Get alerts for new jobs matching your selected skills, preferred locations, and experience range. Manage Job Alerts
1.0 - 5.0 years
1 - 3 Lacs
Bengaluru
Work from Office
Role & responsibilities An IP Billing professional, whether an executive or staff member, is primarily responsible for managing and processing billing activities related to intellectual property (IP) or inpatient (IP) services . This involves maintaining accurate records, generating invoices, ensuring timely payments, and handling billing inquiries. They also play a crucial role in ensuring compliance with relevant regulations and collaborating with other teams, such as finance and legal, to streamline processes. Preferred candidate profile A strong candidate for an IP billing role, particularly within a hospital setting, should possess a blend of financial and administrative skills, along with a solid understanding of healthcare billing processes . Key requirements include a degree in finance, accounting, or a related field, experience in billing or insurance verification, and strong numerical and analytical abilities. Familiarity with billing software, hospital information systems, and relevant regulations (like HIPAA) is also essential.
Posted 1 week ago
2.0 - 6.0 years
0 Lacs
maharashtra
On-site
You will be responsible for processing claims, including preauthorization and reimbursement claims, in a timely manner. Your role will involve validating and processing these claims within the specified turnaround time. It is essential to possess good communication skills and medical knowledge for this position. Previous experience with Third Party Administrators (TPA) will be considered an advantage. Your primary financial responsibility will be to ensure that the organization incurs no financial implications during the settlement of claims. As a Medical Officer, you are required to have a strong foundation in clinical, TPA, and medical knowledge with an insurance background. The minimum educational qualification for this role is MBBS. This is a full-time position based in Mumbai, specifically at either the Worli or Marol location. The working hours are during the general shift. Please note that this role requires you to work from the office; remote work arrangements are not available. If you are looking for a challenging opportunity where you can utilize your medical expertise in claims processing, this role could be an ideal fit for you.,
Posted 1 week ago
0.0 - 5.0 years
5 - 10 Lacs
Mohali
Work from Office
Walk-in Drive For Clinical Doctors at Cotiviti, Mohali Walkin Date : 31st July & 1st August 2025 Walkin Timing: 9:00AM TO 1:00 PM Interview Address: SANDAL SUITES, Assotech Business Cresterra, 22, Noida-Greater Noida Expy, INFOSPACE, Sector 135, Noida, Uttar Pradesh 201301 Eligibility Criteria: Education: BHMS, BAMS, BPT, BUMS, MPT, MBBS Candidates with prior US Healthcare or Clinical exp will be preferred. (Freshers/Candidates with 1-3 Years of exp) Good team player with strong interpersonal skills and high integrity. Should be ready to work in rotational shifts including night shifts. Should be ready to work from office. Job Location: Mohali, Punjab
Posted 1 week ago
3.0 - 4.0 years
5 - 6 Lacs
Jaipur
Work from Office
About Rentokil PCI About the Role: The Operations Manager shall be responsible for the entire Operations of the Branch and will manage all the operations colleagues directly (Technicians, Service Planners, OE, AOM). The JD lists down duties and responsibilities of Operations Manager to be positioned in Large Branches. The incumbent will report to the Branch Manager and will have to work as part of a multi-functional team and this involves collaboration with the internal team and external stakeholders. Job Responsibilities: Core Operations Ensure only qualified (trained & certified) and competent manpower (Technicians, OE, planner) are assigned jobs & deployed at site. Coach & train OEs & AOM in order to improve their Technical & operational capability. Ensure service SOP compliance and quality of service delivery by effective supervision of Team - on the job as per company SOPs Ensure compliance with the contractual obligations of NKA clients are Conduct Pest Audit of NKA and close customer audit non-conformities Ensure the Operations Team completes Pest audit as per iCABs/contract agreement using rAuditor, and closes customer audit non-conformities (external / internal) Conduct daily & weekly review meeting of OEs/AOM and monthly operations meeting with Technicians Approval of conveyance amount for all the AOMs Ensure customer complaints are attended within 24 hours & resolved with reduction in escalation. In case any of the Operations colleagues are on leave or position is vacant, should ensure entries are made in iCABS to achieve operations KPI of Branch. Advance Operations Succession planning: Ensure availability of qualified Technician, OEs, SP, AOM as per branch business plan to meet new sales as per sales forecast. Ensure SHE golden rule, PN, SRA and ATEX compliance in the Branch. Monitor and maintain material consumption, Overtime Hrs. as per Branchs AOP target OM to monitor and ensure daily chemical consumptions are updated in NAV by respective team members and before month closing confirm Physical stock and NAV stock are matching. Maintaining Optimum Stock Level and Ensuring Indents are raised after checking requirement and stock. Track, Monitor and ensure input costs at all major sites as per gross margin agreed & implement action plans to bring it within limits in Branch Actively drive Service & Product Leads and ensure Branchs AOP targets are met Surprise visits to KA and NKA to ensure compliance with the contractual agreement and support Technicians and OEs Analyse service complaints, prepare action plan, guide OEs/AOMs to ensure AOP targets are met Inventory: analyse material consumption and optimise consumption- prepare action plan, guide OEs/AOMs to ensure AOP targets are met Ensure strict implementation of Service SOPs, SHE golden rules, SRA, PN and use of Approved Preparations List products. Identify & resolve Service delivery issues in coordination with the Branch Manager Provide technical and operational support to OEs and AOM Ensure termination notifications are attended effectively and promptly. Analyse and take appropriate actions in case of any deviation that could impact service quality or productivity of technicians like- overcommitments, recommendation regarding night service (if it is not needed), covered area mismatch, etc Monitor and drive SOS, service productivity and efficiency Monitor and ensure 100% PMI audits are completed as contract agreement. Monitor Branchs SCP usages and Active devices. Ensure that the usage is always about 95% & active device count is always 100%. Analyses visit extraction notes for all high infestation related service visits on daily basis & take action Ensure that the services of NKA are delivered through the certified technicians & with SCP only. This is MANDATORY Ensure Branch CVC scores as per target and increase in promoters numbers based on resolution of grievances of detractors/passive Visit customers (along with OEs, AOM) and help resolve issues highlighted by customers/OE/AOM. Ensure the team adheres to the safety guidelines and conducts SRAs as per the set process Coach and motivate Technician by route riding through OE/OM for quality service Lead generation. Also guide how to conduct techno commercial audit by analysing the suitable need at the customers site. Key Result Areas: ToS improvement- 60-75% (as per branch AoP target) Manpower Management: 100% availability of qualified Technician, planner, OEs and AOM as per business plan Delivered MTD SOS >95% and Technicians productivity - R/FTE, Visit/FTE as per branch AOP targets Complaint management: Ensure reduction in Call Outs and increase CVC score as per AOP targets Manage material consumption with improved Branch monitoring and Optimise the material consumption by implementing innovation as per branch AOP targets. 100% TPA and Development plan based Technicians grading Ensure 100% usage of SCP devices & all devices are active throughout the year in respective branch Deliver budgeted Service Leads and encourage & motivate technicians to submit the Service Leads as per AOP target Retain & grow existing customers to improve Customer Retention as per AOP target 100% PMI target as per iCABs are achieved of the branch as per contract agreements myR Usage for customer reviews, trend analysis & going paperless Self learning and development- Above 90% score in online assessment. Deliver agreed SHE Plan- LTAR Target | WDLR Target Educational Qualification / Other Requirement: Minimum B. Sc. (Chemistry / Zoology / Agriculture) 3-4 yrs of experience in operations of pest management or service industry is desirable Profi
Posted 1 week ago
2.0 - 3.0 years
1 - 4 Lacs
Surat
Work from Office
You would be responsible for managing the end-to-end claims process for clients, ensuring seamless handling from claim intimation to settlement follow-ups. You will be the key point of contact for clients and AMCs regarding claim processes. You should be strategic and detail-oriented, ensuring timely documentation, filing, and resolution of claims while also contributing to business growth through lead generation and upselling. Requirements You have a bachelors degree in administration, commerce, or a related field. 2-3 years of hands-on experience in insurance claims processing. Ability to communicate correctly and clearly with all customers. Maintain a positive attitude with a focus on customer satisfaction. Documentation and organizational skills.
Posted 1 week ago
1.0 - 5.0 years
0 - 2 Lacs
Pune
Work from Office
Hiring for the position of Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. Skill Required : Excellent Communication Skills. Familiarity with Excel, Power Point, Word and an ability and interest in learning on the job. Candidates from TPA industry will be considered for the requirement. Interested candidates can share their updated resume to ta4@mdindia.com
Posted 1 week ago
0.0 - 1.0 years
1 - 3 Lacs
Amritsar
Work from Office
JD Coordinate with teams & hospitals on reconciliations Prepare monthly MIS reports Reconcile payments Manage reconciliation process from start to finish Must know about Government panels like ,Government railways and Ayushman Bharat Provident fund Annual bonus
Posted 1 week ago
2.0 - 4.0 years
2 - 3 Lacs
Jaipur
Work from Office
Vidal is hiring for claim Processor Designation: Executive-Claims Location: Gurgaon, Key Responsibilities: Review and validate claim documents submitted by hospitals or insured members Scrutinize medical records and bills for completeness and accuracy Apply policy terms, conditions, and exclusions to adjudicate claims Perform ICD and procedure coding as per ailment and treatment Coordinate with medical officers for clinical opinion when required Maintain claim logs and update CRM systems with claim status Ensure adherence to defined SLAs and minimize processing errors Flag suspicious or potentially fraudulent claims for investigation Communicate with stakeholders for clarifications or missing documents Support audit and compliance teams with documentation and reports Shortfalls & Queries Required Skills & Competencies: Strong understanding of health insurance policies and TPA workflows Familiarity with medical terminology and coding (ICD, CPT) Attention to detail and analytical thinking Proficiency in claims processing software and MS Office tools Good written and verbal communication skills Ability to manage high volumes under pressure Commitment to confidentiality and data protection norms Qualifications & Experience: Graduate in any discipline (preferably life sciences or healthcare) 1-3 years of experience in claims processing within a TPA or insurer
Posted 1 week ago
5.0 - 10.0 years
5 - 9 Lacs
Mumbai
Work from Office
Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.
Posted 1 week ago
2.0 - 5.0 years
2 - 3 Lacs
Vadodara
Work from Office
Job Title: Operations - Investigations Job Role : Team Leader Minimum Mandatory Qualification : Graduate Experience :2-5 Years of experience in investigation Mandatory Skill : Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job : Generic job profile includes document processing, data entry process, maintaining trackers, escalate issues as required within organization and follow up to ensure timely resolution . Profile Desired Competencies/ Skill Set : Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry : Health Insurance/ Healthcare/ TPA/ BFSI
Posted 1 week ago
2.0 - 5.0 years
2 - 3 Lacs
Jalgaon, Pune, Surat
Work from Office
Job Title: Operations - Investigations Job Role : Team Leader Minimum Mandatory Qualification : Graduate Experience :2-5 Years of experience in investigation Mandatory Skill : Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job : Generic job profile includes document processing, data entry process, maintaining trackers, escalate issues as required within organization and follow up to ensure timely resolution . Profile Desired Competencies/ Skill Set : Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry : Health Insurance/ Healthcare/ TPA/ BFSI
Posted 1 week ago
2.0 - 5.0 years
2 - 3 Lacs
Nagpur, Nashik, Mumbai (All Areas)
Work from Office
Job Title: Operations - Investigations Job Role : Team Leader Minimum Mandatory Qualification : Graduate Experience :2-5 Years of experience in investigation Mandatory Skill : Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job : Generic job profile includes document processing, data entry process, maintaining trackers, escalate issues as required within organization and follow up to ensure timely resolution . Profile Desired Competencies/ Skill Set : Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry : Health Insurance/ Healthcare/ TPA/ BFSI
Posted 1 week ago
2.0 - 5.0 years
2 - 3 Lacs
Kochi, Kolkata, Hyderabad
Work from Office
Job Title: Operations - Investigations Job Role : Team Leader Minimum Mandatory Qualification : Graduate Experience :2-5 Years of experience in investigation Mandatory Skill : Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job : Generic job profile includes document processing, data entry process, maintaining trackers, escalate issues as required within organization and follow up to ensure timely resolution . Profile Desired Competencies/ Skill Set : Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry : Health Insurance/ Healthcare/ TPA/ BFSI
Posted 1 week ago
2.0 - 5.0 years
2 - 3 Lacs
Ahmedabad, Chennai, Bengaluru
Work from Office
Job Title: Operations - Investigations Job Role : Team Leader Minimum Mandatory Qualification : Graduate Experience :2-5 Years of experience in investigation Mandatory Skill : Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job : Generic job profile includes document processing, data entry process, maintaining trackers, escalate issues as required within organization and follow up to ensure timely resolution . Profile Desired Competencies/ Skill Set : Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry : Health Insurance/ Healthcare/ TPA/ BFSI
Posted 1 week ago
2.0 - 5.0 years
3 - 5 Lacs
Greater Noida
Work from Office
Job Title: Operations - Investigations Job Role : Team Leader Minimum Mandatory Qualification : Graduate Experience :2-5 Years of experience in investigation Mandatory Skill : Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job : Generic job profile includes document processing, data entry process, maintaining trackers, escalate issues as required within organization and follow up to ensure timely resolution . Profile Desired Competencies/ Skill Set : Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry : Health Insurance/ Healthcare/ TPA/ BFSI
Posted 1 week ago
0.0 - 5.0 years
5 - 8 Lacs
Guwahati
Work from Office
Operations Executive is responsible to manage assigned Service area & team of minimum 15 technicians to achieve targeted SOS of his territory and Productivity with Quality & timely execution of service as per schedule. By maintaining the required skill of team up to date as per Technical Training Structure of RPCI . The person will report to the Assistant Branch Manager/Branch Manager. The incumbent will have to work as part of a multi-functional team and this involves collaboration with the internal team and external stakeholders. Responsible to achieve targeted SOS, technician s productivity, ToS, material consumption, complaint management, TPA/SQA, customer visits, Absenteeism & OT, Service leads- submissions & conversions, Technician & Customer retention Hands on Training of technicians and Supervisors on the job & utilize U+ for such activities Arrange & support ABM/BMs, DMs for Pest Awareness Programs at Customers (and conduct PAP (Pest Awareness Program) for shop floor staffs only) Ensure safety in operations and at site, E shall be owner of his / her service area in terms of all operations related actions and shall Execute daily service operations with a team of assigned Technicians within a given service areas Ensure quality of service delivery by effective supervision on technicians - on the job as per company SOPs.Ensure technicians carry out treatment within a given Time on Site (ToS) in a competent manner. (OE to engage technician via route riding, training on the job). Job Responsibilities: Business Development (Sales) Get business as per the approved business plan of the branch Responsible for sales promotion activities in the assigned territory Ensure all Sales KPIs are achieved month on month Identify and follow-up with prospective customers and respond to enquiry calls within specific time period Maximise conversion of enquiries into orders Ensure renewals in line with Company Expectations Keep a close eye on the developments & business opportunities in the assigned territory Prepare MPG and ensure it s updated regularly Customer Service Ensure the quality of service delivery Maintain good liaison with the customers Prepare reports & submit the same on time to the customers Attend to complaints & participate in logically concluding them along with Operations and Back office whenever required Conduct detailed inspection & SRA at clients site Prepare quotations for the customers through the system Give report of customer feedback to the Branch Manager and collection of Appreciation Letter from RBU/CBU customers Set correct Customer expectations with respect to the pest management Ensure that the correct information of the customer like, email address, 2 contact numbers & address with landmark are captured Sell the visits as per iCABS frequencies so that the Annual Template Calendars can be set for timely service delivery by the service planners Share & explain the cost sheet to operations along with details of material to be used. Also share customer expectation with operations before service delivery Ensure all the sales are delivered after being visible in iCABS for planning & execution via Service Companion. Timely punching of new sales in SRA so that sufficient lead time should be give to planners to execute the services.Service Scheduling is done in consultation with Service Planners. No commitment to customer on service scheduling Administration & Accounts Ensure timely submission of invoices & getting the necessary acknowledgements wherever necessary Follow-up for the timely and correct invoicing by the back office Share the costings and customer expectation with operations before service delivery Ensure all the collections gets deposited to back office within 24 hours Review daily collection & billing with back office department Maintaining Systems and MIS Ensure the required systems related to sales are updated on timely basis. Prepare Daily and Monthly Sales Report Maintain Database of customers Key Result Areas: Business Development (Sales) Develop new business opportunities & Upselling Opportunities Renewals (if assigned) Calls/ Survey / Quotations/ PDSA as per Regional plan Collection & DSO Customer Service Timely Invoice Submission Competencies (Skills essential to the role): Good Interpersonal & Networking Skills Ability to communicate effectively Ability to negotiate with the clients
Posted 1 week ago
1.0 - 6.0 years
3 - 8 Lacs
Gurugram
Work from Office
Responsibilities- 1. You will have the responsibility of taking complete ownership of postpayment cases assigned to you and to ensure smooth customer experience. 2. You will need to connect with the customers (call and e-mail) who havepurchased Insurance products and update them about the further process andpending requirements- collection and verification of all the documents,scheduling medicals, retention, etc 3. You will also work with different stakeholders of various Insurers (likebusiness spoc, medical TPAs, insurer ops, underwriters etc.) to get theallocated cases issued. 4. You will have to achieve monthly issuance targets at less TAT and high FTRrate. 5. You will have to work with Insurers to improve the process so as to improvethe Issuance rate, reduce TAT and increase FTR Requirements Skill Set Required: 1. You must have effective written and oral communication skills. 2. You must have basic understanding of decision making and underwriting ofInsurance products 3. You must enjoy assisting customers and pacifying difficult conversations. 4. You must be good at stakeholder management in order to process the allocatedcases. 5. You must have at least 01 year experience in Term Insurance 6. You must have basic computer and excel skills
Posted 1 week ago
3.0 - 7.0 years
3 - 8 Lacs
Kolkata, Pune, Mumbai (All Areas)
Work from Office
Position : Operations - Investigation Brief Job Profile : Claims adjudication, fraud and leakage control, client/provider feedback, team training and retention, Investigation Career Level : Medical Officer/ Deputy Manager/ Manager Medical Graduate Minimum Mandatory Qualification : BAMS, BHMS, BDS, For Manager MBBS (Preferred) Experience (in years) : 3 - 7 years of experience in investigation Minimum Mandatory Skill Set : Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Desired Competencies/ Skill Set : MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry : Health Insurance, TPA, Hospitals, Healthcare
Posted 1 week ago
3.0 - 7.0 years
3 - 8 Lacs
Greater Noida
Work from Office
Position : Operations - Investigation Brief Job Profile : Claims adjudication, fraud and leakage control, client/provider feedback, team training and retention, Investigation Career Level : Medical Officer/ Deputy Manager/ Manager Medical Graduate Minimum Mandatory Qualification : BAMS, BHMS, BDS, For Manager MBBS (Preferred) Experience (in years) : 3 - 7 years of experience in investigation Minimum Mandatory Skill Set : Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Desired Competencies/ Skill Set : MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry : Health Insurance, TPA, Hospitals, Healthcare
Posted 1 week ago
3.0 - 7.0 years
3 - 8 Lacs
Ahmedabad, Chennai
Work from Office
Position : Operations - Investigation Brief Job Profile : Claims adjudication, fraud and leakage control, client/provider feedback, team training and retention, Investigation Career Level : Medical Officer/ Deputy Manager/ Manager Medical Graduate Minimum Mandatory Qualification : BAMS, BHMS, BDS, For Manager MBBS (Preferred) Experience (in years) : 3 - 7 years of experience in investigation Minimum Mandatory Skill Set : Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Desired Competencies/ Skill Set : MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry : Health Insurance, TPA, Hospitals, Healthcare
Posted 1 week ago
1.0 - 6.0 years
2 - 6 Lacs
Bengaluru
Work from Office
Role & responsibilities 1. To maintain & strengthen the existing relations with TPAs/Corporate/PSU’s 2. Signing up with new TPA’s ,Corporate & PSU’s 3. Trouble shooting 4. Arranging activities at corporate & PSU’s by the way of Camps awareness programmes, Poster campaigns, Standard display. 5. Organizing CME’s for corporate doctors 6. Co-ordinate between Clients, Insurance, Helpdesk & Doctors in the system for patients seamless treatment 7. Keeping tab on competitors & their promotional activities.
Posted 1 week ago
1.0 - 6.0 years
1 - 2 Lacs
Chennai
Work from Office
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 MIS systems with accurate information. Required Candidate Profile: Any Graduate with 14 years of experience in hospital insurance. Pleasant personality with good communication and interpersonal skills. Basic computer proficiency and familiarity with hospital billing/TPA processes. Ability to work in a fast-paced hospital environment. Interested candidates please forward your resume to the below mentioned contact number Thanks & Regards, HR Team- 7299052617. Miot International.
Posted 1 week ago
0.0 - 1.0 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 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 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 Communication SkillsTeamwork & CollaborationProblem-Solving & Critical ThinkingAdaptability & Willingness to LearnTime Management & Organization 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 1 week ago
0.0 - 5.0 years
0 - 2 Lacs
Pune
Work from Office
Hiring for the position of Sr. Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. Skill Required : Excellent Communication Skills. Familiarity with Excel, Power Point, Word and an ability and interest in learning on the job. Candidates from TPA industry will be considered for the requirement. Interested candidates can share their updated resume to recrutiment1@mdindia.com
Posted 1 week ago
2.0 - 7.0 years
3 - 5 Lacs
Ghaziabad
Work from Office
Role & responsibilities • To be responsible for maintaining TPA Processing of cashless and all post discharge health insurance claims. • To be responsible to maintain overall TAT entry to exit. • TPA query reply and preauthorisation follow up with insurance company / tpa. • Medical scrutiny and medical opinion for health insurance claims. • Efficient in claim adjudication and claim processing. • Maintaining and ensuring Standard Operating Procedures and protocols. • To be responsible for keeping record for all correspondence done for TPA. • Post discharge reconciliation for utilization of claims. • Timely reply to internal TPA complaint portal. • TPA discharge follow up and closure. • Mmaintenance of departmental records as per the NABH requirement. • Effective utilization of hospital information system, MIS generation of TPA patients. • To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective. • To participate in training programs to maintain and update your professional knowledge. • To achieve high levels of customer satisfaction at each interaction. • Any task assigned to you by your HOD from time to time. Preferred candidate profile Accuracy in invoicing / billing • Demonstrated ability to maintain confidentiality • Service Excellence • Active participation in all departmental training and development activities. • Active participation in Inventory Management. Min 2 Years of relevant experience in TPA Must be Graduate
Posted 1 week ago
Upload Resume
Drag or click to upload
Your data is secure with us, protected by advanced encryption.
Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.
We have sent an OTP to your contact. Please enter it below to verify.
Accenture
39581 Jobs | Dublin
Wipro
19070 Jobs | Bengaluru
Accenture in India
14409 Jobs | Dublin 2
EY
14248 Jobs | London
Uplers
10536 Jobs | Ahmedabad
Amazon
10262 Jobs | Seattle,WA
IBM
9120 Jobs | Armonk
Oracle
8925 Jobs | Redwood City
Capgemini
7500 Jobs | Paris,France
Virtusa
7132 Jobs | Southborough