694 Tpa Jobs - Page 2

Role Overview: You will be responsible for answering customer queries in a positive and effective manner, both via e-mail and over the phone. You will need to identify and assess customers" needs to achieve satisfaction, handle complaints, and provide appropriate solutions within the time limits. Additionally, you will manage end-to-end support for cashless claims processing, including coordination with hospitals, insurance teams, and customers. Guiding customers on claim submission requirements, approvals, and timelines will also be part of your role. Key Responsibilities: - Answer customer queries through email and phone, ensuring a positive customer experience - Identify and assess custom...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years 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 t...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years 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 u...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years 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 u...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years 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 mee...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years 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 mee...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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...

This position will be part of the Quaker Foods or WHS Beverages (Sports & Fitness, Juice+) organizations. This position contributes to the success of the business units by supporting the trade management process, the sales customer team(s) and sales finance team(s). The TPA will work with members of the Field sales customer team(s), Sales Finance, CFS and eventually, the HBS Quaker Trade Admins and/or WHS Bevs Contract Admin teams to achieve sales growth and profit objectives (Volume, Net Revenue, Profit both for PepsiCo and the Customer). This will be achieved through building effective relationships with each of the teams and maintaining planning models in Sales Planner/SAP, editing events...

This position will be part of the Quaker Foods or WHS Beverages (Sports & Fitness, Juice+) organizations. This position contributes to the success of the business units by supporting the trade management process, the sales customer team(s) and sales finance team(s). The TPA will work with members of the Field sales customer team(s), Sales Finance, CFS and eventually, the HBS Quaker Trade Admins and/or WHS Bevs Contract Admin teams to achieve sales growth and profit objectives (Volume, Net Revenue, Profit both for PepsiCo and the Customer). This will be achieved through building effective relationships with each of the teams and maintaining planning models in Sales Planner/SAP, editing events...

Handle cargo claims from first notification to settlement and recovery. Assign and coordinate surveyors for claim investigations. Provide proactive claims support to global customers. Interpret policy wordings, clauses, and exclusions with technical accuracy. Audit claims files and ensure adherence to global claims guidelines. Maintain documentation in the Claims Management System. Participate in ad hoc projects and continuous improvement initiatives. Accountabilities: Deliver exceptional customer service and maintain clear communication. Ensure financial control through accurate reserving and reporting. Align with claims best practices and internal policies.

- Corporate Health insurance sales - B2B Sales - work ex as insurance broker/direct insurance sales - client acquisition and retention

- Corporate Health insurance sales - B2B Sales - work ex as insurance broker/direct insurance sales - client acquisition and retention

- Corporate Health insurance sales - B2B Sales - work ex as insurance broker/direct insurance sales - client acquisition and retention

Focus on Health clients/companies Responsibility of building and maintaining relation with clients. Sales process: lead generation, closing Lead and be accountable for the client proposals, Contracts & documentation following company procedures Required Candidate profile Must have exp. in Corporate helath insurance sales

Job Title: TPA Manager Location: Miri Piri Institute of Medical Science & Research, Shahabad Markanda, Kurukshetra (Haryana) Hospital Strength: 420+ bedded upcoming super-specialty hospital & upcoming medical college (100 MBBS seats) Position Overview We are seeking an experienced and detail-oriented TPA Manager to lead and manage all Third-Party Administrator (TPA), insurance, CGHS, ECHS, and Ayushman cases. The role involves overseeing pre-authorization, billing, claims settlement, and ensuring smooth coordination between patients, TPAs, and hospital departments while maintaining compliance and accuracy. Key Responsibilities Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases....

Role & responsibilities We are looking for an accomplished Doctors with significant ICU experience and a strong ability to manage both clinical and non-clinical responsibilities. The ideal candidate will excel in patient care, clinical documentation, and possess in-depth knowledge of medical documentation essential for insurance claims processing. Key Responsibilities: Patient Documentation: Manage patient medical history and progress notes with precision. Claims Processing: Handle preauthorization and reimbursement claims, including validation and processing. Clinical Records: Maintain accurate clinical documentation in compliance with healthcare standards. Collaboration: Work closely with ...

We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication •Degree in BAMS, BHMS, BSMS, or MBBS (strictly required)

Process & Manage Insurance Claims. Provide support to Policy Holder, to manage & maintain the accurate data. To insure timely settlements of the claims. Co-ordinate with Companies of Insurance & Healthcare providers.

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims 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 emp...

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

Toast is driven by building the restaurant platform that helps restaurants adapt, take control, and get back to what they do best: building the businesses they love. Bready to make a change The Tax Operations team works closely with our clients, agencies, and internal teams such as onboarding, customer care, and banking. Our primary focus is ensuring compliance with US payroll tax filing and deposits for our clients. The Tax Specialist will be responsible for contributing to the day-to-day success of the Tax Operations team. This individual will be responsible for the completion of tasks related to maintaining client tax profiles and ensuring a smooth client experience. In addition, the Tax ...

Medcare Hospitals Medical Centres 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 Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity f...

Want to be part of a UK hub, in a global business that is scaling rapidly, evolving fast and radically changing the decades-old delivery universeIf so, read on, as were looking for an Insurance Manager to join our Finance team! Our missionTo switch up the status quo and become the UKs leading out-of-home business With a fast-growing network of thousands of smart lockers, hundreds of leading retail partners and the launch of our transformative Send service, were bringing freedom to anyone with a parcel, At InPost UK, were building an unparalleled group of talent thats committed to help us power our mission to reshape the way parcels move, and redefine eCommerce logistics Our team is packed fu...

Claims Management: Process, submit, and follow up on insurance claims, resolving discrepancies and denials with insurance providers. Patient Assistance: Educate patients on their insurance coverage and benefits and assist them with understanding their bills and statements. Liaison with Insurers: Serve as a point of contact between the hospital and insurance companies, ensuring proper communication and adherence to policies. Data and Reporting: Maintain accurate patient insurance information in the billing system and prepare reports on billing and insurance activities. Compliance: Ensure adherence to hospital policies and insurance regulations and guidelines Skills: Excellent communication an...