criteria for accounts managed. Understand the requirements of Clients regularly and implement the process at hospitals. Motivating / retain...

Candidates with experience in Life/Annuity Insurance product conversion from one admin system to another is very helpful An ideal candidate will require working knowledge to expertise on many of the following: Working daily reconciliation reports and performing root cause analysis for life products (traditional life, universal life, ISWL, Indexed UL). Thorough understanding and experience working with the following product elements: Market Value Adjustment (MVA) Bailout/Caps/Floor rates Free Withdrawal Minimum Gtd Cash Value Premium based bonus (additional X bps credited assuming Prem Paid > Set limit) Account Value based bonus (additional Y bps credited assuming Account Value > Set Limit) M...

Role Overview: You will be responsible for answering customer queries in a positive and effective manner, both via e-mail and over the phone. You will need to identify and assess customers" needs to achieve satisfaction, handle complaints, and provide appropriate solutions within the time limits. Additionally, you will manage end-to-end support for cashless claims processing, including coordination with hospitals, insurance teams, and customers. Guiding customers on claim submission requirements, approvals, and timelines will also be part of your role. Key Responsibilities: - Answer customer queries through email and phone, ensuring a positive customer experience - Identify and assess custom...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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 t...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 u...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 u...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 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 mee...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 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 mee...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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...

This position will be part of the Quaker Foods or WHS Beverages (Sports & Fitness, Juice+) organizations. This position contributes to the success of the business units by supporting the trade management process, the sales customer team(s) and sales finance team(s). The TPA will work with members of the Field sales customer team(s), Sales Finance, CFS and eventually, the HBS Quaker Trade Admins and/or WHS Bevs Contract Admin teams to achieve sales growth and profit objectives (Volume, Net Revenue, Profit both for PepsiCo and the Customer). This will be achieved through building effective relationships with each of the teams and maintaining planning models in Sales Planner/SAP, editing events...

This position will be part of the Quaker Foods or WHS Beverages (Sports & Fitness, Juice+) organizations. This position contributes to the success of the business units by supporting the trade management process, the sales customer team(s) and sales finance team(s). The TPA will work with members of the Field sales customer team(s), Sales Finance, CFS and eventually, the HBS Quaker Trade Admins and/or WHS Bevs Contract Admin teams to achieve sales growth and profit objectives (Volume, Net Revenue, Profit both for PepsiCo and the Customer). This will be achieved through building effective relationships with each of the teams and maintaining planning models in Sales Planner/SAP, editing events...

Handle cargo claims from first notification to settlement and recovery. Assign and coordinate surveyors for claim investigations. Provide proactive claims support to global customers. Interpret policy wordings, clauses, and exclusions with technical accuracy. Audit claims files and ensure adherence to global claims guidelines. Maintain documentation in the Claims Management System. Participate in ad hoc projects and continuous improvement initiatives. Accountabilities: Deliver exceptional customer service and maintain clear communication. Ensure financial control through accurate reserving and reporting. Align with claims best practices and internal policies.

- Corporate Health insurance sales - B2B Sales - work ex as insurance broker/direct insurance sales - client acquisition and retention

- Corporate Health insurance sales - B2B Sales - work ex as insurance broker/direct insurance sales - client acquisition and retention

- Corporate Health insurance sales - B2B Sales - work ex as insurance broker/direct insurance sales - client acquisition and retention

Focus on Health clients/companies Responsibility of building and maintaining relation with clients. Sales process: lead generation, closing Lead and be accountable for the client proposals, Contracts & documentation following company procedures Required Candidate profile Must have exp. in Corporate helath insurance sales

Job Title: TPA Manager Location: Miri Piri Institute of Medical Science & Research, Shahabad Markanda, Kurukshetra (Haryana) Hospital Strength: 420+ bedded upcoming super-specialty hospital & upcoming medical college (100 MBBS seats) Position Overview We are seeking an experienced and detail-oriented TPA Manager to lead and manage all Third-Party Administrator (TPA), insurance, CGHS, ECHS, and Ayushman cases. The role involves overseeing pre-authorization, billing, claims settlement, and ensuring smooth coordination between patients, TPAs, and hospital departments while maintaining compliance and accuracy. Key Responsibilities Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases....

Role & responsibilities We are looking for an accomplished Doctors with significant ICU experience and a strong ability to manage both clinical and non-clinical responsibilities. The ideal candidate will excel in patient care, clinical documentation, and possess in-depth knowledge of medical documentation essential for insurance claims processing. Key Responsibilities: Patient Documentation: Manage patient medical history and progress notes with precision. Claims Processing: Handle preauthorization and reimbursement claims, including validation and processing. Clinical Records: Maintain accurate clinical documentation in compliance with healthcare standards. Collaboration: Work closely with ...

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 •Degree in BAMS, BHMS, BSMS, or MBBS (strictly required)

Process & Manage Insurance Claims. Provide support to Policy Holder, to manage & maintain the accurate data. To insure timely settlements of the claims. Co-ordinate with Companies of Insurance & Healthcare providers.

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the companys culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the emp...