694 Tpa Jobs - Page 16

Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously unde...

We are hiring medical officers for cashless claims processing. Ideal candidates have 0-2 years in TPA/insurance with BAMS/BHMS. Strong medical knowledge and understanding of health policy terms are required.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 expe...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Handling all debtor receivables, Solving all querieswhich are related to bill. Checking all IP files before dispatch. Checking the reasons of cancellation of billfree billdiscount billrefund bill. Making the changes of packages rates/tests rates as per the Company Agreement. Maintaining the Debtors aging report for OP & IP Communicate with the companies and TPA s for follow-up on the payments of bills. Interaction with the patients for payments of the dueswhich are not made by the TPA or company. Check the bottlenecks that arise in the payments and solve the problems regarding the bills Decisions making regarding payments high amount bills to reduce the outstanding of the company.

Process health insurance claims. Should have knowledge of cashless and reimbursement. Location - Chembur. Should have knowledge of excel. Graduation mandatory. Call or send your resumes on 8097516521. TPA experience Mandatory

Responsibilities: * Manage patient care in emergencies * Conduct claim investigations * Process health claims * Adjudicate claims fairly * Collaborate with TPAs on case resolution

Walk-in Drive || Clinical Doctors || Cotiviti Pune || IPDRG || Fresher & Experienced || Walk-in Date : 12th Jul 25 Walk-in Time : 10 AM to 2 PM Job Location : Pune Venue : COTIVITI INDIA PRIVATE LIMITED - Plot C Binarius Building 190 / 192 Plot C, Deepak Complex, National Games Road Off Golf Course, Shastrinagar, Yerawada, Pune, Maharashtra 411006 Eligibility : Fresher Eligibility Criteria : Medical Degree (MBBS or BAMS or BHMS or BPT) with Clinical experience or US Healthcare experience Strong analytical, critical thinking and problem solving skills Should have general knowledge on Medical Procedures, Conditions, illness & Treatment Practices Excellent verbal and written communication skill...

Job Description Coordinate with patients, insurance companies, and internal departments for smooth processing of cashless claims. Facilitate timely pre-authorization approvals and ensure all required documents are submitted. Maintain records of all TPA communications and claim documents. Handle queries from patients and their attendants regarding insurance claims. Follow up with TPAs/insurance companies for pending approvals and payments. Reconcile TPA receivables and ensure timely payment posting and recovery. Assist the billing team in preparing final bills for insured patients. Ensure compliance with hospital policies and insurance guidelines. Regularly update TPA software and internal MI...

Clients: 1. Relationship Management 2. Maintain TAT for all assignments 3. Maintain healthy relationship with insurance companies and TPA 4. Ensure Proper and Systematic documentation (folder management) 5. Claims Management (GPA and GTL claims Tracker, GMC Outstanding claims tracker) 100% adherence to the service design for clients as per the service design identified as below:-. Renewal activity (Intimation+calendar, Plan design + QCR etc., policy placement Monthly activity report to clients + Claims MIS + Claims UR + Health & Wellness letters + HR Connect Maintaining strong vendor relationships - Client, Insurer & TPA Client meetings with MOM being mandatory, (Monthly meetings compulsory ...

Manager-Segment Incharge The role is responsible for all tasks related to Processing and Settlement of claims, Monitoring TPA performance for the assigned business. The role includes managing the assigned specialized business handling of any one or more of the following activities: Settlement of Claims, Monitoring TPA performance based on defined KPI, System, Development, UAT, Portfolio Analysis, MIS/Compliance. If this is you, we are looking for you! Key Responsibilities Managing end-to-end claims. Requisitioning detailed information on all reported and settled Claims and monitoring performance of TPAs, evaluating performance of all TPA based on parameters of SLA with Regular Review of defi...

Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving probl...

At Amazon we believe that every day is still day one. We are working to be the most customer-centric company on earth. To get there, we need exceptionally talented, bright, and driven people. If you d like to help the Disability Leave Services (DLS) team build a best-in-class professional services program to deliver leave of absence, disability and accommodation services to Amazon employees, applicants, job seekers and candidates globally, this is your chance to make history by joining our team. DLS Provides services 7 days a week, 24 hours a day to assist employees as they go through qualifying life events. The DLS Case Manager provides case management for all types of leave of absence and ...

Key Responsibilities Single-point claim coordination: Act as the dedicated contact for motor claims third-party, own damage, and theft to ensure smooth communication between client, insurer, police, surveyors, and garages . Claim filing & documentation: Promptly report accidents/thefts to police and insurers; collect FIRs, policy details, driver statements, vehicle photos, keys (for theft), and other required documents . Survey & assessment management: Work with surveyors to assess damage; review findings jointly and determine claim admissibility, settlement value, and NCB implications . Negotiation & settlement: Liaise with insurers to pursue cashless workshops or reimbursement; negotiate a...

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 admissibili...

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. *...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS- 7631162388 Whatsapp CV mail id -varsha.kumari@mediassist.in

Job Description: Processing of Claims Health files. Claim Registration and Claim Adjudication. Identifying the Fraud. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, provider, sales and grievance teams. Eligibility Criteria: Pharm-D, BSc Nursing, B .Pharmacy freshers only(Qualified Graduates with all certificates in hand). Any Graduate with minimum 2+ years of Claims Health processing experience. Salary Budget - up to 4 lakhs. Job location Ameerpet, Hyderabad. Evaluation would be based on competency, age, experience, stability

Urgent requirement for Manager ( Talent Acquisition) interested candidates can call on 9371762436 Job Title: Manager -( Talent Acquisition ) Location: Corporate Office - Pune Department: Human Resources Primary Deliverable: To proactively ensure quality and efficiency in staffing, with minimal Turnaround Time. Major Accountabilities of the position: 1. Utilize various sources of recruitment to fill the positions at the earliest. 2. Screening and shortlisting of applications and proceeding to initiate the Interview process. 3. Coordinate with concerned Departmental Heads to track vacancies, and the candidates being interviewed. 4. Coordinate with the candidate for the mandatory documents and ...

A TPA (Third Party Administrator) within the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme typically handles the operational aspects of the program at the district level. This includes managing beneficiary identification, utilization of services, awareness generation, hospital network expansion, monitoring, audits, training, and reporting. They work to ensure smooth data flow to the state level and conduct routine visits to participating entities to verify adherence to defined standards. Here's a more detailed breakdown of the job description: Key Responsibilities: Supervision and Administration: Overseeing the overall administration of the PM-JAY scheme at the district le...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Policy Administration & Payouts Disbursements Endorsements Death Claims TPA(Third Party Administrator)

Job Title: Assistant Manager Vendor Management & MIS Experience Required: 5-7 years Job Description: We are looking for a skilled and experienced professional specializing in Vendor Management and MIS management. The ideal candidate will be responsible for overseeing the end-to-end Vendor Management process of health claim investigations, ensuring accurate data management, timely reporting and effective coordination to drive operational efficiency and service quality. Key Responsibilities: Manage the end-to-end vendor management process across PAN India, including on-boarding, billing, performance reviews and Vendor complaint resolution. Monitor and share monthly performance metrics of vendo...

Inpatient/Outpatient Billing. Overseas/Corporate/Insured/TPA billing. Payment Tracking. Bed Management. TPA files follow-up and closure. Tracking of discounts/Cancelled bills/refunds/free bills/posting of packages. Service Recovery in the billing Area. Training of the HIS modules in billing with the power users.