705 Tpa Jobs - Page 28

Qualification: BDS/ BHMS + MHA Key Responsibilities: * Experience in TPA, Insurance Company, UTI TSL , Hospital Sector * Understanding of the product and provide training and product demo to new and existing clients * Team management/ handing team of Medical officers / quality analysts * Handling operations of the accounts * Meeting and understanding of the customer requirements, plan implementation * Travel to the customer's site as and when required for training and implementing * Ensure service levels are maintained at hospitals * Establish objectives and operational criteria for accounts managed. * Understand the requirements of Clients regularly and implement the process at hospitals. *...

We are seeking an experienced and proactive Claims Manager to manage Health and Life insurance claims across all 17 branches. The role will have a strong focus on Health Insurance claims (both cashless and reimbursement) while also managing Life Insurance claims. The Claims Manager will act as the single point of contact for all claim-related matters, working closely with the Product team, Insurance Operations team, and insurance companies to ensure timely and smooth claim settlements. Key Responsibilities 1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance. Ensure timely submission and processing of claim documentation. Liaise w...

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

JOB DESCRIPTION IP Billing Job Responsibilities To direct, coordinate & supervise billing department. Develop/ Revise department specific policies, protocols & processes in consultation with Finance Controller for smooth & efficient working of the departments. Ensure implementation & adherence of above mentioned policies, protocols & processes. Ensure availability and optimum utilization of resources (equipments, manpower & other materials) Ensure HIS is being timely updated for patients billing status (pre-auth /payment status). Responsible for checking & ensuring accuracy & completeness of all bills before patients are discharged. Ensure medical data is secure, accessible and accurate for ...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English - Intermediate 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...

Job description Role & responsibilities Responsible for managing client servicing with key decision makers Addresses the gaps identified between client requirement & the service provided Ensure that the service is delivered in accordance with the agreed service level agreement Act as a point of contact for any escalation or feedback from clients Manage account renewal, customer support escalation Good Communication Skills Good knowledge of MS Office Open to travel Team Handling exp TPA / Insurance / Broker exp is mandatory . Immediate Joiners will be preferred . Interested Candidates can share their Updated Resume on 7058096238 .

We are seeking a qualified and experienced Manager-Claims to join our dynamic team. The ideal candidate will be responsible for reviewing, analyzing, and auditing health insurance claims from a medical perspective to ensure accuracy, compliance, and appropriateness of billed services and also ensure that providers adhere to contract.This role requires a keen understanding of medical conditions, health insurance policies, and the ability to collaborate with both medical professionals and insurance teams. Key Responsibilities: Claims Review and Audit: Conduct comprehensive audits of health insurance claims to ensure they meet company guidelines, industry standards, and regulatory requirements....

Role: Executive - Account Management (CRM) Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Interested candidates share Cv on tiya.baiju@mediassist.in

Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving probl...

Skill required: Retirement Solutions - Customer Service Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 1+ years of experience in US Retirement Services domain Defined Cont...

Role & responsibilities Role Overview: Responsible Responsible for managing and coordinating the entire pre-insurance medical check-up process. Ensures smooth operations between clients, diagnostic centers, doctors, and internal teams while maintaining quality and turnaround time standards. Key Responsibilities: Coordinate and schedule pre-insurance medical check-ups for clients as per company and insurance partner guidelines. Liaise with diagnostic centers, hospitals, and medical practitioners to ensure timely completion of check-ups. Verify reports and ensure accurate documentation before submission to underwriting teams. Monitor TAT (Turn-Around Time) and escalate delays to maintain servi...

2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit Candidate must have excellent knowledge of health insurance / Health TPA domain. Candidate must have excellent bill/medical negotiation skills & customer handling skills. Good communication skills in Hindi/English and regional language of the state/region. Ready to relocate himself/herself at location within India as may be required according to the job requirement Candidate must own vehicle to travel in various hospital assigned to him Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals Candidate ...

Role & responsibilities Responsibilities: 1. Oversee and manage relationships with Third-Party Administrators in the hospital sector. 2. Ensure efficient processing of medical claims, adhering to industry standards and regulations. 3. Collaborate with cross-functional teams to streamline TPA-related processes for optimal efficiency. 4. Implement and enforce best practices in TPA management to enhance operational excellence. 5. Provide strategic guidance on TPA negotiations and contract management. 6. Stay abreast of industry trends and regulations impacting TPA operations. 7. Foster strong partnerships with TPA providers to optimize service delivery and customer satisfaction. Requirements: •...

Role & responsibilities Manage billing processes for IP (Individual Provider) clients, ensuring accurate and timely invoicing. Coordinate with TPAs (Third Party Administrators) to resolve any discrepancies or issues related to claims processing. Handle credit billing for clients who have opted for this service. Ensure compliance with insurance billing regulations and guidelines. Maintain accurate records of all transactions, including cash billing statements. Preferred candidate profile 3-5 years of experience in hospital billing system, preferably in an IP billing role. B.Com degree from a recognized university; relevant postgraduate degree preferred but not mandatory. Strong understanding ...

JOB DESCRIPTION OF UNIT CLERK Work as Clerk: Perform clerical duties related to procedures such as admissions, discharge, transfer, death. Notify appropriate charts and forms. Charging the various procedures e.g. L.P., CPR, RRT, Dr. Visits etc. Entering On line requisition or filling forms to indent supplies and equipment, maintenance and repair services, etc. Follow up for cancellation of un-rendered services. Keep Medical Records in order with all forms properly identified. Account for all records and see that only authorized persons have access to the medical records. Maintenance of Tracker: Checking all the discharge patient reports in E-HIS Track the discharge patient In E-HIS (Maintain...

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...

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...

To oversee, manage end-to-end insurance claims process for both govt (Ayushman Bharat, Arogya Karnataka, etc.) and private schemes, ensuring timely claim processing, documentation accuracy and efficient coordination between dept and authorities Required Candidate profile Familiarity with government portals (TMS, SAST, etc.) and claim processing tools 6+ years Experience in hospital insurance operations, with handling Ayushman Bharat and/or Arogya Karnataka schemes

About Us : Our core competencies are in the areas of heat transfer separation, and fluid handling. We are dedicated to optimizing the performance of our customers processes. our world-class technologies, our systems, equipment and services must create solutions that help our customers stay ahead. Purpose of job: After sales for Marine and Engine Power aftermarket. Direct Sales responsibility Capital Sales market for India, Bangladesh, Nepal & Sri Lanka region. Support in formulating the right strategy for Marine Capital Sales for the region Drive new builds / shipyard business and OEM / Engine Power contractor business Support with order execution Develop and profitably grow the Marine busin...

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 Data Analyst - Operations 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 regulatory norms....

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 Data Analyst - Operations 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 regulatory norms....

Grade I - Office/ CoreResponsible for supporting the HSSE agenda for retail assets, providing a direct link between retail and the HSSE Team and acting as a central communicator for the retail contractor supply chain, while ensuring adherence to the relevant HSSE standards to help maximize value of BP's retail network. Entity: Customers & Products Retail Group Job Description: As bp transitions to an integrated energy company, we must adapt to a changing world and maintain driven performance. bp s customers & products (C&P) business area is setting up a business and technology centre (BTC) in Pune, India . This will support the delivery of an enhanced customer experience and drive innovation...

Qualification Graduate /Postgraduate Experience - 2-7 years of work experience Job Dimensions (role and responsibilities): Co-ordinate the overall end-to-end service delivery for clients as per agreed standards Support Client Relationship Managers to handle renewal, retention, and growth of existing accounts as needed Onsite claim support services include the following: Collection & scrutiny of reimbursement claim documents at client site Intimation to employees for any deficiency in reimbursement claim documentation Be the first point of contact to employees for operational queries Ensuring smooth cashless process for employees using TPA infrastructure Supporting employee with information a...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...