1031 Tpa Jobs - Page 19

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...

Seek and acquire new working relationships with Insurer main office & their associated branches Travel to underwriting offices to develop partner relationships and drive better prices on EB products Analyze and identify gaps in existing quote requests to optimize pricing on large insurance deals Suggest better terms and negotiate with insurers directly to support our placements analysts Contribute to our overall Sales & Growth engagement strategy with Insurers and TPAs Interact with the Sales and retention team, help analyze claims, policies, and negotiate better quotes from insurers Contribute to special projects with Sales Head, Pricing Head, CEO, CRO, and COO Share pricing insights and be...

About the Role: At Loop, we re fundamentally rethinking healthcare to empower people to live longer, healthier lives. Our design team is looking for a Senior UX Researcher to help shape the future of care and insurance products at Loop. What You Will Be Doing: Conduct user studies using a variety of methods interviews, participatory design, digital ethnography, service safaris, etc. Facilitate rapidly iterative prototype testing, focusing both on usefulness and usability Capture and share findings and insights in the form of rich artefacts journey maps, experience maps, personas, stories, scenarios, etc. Create a shared understanding of the people we re serving by facilitating workshops with...

Key Responsibilities: Build and maintain strong relationships with partner insurers and TPAs Act as the primary point of contact for insurers regarding endorsements and operational queries. Ensure timely processing of endorsements and track pending cases to closure. Collaborate with internal teams to provide insurers with all necessary documentation and information. Monitor key performance metrics for endorsements (e.g., turnaround times, error rates). Propose and implement process improvements to enhance efficiency. Lead a small team of Insurer relationship Managers and managing their workflow Provide regular updates to leadership on endorsement status and insurer performance. Prepare and s...

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...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

Job Descriptions: 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 claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny the cla...

Job Descriptions: 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 claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny the cla...

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Perform routine payroll tax profile audits of existing clients to ensure accuracy Processes payroll corrections to prepare for amendments and communicates summaries of the corrections to clients Completes monthly New Hire Reporting to state agencies Assists in monthly, quarterly and annual tax filing audits Communicates with clients regarding missing or invalid account information Maintain individual performance to meet established team goals and OKRs Obtain accurate tax jurisdiction account information to ensure timely filing and payment of payroll tax obligations Participate in various processes and initiatives to ensure accurate payments and filings of client taxes Do you have the right i...

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...

Responsible to ensure quality of service given is equivalent to the set standards. Responsible to maintain payable status at its minimum; close follow up on critical issues. Random checking of bills in terms of their accuracy and make sure the corporate bills are prepared as per the agreements and prompt dispatch of the same with the help of credit cell. Responsible to record department MIS reports and submission of the same to higher authority Responsible to monitor the surgical package limits in terms of material consumption and professional charges. Systems & Procedures: Responsible to design, implement and refine systems to manage processes and to optimize performance. Responsible to dev...

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...

We are looking for candidates with experience in Voice processing for International Call centre with excellent communication skills in English. The role is completely on calls and the candidates will receive phone calls and emails for the same. The shift is Rotational shift (Both day and night). The candidate should have experience in insurance company.

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...

Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For District Medical Officer!!! - Non Clinical Role Qualification - MBBS NON MCI/BDS Experience - 0 to 1 Year Job Location - Thoothukudi,Tenkasi,Tirunelveli,Cuddalore,pondichery,Kallakurichi 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. ...

Fortis Hospital Mohali is hiring Head TPA on urgent basis, interested candidates can share resume at baljinder.singh@fortishealthcare.com immediate joiner will be given preferance

Ensure the invoice is done without any delay Also, need to ensure that the Invoice is submitted to the respective payers on time Payment follow-up religiously and ensure that the DSO is maintained as per the credit terms signed during empanelment Handling queries Working closely with the branch TPA coordinator to track the claim submission. Also should be strong in data analysis only then he can have control of the aging of the payers Ensure timely reports to the Corporate office Need to work on Target and achieve the same month on month. Reporting loss of revenue leakage Interested Candidate can send their CVs on 9712687709 or email on mariya.a@dragarwal.com

3 posts TPA Manager 3-4 yrs exp in Billing, liaison with insurance cos Salary 35-40 K HR Manager 4-5 yrs of exp in managing HR dept (female) Salary 20-22 K Camp Organizer 2-4 yrs of exp in organizing the medical camp in city & village Salary 25-30 K Required Candidate profile TPA and Coordinator: Good communication skills, Should be able to communicate and coordinate, outdoor activities HR: Employee data management, salary payroll, recruitment Email: ak@azutiservices.com

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

Role & responsibilities Processing of pre-authorization/cashless claim. Maintain processing TAT for pre-auth/cashless claim Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data Must have previous experience of conducting audit, sampling and preparing reports Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim. Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment. Preferred candidate profile Any Medical degree (Mandatory) Good communication skills Ability to multi-task Good interpersonal skills Should know internal systems Goo...

Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For Medical Officer!!! - Non Clinical Role,Immediate Joiners Preferred Qualification -BDS Experience - 0 to 1 Year Job Location - Kilpauk,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 th...

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 PMC Card preparation &visit to PMC weekly for fund alloca...