1031 Tpa Jobs - Page 18

Skills should be from Clinical background Ability to understand the insurance claims process ( Domestic) Should be well aware of required treatment procedure to perform the claim adjudications. Required Candidate profile Role : Medical Officer Location : Bellandur , Bangalore Openings: 6 (WFO) Budget : 6 to 8lpa Notice Period : 30 to 45 days Exp : 1.5year

Timings - 10 am - 7 pm. Monday to Saturday Communication - Fluency in speaking and email/whatsapp comms. Verbal proficiency in English and Hindi mandatory. Comms expectation - Interaction with Customers and Partners (TPA/insurers) Required Candidate profile Kindly share the profiles from Indian Insurance background. Preferred TPA - Mediassist, Vidal Health, FHPL, Paramount,MD india Preferred insurers - Acko, Digit, Care, ICICI Role type - claim handler

Timings - 10 am - 7 pm. Monday to Saturday Communication - Fluency in speaking and email/whatsapp comms. Verbal proficiency in English and Hindi mandatory. Comms expectation - Interaction with Customers and Partners (TPA/insurers) Required Candidate profile Kindly share the profiles from Indian Insurance background. Preferred TPA - Mediassist, Vidal Health, FHPL, Paramount,MD india Preferred insurers - Acko, Digit, Care, ICICI Role type - claim handler

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...

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...

Who We Are MassMutual India A career with us means you will work alongside exceptional people and be empowered to reach your professional and personal goals. Our employees are the foundation of what makes MassMutual a strong, stable, and ethical business. We seek and value unique and varied perspectives and experiences because we believe we are stronger when all voices are heard. We invite you to bring your bright, innovative ideas to MassMutual as we continue to help millions of Americans rely on each other. Together, we re stronger. Job Description Attached Job Description Financial Calculations, Consultant (IC- Assistant Manager) Join our dynamic and rapidly growing Pension Risk Transfer ...

Vidal is hiring for Manager role in CRM Client Servicing Job Title : 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 reports to Insuranc...

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...

A hospital billing executive manages a healthcare facility's billing operations, focusing on accurate claim submission, patient invoicing, and insurance coordination to ensure timely payments and regulatory compliance . Key duties include patient registration, medical coding (ICD-10/CPT), submitting insurance claims, resolving payment discrepancies, and maintaining patient billing records. This role requires strong attention to detail, proficiency with medical billing software, knowledge of healthcare regulations, and excellent communication skills to work with patients, insurance providers, and hospital staff. Role & responsibilities **Healthcare Experience is Must. PMC Card preparation &vi...

Role & responsibilities . Support hospital insurance patients with clear, timely claim updates. Review documentation for smooth claim approvals. Educate patients on claim deductions and reimbursement processes. Raise awareness about pre- and post-hospitalization claims. Address grievances and ensure smooth communication with internal teams. Skills & Qualifications: 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.

Prepare and submit clean claims (electronic & paper) to insurance companies within specified timelines. Verify claim accuracy, coding, modifiers, and patient/payer details before submission. Ability to work in US Shift Timings (Night Shift).

Apex Insurance Broking is looking for Claims Manager - Corporate Claims to join our dynamic team and embark on a rewarding career journey Oversee the claims processing department and ensure timely settlements. Verify and validate claims documentation and eligibility. Handle complex or disputed claims and resolve issues efficiently. Coordinate with other departments for claim investigations. Train and guide claim processors to maintain accuracy and efficiency.

Shalby Hospital is looking for Senior Manager Corporate Development 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 employees respect this strategy...

Job Purpose To assist the Marketing head to execute the Marketing strategy to achieve the sales Target and maximize the sales realization in all regions along with taking care of export related functions, Co-coordinating and provide necessary support to RO s and agent in achieving their sales Target. Job Context Major Challenges Job Context: The Noble Ferro Alloys Division, established in 1980, is India s largest producers of noble Ferro alloys. Its plant located at Vapi, a major industrial hub in Gujarat, is ISO 9001, ISO 14001, OHSAS 18001 certified. Current plant capacities include 1200 TPA of Ferro Molybdenum, 600 TPA of Ferro Vanadium and 1200 TPA of Ferro Titanium. Major products of th...

Interested candidate can share their CV at resumes@miracleshealth.com or call at 7678254255

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com

JOB OVERVIEW: As a member of the Finance Solutions UAT team, this role participates in Finance-specific as well as Company-driven projects. This role is involved in the User Acceptance Testing (UAT) of technical system changes and supports the delivery of technical projects impacting the Accounting & Reporting (A&R) and Finance Factory teams. The person in the role participates in: understanding the requirements or changes, conducting user acceptance testing, and implementing new processes for handover to the BAU (Business As Usual) teams. RESPONSIBILITIES: Responsibilities will include, but are not limited to, the following: Technical System Projects: The priority of this role will be Finan...

About the Role: The Associate Field Biologist/Field Biologist/Sr. Field Biologist shall be responsible for Pest Audits of Branch Large / HD Customers (having Third-party Audits- USFDA, AIB, BRC, FSSC, SQF, LEED, etc), Key national customers in various segments - Food & Pharma Mfg, w/h, Large food retailers (excluding QSRs, Fast food chains), Large ITES & MA s, etc. The incumbent will report administratively to the DM & functionally to Opex QA and work as a part of the multi-functional team involving collaboration with the internal & external stakeholders. Job Responsibilities: Carry out Pest Audits of Global accounts, Key designated NK accounts- Food & Pharma units, Food & Pharma warehouses,...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-5 years WORK FROM OFFICE ONLY. Job description : Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing ...

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 - sarika.pallap@mediassist.in Thanks & Regards Whatsapp : 8792840500

Health claim processing for insurance company like ICICI Lombard , cashless and reimbursement, claim adjudication as per policy T and C

About the Role: The Associate Field Biologist/Field Biologist/Sr. Field Biologist shall be responsible for Pest Audits of Branch Large / HD Customers (having Third-party Audits- USFDA, AIB, BRC, FSSC, SQF, LEED, etc), Key national customers in various segments - Food & Pharma Mfg, w/h, Large food retailers (excluding QSRs, Fast food chains), Large ITES & MA s, etc. The incumbent will report administratively to the DM & functionally to Opex QA and work as a part of the multi-functional team involving collaboration with the internal & external stakeholders. Job Responsibilities: Carry out Pest Audits of Global accounts, Key designated NK accounts- Food & Pharma units, Food & Pharma warehouses,...

Job Description: We are seeking a dedicated and empathetic individual to join our team as a Patient Relations Specialist. In this role, you will be the primary point of contact for patients, assisting them in understanding the terms and conditions of their health insurance policies. Additionally, you will be responsible for facilitating the reimbursement process by accurately filing reimbursement forms on behalf of the patients. Responsibilities: Interact with patients to provide clear explanations of their health insurance policy terms and conditions. Assist patients in understanding coverage details, including copayments, deductibles, and benefits. Guide patients through the reimbursement ...

JOB DESCRIPTION Designation: Method validation Expert Job Location: Bangalore Department: Analytical Method Validation and Special Instrumentation About Syngene About Syngene At Syngene, Safety is at the heart of everything we do personally and professionally. Syngene has placed safety at par with business performance with shared responsibility and accountability, including following safety guidelines, procedures, and sops, in letter and spirit Mandatory expectation for all roles as per Syngene safety guidelines Overall adherence to safe practices and procedures of oneself and the teams aligned Contributing to development of procedures, practices and systems that ensures safe operations and ...

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...