694 Tpa Jobs - Page 3

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...

Key Responsibilities: Conduct induction training for new joiners across all departments. Design and deliver process-specific training modules for Claims Processing, Claims Coordination, and Support Teams. Train internal and external staff on insurance processes, and TPA/Hospital workflows. Monitor and assess trainees performance during and after training; recommend improvements. Maintain accurate training records and prepare training reports for management. Support knowledge sharing, performance improvement, and continuous learning culture across the company. Requirements: Bachelors degree in any discipline (preferred: Healthcare, Management, or related fields). Minimum 2–4 years of experien...

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...

Job Title: Duty Doctor + Customer Support (Claims Queries) Location: Jigani, Bangalore (HCL) Shift: Day Shift (8:30 hours minimum duty) Working Days: 6 days a week (including 2 Saturdays) Qualification : BAMS, BHMS ,BDS ,BPT & Pharm D Job Description: We are looking for a Duty Doctor with customer support skills to manage claims-related queries regarding insurance policies. The doctor will be stationed at the client premises and will provide medical assistance and guidance on policy norms, admissibility, and confirmation of treatment. Thanks Hariprasad

Company Profile At Edify Insurance Brokers Pvt Ltd, our Client Service team is the engine that drives our customer satisfaction and query solutions. We are seeking a qualified Client service - manager to help our clients in claims and any other query solution through their own skills. Our ideal CS manager has to have indepth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Objective of this Role One stop solution for all client queries and requirements Represent our company, wi...

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim

We are seeking a dynamic and result-oriented Marketing & Sales Specialist for our 200 bedded NABH accrediated hospital.The candidate will be responsible for driving referral sales, managing relationships with empaneled organizations. Required Candidate profile To achieve monthly and annual revenue targets. To devise monthly and yearly plans & review the progress. To develop good relationships with senior corporate contacts to drive business growth.

Knowledge of Fibre Optical , Antennas , Patch Cords (IBS Products) Experience in our competitors company will be an added advantage Young , Aggresive , Sales for IBS products , telecommunication Products, etc. Required Candidate profile Good Communication skil

Job SummaryA Neurologist is needed to diagnose and treat conditions affecting the brain, spinal cord, nerves, and muscles. The role requires expertise in identifying and managing a wide range of neurological disorders.Key ResponsibilitiesDiagnose and treat neurological conditions, including stroke, epilepsy, migraines, and Parkinson's disease.Conduct neurological examinations and interpret diagnostic tests like MRIs and CT scans.Develop and manage treatment plans, including medication and physical therapy.Collaborate with neurosurgeons and other medical professionals as needed.RequirementsMBBS degree and a postgraduate degree (MD/DNB) in Neurology.Valid medical license and registration.

Position: Medical Officer (Doctor) - TPA for Insurance and Risk Analysis Location: Gurgaon Job Type: Full-time About Policybazaar For Business Policybazaar, the flagship platform of PB Fintech Ltd., is Indias largest online insurance marketplace, acclaimed by Frost & Sullivan. Established in 2008, Policybazaar has revolutionized insurance with unmatched awareness, choice, and transparency. Introducing Policybazaar for Business, a dedicated service designed to meet the unique insurance needs of enterprises. Launched in 2021, it offers a robust portfolio of 15+ business insurance products tailored to diverse sectors, scales, and risk profiles. Policybazaar for Business aims to fortify Indias f...

Liaison between patients, the hospital, and insurance companies or TPAs, managing insurance claims, processing pre-authorizations, and ensuring efficient communication for cashless and other insurance-related processes.

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members. For more details kindly go through company website: https://www.healthindiatpa.com Currently we have an opening in Customer Relationship Management Department for Executive Role . Location: HEALTHINDIA INSURANCE TPA SERVICES PVT LTD. PLOT NO 312 ,2ND FLOOR, PHASE 2, UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR, GURUGRAM, HARYANA -122016 Roles & Responsibilities: Handling Major Corporate Group. Solving Customer/Broker's queri...

The role involves handling customer grievances via IGMS, Bima Bharosa, Ombudsman, and other regulatory touchpoints, ensuring timely resolution, compliance with IRDA guidelines, and working closely with functions like claims, underwriting, and legal.

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Currently we have an opening in Corporate Claims Processing Department for Medical Officer Role. Location: HEALTHINDIA INSURANCE TPA SERVICES PVT LTD. PLOT NO 312 ,2ND FLOOR, PHASE 2, UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR, GURUGRAM, HARYANA -122016 Roles & Responsibilities: Review and assess medical documents and clinical details for c...

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.

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

About The Role Skill required: Reinsurance - Collections Processing Designation: Claims Management Manager Qualifications: Any Graduation Years of Experience: 13 to 18 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 uniq...

About The Role 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 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 envi...

The Financial Analyst Invoicing is responsible for preparation and sending of Invoices for North America clients. The role includes collating the inputs from various stakeholders on a timely basis for invoice preparation and sending invoices to internal client for approvals. The role includes communicating with the internal customers for collections and follow-up for overdue outstanding and for adjustments if any. Challenge the status quo and arrive at process strengthening projects/recommendations, support analyzing and building audit and metrics report, conduct root cause analysis and recommend controls, perform UAT ensuring smooth transition of various projects run at Organization level. ...

Building effective relationships with multiple sales and finance counterparts is critical to success and therefore requires the Analyst to link with key contacts within the HBS trade admin teams, customer teams and sales finance teams to ensure strong customer based execution of tactical programs. Reviewing Sales Planner/Prosper planning models and transmitting changes/adjustments to SAP Ensuring contracts properly reflect the event information in SAP and performing official contract verification step in SAP Manage expectations through verbal and written interactions with customer teams Ensure delivery of accurate and timely data in accordance with agreed service level agreements (SLA) Work ...

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

Position Description Job Description Skills and Competencies The team of medical practitioner part of Pre-Authorization team will use their skills and expertise in authorizing the request received and they will ensure that the customers are attended on time by following the protocol of the policy defined by the insurer and the organization. Ensuring error free processing of preauthorisation within agreed TAT (Turnaround time) by way of following the following process, o By entering accurate information into the application defined by the organization. o Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedur...

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English. CTC – Upto 3.5 LPA

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...

Role & responsibilities Counseling the patient attendant about admission procedures Allotment ofward tothe patientsontheirapproval Maintaining necessarydocumentsrelatedto TPAs Maintainingtherelevantregisters/ records Co-ordinationwith InsuranceDesk CounselingICUattendantsintransferringpatient Monitoringavailability ofbedstatus FollowtheDepartmental Protocols /Procedures. Anyother work assigned bythesuperiorsfromtimeto time. Preferred candidate profile