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0.0 - 5.0 years
3 - 3 Lacs
Bengaluru
Work from Office
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 my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in
Posted 2 months ago
1.0 - 8.0 years
3 - 10 Lacs
Jaipur
Work from Office
Basic Function Initiating Broker/GA/TPA, Add/Change/Remove request submitted by the group customer, sales service team and resolving the related queries/escalations for assigned brokers/GA/TPA of varying complexity. Meets quality and customer service expectation levels set by the organization guidelines. The key deliverables of the role will include but will not be restricted to the details below: Essential Functions Review of the request and form for acceptability Partnering with different stakeholders and resolve broker compensation related queries/escalations received from various departments/stakeholders through emails & calls. Updating systems with broker/GA/TPA details, commission rate and send external confirmation communication email. Implement corrective actions, as needed, to ensure correct comp release for brokers/GA/TPA Assisting vintage team members, supervisor and/ or management in developing or providing process related information, required solutions and responses
Posted 2 months ago
2.0 - 7.0 years
2 - 4 Lacs
Mumbai
Work from Office
Jaslok Hospital & Research Centre is now a private, full-fledged multi-specialty hospital with 350 beds, out of which 75 are ICU beds.It is also one of the biggest research centers in India, conducting regular research and clinical trials in various fields, often in collaboration with other institutions in India & abroad. Role: Senior Billing Executive Location: Mumbai (Peddar Road) What You'll Do: Bill Follow-up: Follow up with individual patients and corporate clients to recover pending payments. Coordinate with internal departments (e.g., discharge, TPA, front office) for smooth billing closure. Data Collection & Reporting: Collect, compile, and maintain accurate billing data daily. Generate daily, weekly, and monthly reports related to outstanding bills. Maintain logs of communication with patients/corporates regarding billing issues. CSR Patient Analysis: Track and analyse bills related to Corporate Social Responsibility (CSR) supported patients. Prepare summaries for management and audit purposes. Billing Data Analysis: Perform regular data analysis to identify trends, delays, and discrepancies in billing and collections. Provide insights to support operational decisions and reduce outstanding payments. Assist in preparing MIS reports for the Billing Head and senior management. What We Are Looking For: Bachelors degree in Commerce, Finance, Healthcare Administration, or related field Minimum 23 years of experience in a hospital billing department or similar healthcare setting What We Offer: Competitive salary and benefits package Opportunities for professional development and career growth A collaborative and inclusive work environment
Posted 2 months ago
1.0 - 3.0 years
2 - 5 Lacs
Chennai
Work from Office
CRM Executive / Health Insurance Claims Executive / TPA - Helpdesk / TPA - Executive / TPA - Senior Executive Handling day-to-day servicing requirements of clients in a timely basis to ensure complete customer satisfaction Effectively coordinating between client / insurers for any document collection / handover Effectively coordinating with the TPA for daily service requirements Ensuring that all operational requirements / processes are met as per Company defined TAT Communicating with internal & external stakeholders as needed based on business requirements Accountable for deliverables pertaining to the areas assigned and responsible for results Basic knowledge of insurance / insurance products (EB at the minimum) Good communication skills Good interpersonal skills Proactive attitude for handling customer needs Multi-tasking & prioritizing Attention to detail Time management Willingness to learn Minimum 1 year in handling client relations / Helpdesk Activity in TPA or Insurance Broking Company
Posted 2 months ago
0.0 - 3.0 years
0 - 2 Lacs
Chennai
Work from Office
Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For District Medical Officer!!! - Non Clinical Role Qualification -MBBS-MCI Reg 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
Posted 2 months ago
0.0 - 1.0 years
1 - 2 Lacs
Pune
Work from Office
We are Hiring Doctors for claim processing (Medical Officer ) ACADEMIC & PROFESSIONAL QUALIFICATIONS • BHMS/BAMS/BDS Interested candidates can call on 9371762436 ADDITIONAL SKILLS • Good communication • Familiarity with Computers and interest in learning on the job. KEY RESPONSIBILITIES • Scrutiny of medical documents and adjudication. • Assess the eligibility of medical claims and determine financial outcomes. • Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents Only male candidate required
Posted 2 months ago
2.0 - 4.0 years
3 - 5 Lacs
Jalandhar, Lucknow, Gurugram
Work from Office
Managing CGHS, ECHS, CAPF and ESIC and All Government Portals: Medical file Audit Claim Processing Uploading Query Management Required Candidate profile Mandatory practical experience of government empanelment such as CGHS ECHS ESIC CAPF etc. and medical file audit and processing for Railways, CGHS, ECHS and other govt empanelment's.
Posted 2 months ago
1 - 2 years
1 - 3 Lacs
Bengaluru
Work from Office
Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients Required Skills and Experience Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 2 years in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently. Detail-oriented with a professional and confidential approach.
Posted 2 months ago
18 - 23 years
5 - 8 Lacs
Aurangabad
Work from Office
Hope International Hospital is looking for Nursing Superintendent to join our dynamic team and embark on a rewarding career journey Manage the nursing department and oversee the nursing staff Develop policies and procedures for the nursing department to ensure the highest level of patient care Provide training and education to nursing staff to ensure they have the necessary skills and knowledge to provide quality care Collaborate with other healthcare professionals, such as physicians and therapists, to develop and implement patient care plans Maintain accurate records of patient care and nursing department activities
Posted 2 months ago
- 2 years
1 - 6 Lacs
Pune
Work from Office
Walk-in Date : 24-May-25 Time : 9:00 AM to 2:00 PM Address : COTIVITI INDIA PRIVATE LIMITED Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune - 411006. Job openings at Cotiviti for Clinical Doctors (BAMS/ BHMS/ BPT/ MBBS) for the role of Clinical Analyst. Eligibility Criteria: Qualification - BHMS, BAMS, MBBS, BPT (BDS not eligible) Candidates with prior US Healthcare/ Clinical experience preferred. Good clinical knowledge & experience working in Hospitals (bed side) will be preferred. Non-certified Physicians can apply Good communication skills Must be willing to work in flexible shifts Immediate joiners preferred If the above profile matches your expertise, you can Walk-in for the interview. Pls refer to the above Walk-in details. About Cotiviti: Cotiviti is a leading healthcare solutions and analytics company headquartered in the United States, with more than 10,000 employees in offices across the U.S., Canada, Australia, India, Philippines & Mexico. Cotiviti has been in business for more than two decades (including predecessor companies), and our solutions have been well proven and tested. Our clients are primarily health insurance companies, including U.S. government payers, although healthcare providers, employers, and insurance brokers also use our solutions. In fact, we support almost every major health plan in the U.S. and more than 180 healthcare payers in total. We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and helping our clients discover ways they can improve efficiency and quality. In addition to healthcare, we support the largest and most influential retailers in the industry, including mass merchandisers, across the U.S., Canada, United Kingdom, Europe and Latin America. Our data management recovery audit services have helped them save hundreds of millions of dollars. Thanks & Regards, Kirti Golwalkar Talent Acquisition Team - Cotiviti
Posted 2 months ago
1 - 5 years
4 - 7 Lacs
Kolkata
Work from Office
Job TitleINSURANCE EXECUTIVE Job Code HREQ2017/12/66 --> Job Location Kolkata Experience 1YR -5YRS Gender Male/ Female Job Details URGENTLY LOOKING FOR A CANDIDATE WHO HAVE KNOWLEDGE ABOUT Quotation and issuence of general insurance, claim processing. ELIGIBILITY CRITERIA- ANY GRADUATE. Salary Per Year 1-2.5 LPA Apply Now
Posted 2 months ago
7 - 12 years
3 - 7 Lacs
Mumbai
Work from Office
Role: Closed file review & audit 1-Handling closed / open file review for third party administrator & inhouse claims 2-Recoveries from third party administrator for claims processed with errors 3-Highlight areas of improvement 4-Monthly reports to be published Candidate must have: 1-In-depth knowledge of medical cases with exposure to ailment treatments, policy coverages for OPD/hospitalization/personal accident/ travel claims 2-Good interpersonal skills 3-Must be proactive & effective learner 4- Must have previous experience of Audit 5- Good Analytical, Communication and Negotiation skills 6- Familiar with Basic Microsoft Excel and regulatory changes 7- Minimum 7 years of experience in general insurance Accident & Health claims Qualifications Degree in medicine (BHMS/BAMS/MBBS) At Liberty General Insurance , we create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued, and their growth championed. We have an employee strength of 1200+ spread over a network of 116+ offices in 95+ cities, across 29 states. Our partner network consists of about 5000+ hospitals and more than 4000+ auto service centers. We believe and live by our values every day - Act Responsibly, Be Open, Keep it Simple, Make things better and Put People First. For learning about our key USPs, you can go visit our website. Working with Liberty also provides you an opportunity to experience One Liberty Experience . We create the One Liberty experience through Providing Global exposure to employees by including them in cross country projects that gives them opportunities to work with diverse teams within & outside India. Fosters Diversity, Equity & Inclusion (DEI) to create equitable career opportunities Flexi Working arrangements. If you aspire to grow & build your capabilities to work in a global environment, Liberty is the place for you!
Posted 2 months ago
- 1 years
1 - 5 Lacs
Bengaluru
Work from Office
Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate 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? Property and Casualty Insurance Ability to establish strong client relationship Ability to meet deadlines Ability to perform under pressure Ability to work well in a team Prioritization of workload 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
Posted 2 months ago
- 2 years
1 - 5 Lacs
Bengaluru
Work from Office
Karthika Consulting & Solutions Pvt Ltd is looking for Medical Officer to join our dynamic team and embark on a rewarding career journey Diagnosing and treating patients' illnesses and injuries Creating and maintaining patient medical records Prescribing medication and therapies Ordering and interpreting diagnostic tests Referring patients to specialists as needed Developing and implementing treatment plans Educating patients about their health conditions and treatment options Working closely with patients and their families, as well as other healthcare professionals
Posted 2 months ago
3 - 6 years
3 - 5 Lacs
Mumbai
Work from Office
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
Posted 2 months ago
4 - 9 years
4 - 6 Lacs
Bengaluru
Work from Office
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
Posted 2 months ago
2 - 7 years
6 - 9 Lacs
Pune
Work from Office
The Claims Adjuster manages claims being submitted by TA field locations concerning general liability, auto liability and property claims. This position plays a critical role in collecting evidence/facts, investigating claim allegations, reviewing damages, determining liability, and negotiating with claimants. What you will deliver: 1. Review code and assign claims to diaries as needed. 2. Act as a point of contact for field in investigation and examine and investigate details of claim. 3. Determine required reserves and place on claims in accordance with the delegation of authority. 4. Corresponds with claimant and witnesses, also consult with police, hospital records, and with other experts as part of the claim s investigation and settlement process. 5. Negotiates claims and settlement for claims with required approvals as required by the delegation of authority. 6. Submit claims to TPA per requirements including litigated claims and provide all required documentation to TPA and legal department. 7. Communicate any trends or opportunities for correction at field locations to supervisor or safety and loss prevention personnel. 8. Complete reports or other analysis as directed. 9. Interact with all internal personnel as well as external customers in a manner that is consistent with the Company s mission, vision, values and diversity statement. What you will need to be successful! (Experience and Qualification): Graduate with 2 years of claims or insurance experience. Associate in Claims (AIC) certification or any other related insurance industry experience or designation a plus. 2 years full time claims adjusting experience is preferred. 2 years of experience with investigation or key technical knowledge to provide insight into claims management is a plus. Extremely strong verbal and written communication skills. You will work with: This role works with operation team members in the field. The group will also work closely with our Third-Party Claim Administrator, Treasury Team, Finance Team, and Legal team. This position will also be uniquely positioned to share Safety Related concerns with our HSSE team to bring attention to any Safety Related issues. Why join bp At bp, we support our people to learn and grow in a diverse and challenging environment. We believe that our team is strengthened by diversity. We are committed to fostering an inclusive environment in which everyone is respected and treated fairly. There are many aspects of our employees lives that are meaningful, so we offer benefits to enable your work to fit with your life. These benefits can include flexible working options, a generous paid parental leave policy, and excellent retirement benefits, among others! We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Travel Requirement Negligible travel should be expected with this role Relocation Assistance: This role is eligible for relocation within country Remote Type: This position is not available for remote working Skills:
Posted 2 months ago
2 - 4 years
2 - 5 Lacs
Pune
Work from Office
We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: bachelors degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.
Posted 2 months ago
2 - 4 years
2 - 5 Lacs
Bengaluru
Work from Office
We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: bachelors degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.
Posted 2 months ago
2 - 4 years
2 - 5 Lacs
Mumbai
Work from Office
We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: bachelors degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.
Posted 2 months ago
3 - 4 years
3 - 3 Lacs
Mumbai
Work from Office
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
Posted 2 months ago
- 5 years
1 - 5 Lacs
Pune
Work from Office
Urgent requirement for BHMS/BAMS/BDS/MBBS-Pune (Vadgaonsheri) Freshers/candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and responsibilities: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS/ MBBS graduate. Good Medical & basic computer knowledge Should have completed internship (Provisional /Permanent Registration number is mandatory) Freshers can also apply. Work from office . Interview Timings-11am To 5pm(Monday To Saturday) Venue Details: MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 4th floor, Pune Nagar Road, Vadgaonsheri, Pune 411014
Posted 2 months ago
1 - 2 years
2 - 4 Lacs
Pune
Work from Office
We are Hiring for Assistant Manager HR (Recruitment & Talent Acquisition) Only male candidates required Urgent requirement forAssistant Manager HR (Recruitment & Talent Acquisition) interested candidates can call on 9371762436 Roles and Responsibilities Manage bulk hiring campaigns for healthcare clients, ensuring timely delivery of high-quality candidates. Collaborate with internal teams to ensure seamless onboarding process for new hires. Desired Candidate Profile 1-2 years of experience as Assistant manager(Recruitment & Talent Acquisition) in bulk hiring, mass hiring, or volume hiring. Proven track record of success in managing large-scale recruitment projects within tight deadlines. Strong understanding of healthcare industry trends and regulations (desirable). Excellent communication skills with ability to build strong relationships with clients and internal stakeholders.
Posted 2 months ago
1 - 3 years
1 - 5 Lacs
Hyderabad
Work from Office
Skill required: Retirement Solutions - Customer Service Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? 1+ years of experience in US Retirement Services domain – Defined Contributions – Managing Institutional contributions/ payroll contributions Alternatively, 1+ years experience in payroll processing (preferred) Remittance file management, Incoming contribution management, Payroll file management, Suspense resolution, Client communication (email and phone), Lockbox management Process incoming contributions for assigned clients\transactions. Includes;oManual formatting nonstandard payroll files received (large data), excellent excel skills, data formatting, text to column de-limit. Analytical skills to separate out various contribution sources oSuspense resolution, research and match contributions that don't auto match to a sourceoResolve errors from a remittance file and review reports prior to postingoIndividual contributions - Create deposit TSA/ TPA others, based on contribution received from Lockbox, Wire, ACH, Cheques Communication:Work with plan administrators and Customer Service Management via email and phone for sending Good Order Notices (GON) and or payroll issues oresolve suspense contributions Ensures all items are processed and\or resolved in a time. Supports business in audit processes. Complies with all client policies, procedures, and Federal/State/Local regulations and escalates issues to the management. Perform research on all processing irregularities and drive issues to resolution Strict adherence to non-disclosure of client information by preserving client confidentiality. Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with stipulated time Take active participation in process improvements and automation opportunities. Ensure Quality Control standards that have been set are adhered to. Excellent organizational skills with ability identify and prioritize high value/ aging transactions. Completing assigned responsibilities and projects within timelines What are we looking for? NANA Roles and Responsibilities: Bachelor's degree Experience in the US retirement industry Experience using Omni or any other Record Keeping platform (preferred) Open core Night shifts based on business requirements Good verbal & written communication skills in English Good typing skill and attention to detail. Good time management skills Ability work independently Qualification Any Graduation
Posted 2 months ago
3 - 5 years
2 - 5 Lacs
Hyderabad
Work from Office
Skill required: Retirement Solutions - Customer Service Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? " 4+ years of experience in US Retirement Services domain – Defined Contributions – Managing Institutional contributions/ payroll contributions Alternatively, 3+ years experience in payroll processing (preferred) Remittance file management, Incoming contribution management, Payroll file management, Suspense resolution, Client communication (email and phone), Lockbox management Process incoming contributions for assigned clients\transactions. Includes;oManual formatting nonstandard payroll files received (large data), excellent excel skills, data formatting, text to column de-limit. Analytical skills to separate out various contribution sources oSuspense resolution, research and match contributions that don't auto match to a sourceoResolve errors from a remittance file and review reports prior to postingoIndividual contributions - Create deposit TSA/ TPA others, based on contribution received from Lockbox, Wire, ACH, Cheques Communication:Work with plan administrators and Customer Service Management via email and phone for sending Good Order Notices (GON) and or payroll issues oresolve suspense contributions Ensures all items are processed and\or resolved in a time. Supports business in audit processes. Complies with all client policies, procedures, and Federal/State/Local regulations and escalates issues to the management. Perform research on all processing irregularities and drive issues to resolution Strict adherence to non-disclosure of client information by preserving client confidentiality. Research on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with stipulated time Take active participation in process improvements and automation opportunities." What are we looking for? " Ensure Quality Control standards that have been set are adhered to. Excellent organizational skills with ability identify and prioritize high value/ aging transactions. Completing assigned responsibilities and projects within timelines apart from managing daily BAU." Roles and Responsibilities: " Bachelor's degree Experience in the US retirement industry Experience using Omni or any other Record Keeping platform (preferred) Open core Night shifts based on business requirements Good verbal & written communication skills in English Good typing skill and attention to detail. Good time management skills Ability work independently" Qualification Any Graduation
Posted 2 months ago
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