1031 Tpa Jobs - Page 23

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...

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...

Role & responsibilities . To interact with hospital insurance patients. Create WhatsApp groups to provide/share information. Collecting necessary documents from Patient /Hospital. Coordinate with internal medical and Ops team for initial approval. Cross checking the files before sharing with the approval team. Educating patients about deduction. To create awareness about reimbursement claims. ( Pre & Post Hospitalization ) Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the ...

Job Title : Claim Processor Open Positions: 2 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications : Degree in M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS . Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing expe...

Roles and Responsibilities Department: Cashless & TPA Designation: Executive-Cashless & TPA JOB RESPONSIBILITY 1. Need to reach Hospital on Time and cross check the cleanliness of Cashless & TPA room, need to check proper working condition of internet, PC, Printers, Telephone Lines. 2. Should have an updated list of all TPA & Govt PSU on panel with updated MOU & Rate list as per agreed tariff, Email ID with Contact Number of costumer care and TPA Coordinator. 3. Should have proper knowledge of all the documents required for cashless approval, Preauthorization form, claim form and process like RSBY, BSBY, ECSH, CGHS. 4. Should handle entire billing part and documentation. 5. Should fill the a...

Job Title : CRM Manager TPA Industry Industry : Health Insurance / Third Party Administration Role Objective To lead and optimize the organizations CRM strategy, ensuring seamless client interactions, data integrity, and service delivery across health insurance workflows. The CRM Manager acts as a bridge between technology, client servicing, and operational teams to enhance customer satisfaction and retention. Key Responsibilities Functional Area RM Strategy & Execution - Design and implement CRM strategies aligned with business goals - Drive customer engagement, retention, and satisfaction initiatives -Working at L3 Level in Client Servicing Client Data Management - Ensure accurate and secu...

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...

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 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 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...

Dear Candidate, We have a Job Opening for TPA Marketing in Reputed Hospital at Ranchi. Requirement Details: Location : Ranchi Designation: Manager Experience: 3 to 8 Years Qualification: Any degree, MBA Expected Notice Period : Immediate to 30 days Responsibilities: Maintain & strengthen the existing relations with TPAs/Corporate/PSUs Signing up with new TPA’s , Corporations & PSU’s Trouble shooting Arranging activities at corporate & PSU’s by the way of Camps awareness programs, Poster campaigns, Standard display. Organizing CME’s for corporate doctors Coordinate between Clients, Insurance, Helpdesk & Doctors in the system for patients' seamless treatment Keeping tab on competitors & their ...

Job Title: Manager - Legal Claims Role Overview: As a Manager - Legal Claims, you will be responsible for managing the life cycle of MACT (Motor Accident Claims Tribunal) and WC (Workmen's Compensation) claims from start to finish. You will ensure effective coordination with advocates, timely referrals of awards, and take all necessary actions to ensure prompt claim settlements and legal defenses. Key Responsibilities: Handle MACT and WC claims life cycle end to end, including claim review, timely referral of awards, compromise referrals, payment release, and coordination with advocates for settlements and defenses. Issue a clear line of action for claims and ensure all steps are taken to ac...

Claims Management Process for all the Health product line and portfolio Co-ordinate with multiple teams and stakeholders e.g. Underwriting, Hospitals, Claims. Evaluation of Health Claim Ratio Required Candidate profile Any Medical Graduate like BHMS, BAMS with TPA exp Minimum 1-3 years of relevant experience Work Location - Hyderabad

Greetings From Scorelabs Inc! Dealing with patients health care related documents Ensuring error free processing of pre authorisation within agreed TAT (Turnaround time) Entering accurate information into the application defined by the organization Required Candidate profile TPA Experience Claims Processor Person Should have 1 year Exp in Any claims ( TPA ) candidate with TPA medico process Any Doctorate (BAMS / BHMS )

As a Billing and TPA (Third Party Administrator) Executive, your primary responsibility will be to oversee the billing and insurance claims procedures within a healthcare setting. This role will require you to collaborate closely with internal departments as well as external insurance providers. Your core tasks will involve processing medical bills, managing insurance claims, ensuring the accuracy of records, and addressing any discrepancies in billing. This is a full-time position with a day shift schedule. Additionally, there is a performance bonus structure in place to reward your efforts. The work location for this role is in person, requiring your presence at the designated healthcare f...

Healthcare Insurance Decoding - 3 roles Location: Koramangala, Bangalore Hospital: Superhealth Hospitals Pvt. Ltd. Salary: Up to 50,000/month (Based on experience) Are you experienced in decoding health insurance policies and working with TPAs Join our dynamic Revenue Cycle team and help us ensure transparency and clarity in patient coverage. *Key Responsibilities:* Decode and interpret insurance policy benefits and terms Support billing and pre-auth teams with accurate policy data Liaise with TPAs and insurers for real-time information Maintain digital records and ensure compliance *Eligibility:* 24 years of hospital/TPA experience Proficient in reading policy documents and benefit charts S...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

You could be the right candidate if you Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive Travel insurance operations & claims management process. Aware of International Travel Insurance Medical Claims, terms & systems Understand the International Travel Insurance TPA ecosystem and have experience of managing TPA model Have startup experience or setting up a team from scratch (Preferred but not mandatory) Can make informed decisions, swiftly and are...

Job description Walk-in Drive For Clinical Doctors at Cotiviti, Mohali Walkin Date :4th & 5th August 2025 Walkin Timing: 9:00AM TO 1:00 PM Interview Address: IT C-7, KMG Tower, 3rd Floor, Sector-67, SAS Nagar, Mohali, Punjab, 160062. 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

Urgent requirement for BHMS,BAMS -Nagpur Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: 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. Need to Do field Visit Required Candidate profile: BHMS,BAMS graduate. both male and female can apply Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers ...

Job Title: Healthcare Insurance Decoding Executive Location: Koramangala, Bangalore Openings: 3 Salary: Up to 50,000/month (Based on experience) Industry: Healthcare / Hospitals Functional Area: Revenue Cycle / Insurance Processing Employment Type: Full-Time Job Description: We are hiring experienced professionals to join our Revenue Cycle team. If you have expertise in decoding health insurance policies and working with TPAs, this role is for you. Key Responsibilities: Decode and interpret health insurance policies and benefit terms Provide accurate policy insights to billing and pre-authorization teams Coordinate with TPAs and insurance providers for timely updates Maintain digital records...

Mega Walk-in Drive for Clinical Doctors on 02nd Aug 2025 (Saturday) @ Hyderabad . Eligibility: Education BHMS, BAMS, BUMS, BPT, BDS ( Physicians Only ) Candidates with prior US Healthcare or Clinical experience will be preferred. Good Communication Skills. Candidates with corporate experience will be preferred. Good team player with strong interpersonal skills & high integrity. Ready to work from office. Should be flexible to work in rotational shifts. Interested and eligible candidates can walk-in directly to below mentioned venue on time. Venue: Cotiviti India Pvt Ltd 10th Floor, Galaxy, Plot No.1, Sy.No.83/1, HYD Knowledge City, Raidurgam, Serilingampally Mandal, Hyderabad, Ranga Reddy, T...

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives