1038 Tpa Jobs - Page 42

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...

Job Profile Summary - To provide support to the claims staff and to perform other office tasks depending on the client program. PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Process WC/GL claims and other allied support for Leading Insurance TPA Inputs and reviews notes/diaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing, and photocopying. Reviews, prepares, creates, and/or sends letters, reports, and forms. Other activities/projects as assigned including the...

Job Purpose: To handle the entire billing operations. Job Responsibilities: Periodic tariff updation/implementation Ensure correct billing to the patients as per approval tariff master for all services provided or material consumed Ensure Timely and correct billing for TPA / Corporation / Scheme / Funds / PSV Patients as per agreed tariff Ensure 100% Compliance with billing policy Ensure timely submission of bills to TPA/Corporation/Scheme/Funs/PSU as per define TAT Respond to the queries from TPA/Corporation/Scheme/Funs/PSU & liaison for recovery Ensure providing correct estimate to patient & adhere to in final bill Checking for bills for its 100% accuracy before being provided to stakehold...

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...

SHUSHRUSHA SUPERSPECIALITY HOSPITAL is looking for TPA Consultant to join our dynamic team and embark on a rewarding career journey Liaise between insurance companies, clients, and TPAs to manage claims processing. Review policy terms, benefits, and coverage details for accurate claim settlement. Monitor and audit TPA operations to ensure adherence to service level agreements (SLAs). Provide advisory support to clients on insurance-related queries and claims procedures. Prepare reports on claim trends, turnaround times, and customer satisfaction. Ensure compliance with insurance laws, regulations, and company policies.

Responsibilities & Key Deliverables As the Senior Engineer - NVH at Mahindra & Mahindra Ltd., you will play a crucial role in ensuring the quality of our products' noise, vibration, and harshness characteristics. Your key responsibilities will include: Demonstrating a thorough understanding of vehicle NVH frontloading, particularly in light commercial vehicles (LCVs). Exhibiting strong skills in updating models for correlating operational NVH performance, ensuring our products meet the industry's highest standards. Creating and implementing effective solutions aimed at enhancing vehicle performance regarding NVH. Conducting advanced simulations, including engine-induced structure-borne simul...