1031 Tpa Jobs - Page 24

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...

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...

As a Third Party Administrator at HOSPITAL STAFF RECRUITMENT SERVICES, you will play a crucial role in managing various administrative tasks associated with health insurance claims while delivering exceptional customer service to patients. Your responsibilities will include processing health insurance claims accurately and efficiently, verifying patient information and eligibility, and engaging with insurance companies, healthcare providers, and patients to ensure smooth claim processing and resolution. You will be expected to maintain meticulous records, adhere to company policies and industry regulations, and collaborate with the team to achieve productivity and quality standards. Addition...

Responsible for hospital empanelment, agreement coordination, maintaining relationships, supporting admissions/discharges, ensuring timely claim submissions, VIP support, and regular follow-ups for claim documents and health check requests for TPA.

Role & responsibilities Credit Cell Department Leadership : Lead and manage the Credit Cell department, overseeing day-to-day operations, staff performance, and ensuring efficient claim processing. Establish clear performance goals, KPIs, and targets for the Credit Cell team and track progress regularly Documentation and Compliance : Ensure checklist of each TPA/ Government institutions for claims are properly followed Develop and maintain strong relationships with external insurance providers, TPAs, Government Institutions and internal hospital departments Address and resolve complex issues between the hospital, insurance companies, and patients Ensure all dispatches are timely processed wi...

POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Bangalore Educational Qualification Shift BHMS, , BAMS, Pharm D Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical admissibility of a claim by confirm...

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: Hospital Desk Executive Hospital Desk Executive will be the Single point of contact at the Hospital for the Medi Assist Raksha Prime Service. Roles and Responsibilities Close Coordination with the Hospitals and the Medi Assist Internal Stake Holders for patients best discharge experience. Collaborate with the operations team to ensure timely and accurate data processing. Ensure maximum discharges are happening through the Raksha Prime Services. Use relevant tools and MIS tools to organize data for reporting purposes. Qualification : Bachelor's/Masters Degree in the field of Pharmaceutical/Hospital Management/Medical Sciences/Insurance (but not Mandatory) Experience: 2-3 Years Experienc...

Call on- 8588047050 Job Objective: To lead, develop, and implement marketing and business development strategies for the hospital with a focus on TPA coordination, corporate tie-ups, and patient acquisition. Key Responsibilities: TPA & Insurance Coordination: Maintain and strengthen relationships with Third Party Administrators (TPAs) and insurance companies. Ensure timely empanelment, renewals, and smooth coordination for cashless and reimbursement services. Liaison with billing and front office for pre-authorizations, approvals, and claim settlements. Corporate Tie-Ups & Business Growth: Develop and maintain relationships with corporate clients, government organizations, and PSUs. Organize...

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. Client Servicing Responsible for developing the corporate customer base for MDIndia Health Insurance Services. Map the territory and maintain a strong pipeline of potential customers. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. Develop strong relationship with Insurance Co...

Job title :- AM - IPD Billing & TPA (Deduction Recovery) To Manage the TPA/Insurance Agreement and tariff updation and coordinate with TPA Insurance for payment follow up along with max internal team as well for day-to-day work. Role & responsibilities To ensure customers TPA outstanding recovery within defined timelines. Achievement of assigned collection Targets. To maintain Insurance Tracker and updating of case status in E Prapti on weekly basis. Recovery of Top up deduction cases. TPA status of Outstanding cases prior to 30 days (Inclusive of Less than Rs. 10000). Bill docket receiving status prior to 30 days (Real time status basis on TPA records). Outstanding details to be shared with...

Designation-Executive/Team Lead in CRM for Client Servicing for Big Corporate. Job Location: Gurgaon, Haryana Industry-TPA Company or Health Insurance will only be preferred Job Description: Key Responsibilities: 1 . Management and Retention of Top corporate for the region along with Team as a L1 Level. 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. 4. Oversee timely submission of MIS reports to Insurance Companies/Corporate etc.. 5.. Oversee department functions like the Customer Care, Claims, Preauth and related functions. 6.Claims and Cashless settlement 7. Coordination wi...

About 2070 Health 2070Health is Indias premier Venture Studio, pioneering an innovation platform dedicated to building groundbreaking healthcare companies from the ground up. Our mission is to identify and seize disruptive opportunities within the healthcare sector. What sets us apart from conventional venture capital and accelerator models is our active involvement in idea generation, day-to-day operations, and strategic decision-making, all geared toward fostering the growth of each newly established enterprise. Additionally, we are proud to have the steadfast support of W Health Ventures. About Everhope Oncology Everhope Oncology is on a mission to transform cancer care by making high-qua...

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 w...

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 ed...

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

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...

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 cus...

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. Skil...

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

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 missin...

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.