694 Tpa Jobs - Page 5

Shalby Hospital is looking for Senior Manager Corporate Development to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice Find out the different operational strategies Work on developing the current operational strategy applied to the company with the most recent technology Coordinate with the operations manager to take the required steps after brainstorming and research Optimize the operations in the company Put the suitable operational strategy to fit with the companys culture Implement the operational strategy in the different departments of the company Supervise the strategy, and make sure that all the employees respect this strategy...

Job Purpose To assist the Marketing head to execute the Marketing strategy to achieve the sales Target and maximize the sales realization in all regions along with taking care of export related functions, Co-coordinating and provide necessary support to RO s and agent in achieving their sales Target. Job Context Major Challenges Job Context: The Noble Ferro Alloys Division, established in 1980, is India s largest producers of noble Ferro alloys. Its plant located at Vapi, a major industrial hub in Gujarat, is ISO 9001, ISO 14001, OHSAS 18001 certified. Current plant capacities include 1200 TPA of Ferro Molybdenum, 600 TPA of Ferro Vanadium and 1200 TPA of Ferro Titanium. Major products of th...

Interested candidate can share their CV at resumes@miracleshealth.com or call at 7678254255

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com

JOB OVERVIEW: As a member of the Finance Solutions UAT team, this role participates in Finance-specific as well as Company-driven projects. This role is involved in the User Acceptance Testing (UAT) of technical system changes and supports the delivery of technical projects impacting the Accounting & Reporting (A&R) and Finance Factory teams. The person in the role participates in: understanding the requirements or changes, conducting user acceptance testing, and implementing new processes for handover to the BAU (Business As Usual) teams. RESPONSIBILITIES: Responsibilities will include, but are not limited to, the following: Technical System Projects: The priority of this role will be Finan...

About the Role: The Associate Field Biologist/Field Biologist/Sr. Field Biologist shall be responsible for Pest Audits of Branch Large / HD Customers (having Third-party Audits- USFDA, AIB, BRC, FSSC, SQF, LEED, etc), Key national customers in various segments - Food & Pharma Mfg, w/h, Large food retailers (excluding QSRs, Fast food chains), Large ITES & MA s, etc. The incumbent will report administratively to the DM & functionally to Opex QA and work as a part of the multi-functional team involving collaboration with the internal & external stakeholders. Job Responsibilities: Carry out Pest Audits of Global accounts, Key designated NK accounts- Food & Pharma units, Food & Pharma warehouses,...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-5 years WORK FROM OFFICE ONLY. Job description : Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing ...

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 - sarika.pallap@mediassist.in Thanks & Regards Whatsapp : 8792840500

Health claim processing for insurance company like ICICI Lombard , cashless and reimbursement, claim adjudication as per policy T and C

About the Role: The Associate Field Biologist/Field Biologist/Sr. Field Biologist shall be responsible for Pest Audits of Branch Large / HD Customers (having Third-party Audits- USFDA, AIB, BRC, FSSC, SQF, LEED, etc), Key national customers in various segments - Food & Pharma Mfg, w/h, Large food retailers (excluding QSRs, Fast food chains), Large ITES & MA s, etc. The incumbent will report administratively to the DM & functionally to Opex QA and work as a part of the multi-functional team involving collaboration with the internal & external stakeholders. Job Responsibilities: Carry out Pest Audits of Global accounts, Key designated NK accounts- Food & Pharma units, Food & Pharma warehouses,...

Job Description: We are seeking a dedicated and empathetic individual to join our team as a Patient Relations Specialist. In this role, you will be the primary point of contact for patients, assisting them in understanding the terms and conditions of their health insurance policies. Additionally, you will be responsible for facilitating the reimbursement process by accurately filing reimbursement forms on behalf of the patients. Responsibilities: Interact with patients to provide clear explanations of their health insurance policy terms and conditions. Assist patients in understanding coverage details, including copayments, deductibles, and benefits. Guide patients through the reimbursement ...

JOB DESCRIPTION Designation: Method validation Expert Job Location: Bangalore Department: Analytical Method Validation and Special Instrumentation About Syngene About Syngene At Syngene, Safety is at the heart of everything we do personally and professionally. Syngene has placed safety at par with business performance with shared responsibility and accountability, including following safety guidelines, procedures, and sops, in letter and spirit Mandatory expectation for all roles as per Syngene safety guidelines Overall adherence to safe practices and procedures of oneself and the teams aligned Contributing to development of procedures, practices and systems that ensures safe operations and ...

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...

Seek and acquire new working relationships with Insurer main office & their associated branches Travel to underwriting offices to develop partner relationships and drive better prices on EB products Analyze and identify gaps in existing quote requests to optimize pricing on large insurance deals Suggest better terms and negotiate with insurers directly to support our placements analysts Contribute to our overall Sales & Growth engagement strategy with Insurers and TPAs Interact with the Sales and retention team, help analyze claims, policies, and negotiate better quotes from insurers Contribute to special projects with Sales Head, Pricing Head, CEO, CRO, and COO Share pricing insights and be...

About the Role: At Loop, we re fundamentally rethinking healthcare to empower people to live longer, healthier lives. Our design team is looking for a Senior UX Researcher to help shape the future of care and insurance products at Loop. What You Will Be Doing: Conduct user studies using a variety of methods interviews, participatory design, digital ethnography, service safaris, etc. Facilitate rapidly iterative prototype testing, focusing both on usefulness and usability Capture and share findings and insights in the form of rich artefacts journey maps, experience maps, personas, stories, scenarios, etc. Create a shared understanding of the people we re serving by facilitating workshops with...

Key Responsibilities: Build and maintain strong relationships with partner insurers and TPAs Act as the primary point of contact for insurers regarding endorsements and operational queries. Ensure timely processing of endorsements and track pending cases to closure. Collaborate with internal teams to provide insurers with all necessary documentation and information. Monitor key performance metrics for endorsements (e.g., turnaround times, error rates). Propose and implement process improvements to enhance efficiency. Lead a small team of Insurer relationship Managers and managing their workflow Provide regular updates to leadership on endorsement status and insurer performance. Prepare and s...

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...

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 Descriptions: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny the cla...

Job Descriptions: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny the cla...

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Perform routine payroll tax profile audits of existing clients to ensure accuracy Processes payroll corrections to prepare for amendments and communicates summaries of the corrections to clients Completes monthly New Hire Reporting to state agencies Assists in monthly, quarterly and annual tax filing audits Communicates with clients regarding missing or invalid account information Maintain individual performance to meet established team goals and OKRs Obtain accurate tax jurisdiction account information to ensure timely filing and payment of payroll tax obligations Participate in various processes and initiatives to ensure accurate payments and filings of client taxes Do you have the right i...