1031 Tpa Jobs - Page 30

At Amazon we believe that every day is still day one. We are working to be the most customer-centric company on earth. To get there, we need exceptionally talented, bright, and driven people. If you d like to help the Disability Leave Services (DLS) team build a best-in-class professional services program to deliver leave of absence, disability and accommodation services to Amazon employees, applicants, job seekers and candidates globally, this is your chance to make history by joining our team. DLS Provides services 7 days a week, 24 hours a day to assist employees as they go through qualifying life events. The DLS Case Manager provides case management for all types of leave of absence and ...

Key Responsibilities Single-point claim coordination: Act as the dedicated contact for motor claims third-party, own damage, and theft to ensure smooth communication between client, insurer, police, surveyors, and garages . Claim filing & documentation: Promptly report accidents/thefts to police and insurers; collect FIRs, policy details, driver statements, vehicle photos, keys (for theft), and other required documents . Survey & assessment management: Work with surveyors to assess damage; review findings jointly and determine claim admissibility, settlement value, and NCB implications . Negotiation & settlement: Liaise with insurers to pursue cashless workshops or reimbursement; negotiate a...

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 admissibili...

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. *...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS- 7631162388 Whatsapp CV mail id -varsha.kumari@mediassist.in

Job Description: Processing of Claims Health files. Claim Registration and Claim Adjudication. Identifying the Fraud. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, provider, sales and grievance teams. Eligibility Criteria: Pharm-D, BSc Nursing, B .Pharmacy freshers only(Qualified Graduates with all certificates in hand). Any Graduate with minimum 2+ years of Claims Health processing experience. Salary Budget - up to 4 lakhs. Job location Ameerpet, Hyderabad. Evaluation would be based on competency, age, experience, stability

Urgent requirement for Manager ( Talent Acquisition) interested candidates can call on 9371762436 Job Title: Manager -( Talent Acquisition ) Location: Corporate Office - Pune Department: Human Resources Primary Deliverable: To proactively ensure quality and efficiency in staffing, with minimal Turnaround Time. Major Accountabilities of the position: 1. Utilize various sources of recruitment to fill the positions at the earliest. 2. Screening and shortlisting of applications and proceeding to initiate the Interview process. 3. Coordinate with concerned Departmental Heads to track vacancies, and the candidates being interviewed. 4. Coordinate with the candidate for the mandatory documents and ...

A TPA (Third Party Administrator) within the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme typically handles the operational aspects of the program at the district level. This includes managing beneficiary identification, utilization of services, awareness generation, hospital network expansion, monitoring, audits, training, and reporting. They work to ensure smooth data flow to the state level and conduct routine visits to participating entities to verify adherence to defined standards. Here's a more detailed breakdown of the job description: Key Responsibilities: Supervision and Administration: Overseeing the overall administration of the PM-JAY scheme at the district le...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Policy Administration & Payouts Disbursements Endorsements Death Claims TPA(Third Party Administrator)

Job Title: Assistant Manager Vendor Management & MIS Experience Required: 5-7 years Job Description: We are looking for a skilled and experienced professional specializing in Vendor Management and MIS management. The ideal candidate will be responsible for overseeing the end-to-end Vendor Management process of health claim investigations, ensuring accurate data management, timely reporting and effective coordination to drive operational efficiency and service quality. Key Responsibilities: Manage the end-to-end vendor management process across PAN India, including on-boarding, billing, performance reviews and Vendor complaint resolution. Monitor and share monthly performance metrics of vendo...

Inpatient/Outpatient Billing. Overseas/Corporate/Insured/TPA billing. Payment Tracking. Bed Management. TPA files follow-up and closure. Tracking of discounts/Cancelled bills/refunds/free bills/posting of packages. Service Recovery in the billing Area. Training of the HIS modules in billing with the power users.

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...

Timings - 10 am - 7 pm. Monday to Saturday Communication - Fluency in speaking and email/whatsapp comms. Verbal proficiency in English and Hindi mandatory. Comms expectation - Interaction with Customers and Partners (TPA/insurers) Required Candidate profile Kindly share the profiles from Indian Insurance background. Preferred TPA - Mediassist, Vidal Health, FHPL, Paramount,MD india Preferred insurers - Acko, Digit, Care, ICICI Role type - claim handler

*2-4 years exp. in Indian Insurance end-to-end group medical claims, *Resolved queries via Freshchat/Freshdesk (Customer Support) *Policy Document assessments *Stakeholders Mgmt., Collaboration & led escalations *Email/WhatsApp comms. Required Candidate profile *2-4 years exp. in Indian Insurance claims processing, CRM/Servicing/Claims handler roles in Insurer /TPA. *Graduate in healthcare, insurance *Verbal proficiency in English & Hindi must.

Trainer - TPA Content Creation & Delivery Position Overview: We are looking for a Trainer responsible for creating content, delivering training, and updating training materials for our TPA operations team. The ideal candidate will have experience in training staff within the insurance or healthcare sector, specifically around TPA services and CMS guidelines. This role will focus on developing and maintaining training materials that ensure employees are well-equipped to manage back-office functions such as claims processing, enrollment, disenrollment, and other TPA services in compliance with regulatory standards. Key Responsibilities: Content Creation : Develop and create comprehensive train...

* Manager / Deputy Manager in Business Development with a focus on International Marketing * Senior Executive / Assistant Manager for International Operations. Achieve targeted revenues through referrals to Hospitals. . Nisha Singh 8448519870

About role As an Analyst, you will be responsible for supporting assessment of individual and group life & health reinsurance in accordance with underwriting guidelines and has the ability to take decisions outside guidelines, where appropriate. Provide accurate and consistent risk selection on a timely basis through prudent case assessment and strategic thinking skills Maintain the defined quality and turnaround time for case assessment Able to engage with internal and external stakeholders on operational and case by case level. Establishes & maintains positive relationships with internal partners. Identify & resolve service issues with internal clients /stakeholders. Prepares statistical c...

Hiring Alert Medical Officer (Claims) | Contract Role Location: 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Company: Medi Assist Insurance TPA Private Limited Timing: 9:30 AM 6:00 PM | MonFri (Rotational Saturdays working) Eligibility: BAMS or BHMS graduates only 03 years experience (freshers welcome!) Role Overview: You will scrutinize and process insurance claims based on policy terms, verify treatment/diagnosis, raise queries for incomplete documents, and ensure accurate and timely closure of claims. Key Skills: Strong medical understanding Basic com...

Responsibilities: * Manage health insurance claims from start to finish. * Ensure timely TAT compliance through process improvement. * Prepare medical summaries for cashless procedures.

Global Sales Strategy & Operations (GSSO) is the team that helps shape Gartners mission-critical sales priorities and works with sales leaders to drive tactical and analytical insights. As an associate on the GSSO team, youll be at the forefront of the ongoing transformation of Gartners sales force, which delivers approximately $5B in annual revenue and working to drive sustained double-digit growth. You will partner with business leaders across Gartner to support a global sales force comprised of more than 5,500 associates who sell to every major function, industry and market sector around the world. About the role: This leadership position sits within Territory Planning & Analytics (TP&A) ...

Global Sales Strategy & Operations (GSSO) is the team that helps shape Gartners mission-critical sales priorities and works with sales leaders to drive tactical and analytical insights. As an associate on the GSSO team, youll be at the forefront of the ongoing transformation of Gartners sales force, which delivers approximately $5B in annual revenue and working to drive sustained double-digit growth. You will partner with business leaders across Gartner to support a global sales force comprised of more than 5,500 associates who sell to every major function, industry and market sector around the world. About the role: This position sits within Territory Planning & Analytics (TP&A) function of...

Global Sales Strategy & Operations (GSSO) is the team that helps shape Gartners mission-critical sales priorities and works with sales leaders to drive tactical and analytical insights. As an associate on the GSSO team, youll be at the forefront of the ongoing transformation of Gartners sales force, which delivers approximately $5B in annual revenue and working to drive sustained double-digit growth. You will partner with business leaders across Gartner to support a global sales force comprised of more than 5,500 associates who sell to every major function, industry and market sector around the world. About the role: This position sits within Territory Planning & Analytics (TP&A) function of...

Responsible for working with medical TPAs to execute medical testing operations for SLIC managing tele/video calling operations for the Underwriting function for underwriting / fraud detection,medical test feedback, grievance,agent verification etc. Required Candidate profile Prior exp in Medical TPA management for LI sector Must have basic knowledge of Underwriting guidelines&norms Must be able to supervise a small team Must have a strong process orientation

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT, MPT,BUMS Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in rotational shift (Including night). Job Location - Mohali Interested candidates can share resume - karthickumar.sekar@cotiviti.com Regards, Kart...