705 Tpa Jobs - Page 25

Prudential s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. Prudential (UK) in partnership with HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer. This joint venture will combine Prudentials global expertise in...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

To manage insurance portfolio of all types of insurance policies & ensure adequate risk coverage at optimum costs and claims management. To procure various insurance policies with adequate coverage at optimum cost, ensure timely renewal of the insurance policies, and to ensure internal customer expectations for deliverables in terms of time, cost and service quality are met in line with business objectives. Proficient in managing insurance claims especially PDBI claims Good technical knowledge about insurance products, coverage features and claims process Coordination with cross functional teams within the Company, Subsidiaries, insurers, surveyors etc. Implement best practices as per compan...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

About the Company Loop Health is India s first Health Assurance company, founded in 2018, that combines group health insurance with unlimited primary care, preventive healthcare, and wellness services. Serving over 750,000 members across 1,000+ companies, Loop leverages technology and an in-house medical team to deliver holistic, people-centric healthcare. Job Summary The Endorsement and Enrolment Executive will be responsible for timely and accurate processing of enrolments, endorsements, and related policy servicing tasks for health insurance clients. The role requires coordination with insurers, internal teams, and clients to ensure policy records are up-to-date and compliant with regulat...

Adhere billing process guidelines Review claims, Verify coverage Assist with inquiries Prepare claim forms & documents & timely claim processing Record Keeping & upload files on the portal Assist pre-authorizations Resolve billing issues/escalation Required Candidate profile Any graduation or BBA/BHA min. 1 year Billing Experience is preferred Please Email your resume at hr@jimsh.org

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement an...

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement an...

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement an...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in

Basic Function Initiating Broker/GA/TPA, Add/Change/Remove request submitted by the group customer, sales service team and resolving the related queries/escalations for assigned brokers/GA/TPA of varying complexity. Meets quality and customer service expectation levels set by the organization guidelines. The key deliverables of the role will include but will not be restricted to the details below: Essential Functions Review of the request and form for acceptability Partnering with different stakeholders and resolve broker compensation related queries/escalations received from various departments/stakeholders through emails & calls. Updating systems with broker/GA/TPA details, commission rate...

Jaslok Hospital & Research Centre is now a private, full-fledged multi-specialty hospital with 350 beds, out of which 75 are ICU beds.It is also one of the biggest research centers in India, conducting regular research and clinical trials in various fields, often in collaboration with other institutions in India & abroad. Role: Senior Billing Executive Location: Mumbai (Peddar Road) What You'll Do: Bill Follow-up: Follow up with individual patients and corporate clients to recover pending payments. Coordinate with internal departments (e.g., discharge, TPA, front office) for smooth billing closure. Data Collection & Reporting: Collect, compile, and maintain accurate billing data daily. Gener...

CRM Executive / Health Insurance Claims Executive / TPA - Helpdesk / TPA - Executive / TPA - Senior Executive Handling day-to-day servicing requirements of clients in a timely basis to ensure complete customer satisfaction Effectively coordinating between client / insurers for any document collection / handover Effectively coordinating with the TPA for daily service requirements Ensuring that all operational requirements / processes are met as per Company defined TAT Communicating with internal & external stakeholders as needed based on business requirements Accountable for deliverables pertaining to the areas assigned and responsible for results Basic knowledge of insurance / insurance prod...

Greetings from Vidal Health Insurance TPA Pvt Ltd., Openings For District Medical Officer!!! - Non Clinical Role Qualification -MBBS-MCI Reg Experience - 0 to 1 Year Job Location - 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 the respective Claim...

We are Hiring Doctors for claim processing (Medical Officer ) ACADEMIC & PROFESSIONAL QUALIFICATIONS • BHMS/BAMS/BDS Interested candidates can call on 9371762436 ADDITIONAL SKILLS • Good communication • Familiarity with Computers and interest in learning on the job. KEY RESPONSIBILITIES • 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 Only male candidate required

Managing CGHS, ECHS, CAPF and ESIC and All Government Portals: Medical file Audit Claim Processing Uploading Query Management Required Candidate profile Mandatory practical experience of government empanelment such as CGHS ECHS ESIC CAPF etc. and medical file audit and processing for Railways, CGHS, ECHS and other govt empanelment's.

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insura...

Hope International Hospital is looking for Nursing Superintendent to join our dynamic team and embark on a rewarding career journey Manage the nursing department and oversee the nursing staff Develop policies and procedures for the nursing department to ensure the highest level of patient care Provide training and education to nursing staff to ensure they have the necessary skills and knowledge to provide quality care Collaborate with other healthcare professionals, such as physicians and therapists, to develop and implement patient care plans Maintain accurate records of patient care and nursing department activities

Walk-in Date : 24-May-25 Time : 9:00 AM to 2:00 PM Address : COTIVITI INDIA PRIVATE LIMITED Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune - 411006. Job openings at Cotiviti for Clinical Doctors (BAMS/ BHMS/ BPT/ MBBS) for the role of Clinical Analyst. Eligibility Criteria: Qualification - BHMS, BAMS, MBBS, BPT (BDS not eligible) Candidates with prior US Healthcare/ Clinical experience preferred. Good clinical knowledge & experience working in Hospitals (bed side) will be preferred. Non-certified Physicians can apply Good communication skills Must be willing to work in flexible shifts Immediate joiners preferred If the above profile matches your expertise,...

Job TitleINSURANCE EXECUTIVE Job Code HREQ2017/12/66 --> Job Location Kolkata Experience 1YR -5YRS Gender Male/ Female Job Details URGENTLY LOOKING FOR A CANDIDATE WHO HAVE KNOWLEDGE ABOUT Quotation and issuence of general insurance, claim processing. ELIGIBILITY CRITERIA- ANY GRADUATE. Salary Per Year 1-2.5 LPA Apply Now