406 Tpa Jobs - Page 8

* 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 client/region specific reports and share strategic inputs/solutions with business partners. Ad-hoc support on projects driven by Cross functional teams. Adhere to the process Standards and guidelines for L&H Underwriting activities defined by the L&H products hub. Able to develop and deliver a training module to junior underwriters/clients. Be flexible and demonstrate performance culture to achieve the regional business goals and performance indices. Be an integral part of the One-team for underwriting and delivering on the key must-wins for the business About Team Life & Health Underwriti ng Services team supports regions across Asia (India, SEA, Hong Kong/Taiwan andANZ). We deliver 100% case assessments for India, SEA and Hong Kong/Taiwan that includes High NetWorth business. The team is building experti se in disability income product for ANZ region. The team is a decade old and we are committ ed to develop profi cient underwriters, craft roadmap forcompetency enhancement and give growth opportunity for potenti al candidates like you through localrotati on and internati onal assignments. Along with core job, experienced underwriters parti cipate in-house Life Guide projects, productdevelopment, client trainings and audits. We live One Team culture enabling positi ve work relati onship with on-shore business partners and sharethe same success story. About You: Preferred science graduate (Biology, Microbiology), Paramedical staff (Nurse, Pharmacist), Dentists, medical background (BAMS, BHMS etc) 5 to 6 years experience of Medical Underwriting in Life / Health Insurance Companies/TPA. Preferred Life/Health Underwriters Complete end to end understanding of the insurance value chain and has an awareness of the legal, regulatory, tax and consumer protection framework in the market. Competent in Life Underwriting and all other products available within the local market. Well-developed decision-making and problem-solving capabilities. Willingness to expand own knowledge on Insurance/Reinsurance concepts Excellent command of English (written and spoken). Other foreign languages will be added advantage Commercial mind set and negotiating ability Ability to build rapport & maintain positive relationships with the team and also market underwriters and other stakeholders Proven ability to work in a team & make a valuable contribution About Swiss Re Swiss Re is one of the world s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world. If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience. Keywords: Reference Code: 134503

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 computer & typing skills Good communication Send your resume to: kishan.dwivedi@mediassist.in

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) function in the GSSO business unit. The TP&A team is focused on designing the optimal territory investment, design and alignment strategy to maximize sales productivity of our sales and service associates. As a sales-driven organization, Gartner invests more than $1.5 billion annually in our world-class salesforce, making it essential to optimize where and how these resources are deployed to drive sustained revenue growth. The VP - Territory Investment Strategy is a high-impact, high-visibility role, pivotal in shaping the design of sales territories, guiding expansion decisions, and determining the optimal mix of BDs, AEs, and sales leaders to drive revenue growth. The strategies and insights delivered by this leader will directly influence Gartner s sales investment priorities and future growth trajectory. Success in this role requires exceptional sales strategy expertise, strong financial acumen, and a proven ability to lead cross-functional teams in a dynamic, results-oriented environment. What you will do: Territory Investment Strategy Develop and maintain deep expertise in NPV and Marginal NPV models to ensure precision in investment recommendations for all regions and sales roles. Lead monthly execution and review of investment models. Validate recommendations with clear business rationale and communicate insights to drive executive decision-making. Identify opportunities to enhance calculation methodologies and spearhead automation initiatives to reduce operational risk and error. Design and implement automated dashboards to visualize ROI of backfills, territory consolidations, and growth investments. Define and monitor KPIs to evaluate the effectiveness and impact of territory investment strategies. Territory Optimization & Sizing Determine the optimal size and structure of Account Executive (AE) and Business Development (BD) territories, with the goal of maximizing sales productivity, revenue growth, and balanced workload distribution. Use advanced financial and statistical models, leveraging data science techniques as needed, to select and prioritize the key variables and performance metrics that drive territory sizing decisions, ensuring alignment with Gartner s go-to-market strategies and organizational objectives. Apply business acumen and strategic insight to iteratively improve outcomes and continuously reassess and refine territory sizing models by incorporating feedback, analysing performance data, and adapting to evolving market conditions and business priorities. Leadership and Cross-functional partnership Lead a lean team of 2 senior managers to drive this important territory investment workstream Ensure that the team presents regular reports and executive updates on the effectiveness and ROI of sales investments, using data-driven insights to guide strategic decisions. Drive a culture of innovation, continuous improvement, and high performance within the territory strategy team. Mentor and develop team members, including data scientists and analysts, to ensure delivery of best-in-class analytical support and professional growth. Collaborate with various teams to communicate, simplify, and drive adoption of territory sizing recommendations across the sales organization, ensuring clarity, buy-in, and accurate implementation of optimized territory structures. Work with internal TPA partners and sales leaders as needed to share progress, drive execution and demonstrate regular iterative improvements every quarter. Ensure regular feedback is incorporated into the various decision models and updates are shared with various stakeholders. What you will need: 12+ years of leadership experience with focus on sales strategy, investment strategy, financial modelling, analytics or consulting. Experience collaborating with and leading teams in a high-performance culture. Exceptional analytical skills, including proficiency with Microsoft Excel, relational databases, as well as familiarity with predictive modelling, statistics, and statistical tools. Strong written and verbal communications. Demonstrated ability to form trust-based relationships with both senior leaders and internal partners. Ability to learn quickly, breakdown and quickly understand complex business processes, and comfort working with ambiguity. Ability to multi-task and prioritize workload based on business impact in a fast-paced environment. What you will get : Competitive salary, generous paid time off policy and more! India: Group Medical Insurance, Parental Leave, Employee Assistance Program (EAP) Collaborative, team-oriented culture that embraces diversity Professional development and unlimited growth opportunities #GSSO #LI-AS14 Who are we At Gartner, Inc. (NYSE:IT), we guide the leaders who shape the world. Our mission relies on expert analysis and bold ideas to deliver actionable, objective insight, helping enterprise leaders and their teams succeed with their mission-critical priorities. Since our founding in 1979, we ve grown to more than 21,000 associates globally who support ~14,000 client enterprises in ~90 countries and territories. We do important, interesting and substantive work that matters. That s why we hire associates with the intellectual curiosity, energy and drive to want to make a difference. The bar is unapologetically high. So is the impact you can have here. What makes Gartner a great place to work What do we offer Ready to grow your career with GartnerJoin us. The policy of Gartner is to provide equal employment opportunities to all applicants and employees without regard to race, color, creed, religion, sex, sexual orientation, gender identity, marital status, citizenship status, age, national origin, ancestry, disability, veteran status, or any other legally protected status and to seek to advance the principles of equal employment opportunity.

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 Gartner s Global Sales, Strategy & Operations (GSSO) business unit. The TP&A team is focused on designing the optimal territory investment, design and alignment strategy to maximize Sales (and Services) productivity.As a sales-driven organization, Gartner invests more than $1.5 billion annually in our world-class salesforce, making it essential to optimize where and how these resources are deployed to drive sustained revenue growth. The Sr. Manager - Territory Investment Strategy is a high-impact, individual contributor role, pivotal in shaping the design of sales territories, guiding expansion decisions, and determining the optimal mix of BDs, AEs, and sales leaders to drive revenue growth. Strategies and insights delivered by this team will directly influence Gartner s sales investment priorities and future growth trajectory. Success in this role requires exceptional understanding about sales strategy, strong financial acumen, analytical mindset, and a proven ability to lead cross-functional initiatives in a dynamic, results-oriented environment. What you will do: Territory Investment Strategy Develop and maintain deep expertise in NPV and Marginal NPV investment models to ensure precision in investment recommendations for all regions and sales roles. Lead monthly execution and review of investment models. Validate recommendations with clear business rationale and communicate insights to drive executive decision-making. Identify opportunities to enhance calculation methodologies and spearhead automation initiatives to reduce operational risk and error. Design and implement automated dashboards to visualize ROI of backfills, territory consolidations, and growth investments. Define and monitor KPIs to evaluate the effectiveness and impact of territory investment strategies. Territory Optimization & Sizing Determine the optimal size and structure of Account Executive (AE) and Business Development (BD) territories, with the goal of maximizing sales productivity, revenue growth, and balanced workload distribution. Use advanced financial and statistical models, leveraging data science techniques as needed, to select and prioritize the key variables and performance metrics that drive territory sizing decisions, ensuring alignment with Gartner s go-to-market strategies and organizational objectives. Apply business acumen and strategic insight to iteratively improve outcomes and continuously reassess and refine territory sizing models by incorporating feedback, analysing performance data, and adapting to evolving market conditions and business priorities. Cross-functional partnership Collaborate with various teams to communicate, simplify, and drive adoption of territory sizing recommendations across the sales organization, ensuring clarity, buy-in, and accurate implementation of optimized territory structures. Work with internal TPA partners and sales leaders as needed to share progress, drive execution and demonstrate regular iterative improvements every quarter. Ensure regular feedback is incorporated into the various decision models and updates are shared with various stakeholders. What you will need: 8+ years of experience with focus on sales strategy, investment strategy, financial modelling, analytics or consulting. Experience collaborating with cross-functional teams in a high-performance culture. Exceptional analytical skills, including proficiency with Microsoft Excel, relational databases, as well as familiarity with predictive modelling, statistics, and statistical tools. Strong written and verbal communications. Demonstrated ability to form trust-based relationships with both senior leaders and internal partners. Ability to learn quickly, breakdown and quickly understand complex business processes, and comfort working with ambiguity. What you will get : Competitive salary, generous paid time off policy and more! India: Group Medical Insurance, Parental Leave, Employee Assistance Program (EAP) Collaborative, team-oriented culture that embraces diversity Professional development and unlimited growth opportunities #GSSO #LI-AS14 Who are we At Gartner, Inc. (NYSE:IT), we guide the leaders who shape the world. Our mission relies on expert analysis and bold ideas to deliver actionable, objective insight, helping enterprise leaders and their teams succeed with their mission-critical priorities. Since our founding in 1979, we ve grown to more than 21,000 associates globally who support ~14,000 client enterprises in ~90 countries and territories. We do important, interesting and substantive work that matters. That s why we hire associates with the intellectual curiosity, energy and drive to want to make a difference. The bar is unapologetically high. So is the impact you can have here. What makes Gartner a great place to work What do we offer Ready to grow your career with GartnerJoin us. The policy of Gartner is to provide equal employment opportunities to all applicants and employees without regard to race, color, creed, religion, sex, sexual orientation, gender identity, marital status, citizenship status, age, national origin, ancestry, disability, veteran status, or any other legally protected status and to seek to advance the principles of equal employment opportunity.

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 Gartner s Global Sales, Strategy & Operations (GSSO) business unit. The TP&A team is focused on designing the optimal territory investment, design and alignment strategy to maximize Sales (and Services) productivity As a sales-driven organization, Gartner invests more than $1.5 billion annually in our world-class salesforce, making it essential to optimize where and how these resources are deployed to drive sustained revenue growth. The Sr. Manager - Territory Investment Strategy is a high-impact, individual contributor role, pivotal in shaping the design of sales territories, guiding expansion decisions, and determining the optimal mix of BDs, AEs, and sales leaders to drive revenue growth. Strategies and insights delivered by this team will directly influence Gartner s sales investment priorities and future growth trajectory. Success in this role requires exceptional understanding about sales strategy, strong financial acumen, analytical mindset, and a proven ability to lead cross-functional initiatives in a dynamic, results-oriented environment. What you will do: Territory Investment Strategy Develop and maintain deep expertise in NPV and Marginal NPV investment models to ensure precision in investment recommendations for all regions and sales roles. Lead monthly execution and review of investment models. Validate recommendations with clear business rationale and communicate insights to drive executive decision-making. Identify opportunities to enhance calculation methodologies and spearhead automation initiatives to reduce operational risk and error. Design and implement automated dashboards to visualize ROI of backfills, territory consolidations, and growth investments. Define and monitor KPIs to evaluate the effectiveness and impact of territory investment strategies. Territory Optimization & Sizing Determine the optimal size and structure of Account Executive (AE) and Business Development (BD) territories, with the goal of maximizing sales productivity, revenue growth, and balanced workload distribution. Use advanced financial and statistical models, leveraging data science techniques as needed, to select and prioritize the key variables and performance metrics that drive territory sizing decisions, ensuring alignment with Gartner s go-to-market strategies and organizational objectives. Apply business acumen and strategic insight to iteratively improve outcomes and continuously reassess and refine territory sizing models by incorporating feedback, analysing performance data, and adapting to evolving market conditions and business priorities. Cross-functional partnership Collaborate with various teams to communicate, simplify, and drive adoption of territory sizing recommendations across the sales organization, ensuring clarity, buy-in, and accurate implementation of optimized territory structures. Work with internal TPA partners and sales leaders as needed to share progress, drive execution and demonstrate regular iterative improvements every quarter. Ensure regular feedback is incorporated into the various decision models and updates are shared with various stakeholders. What you will need: 8+ years of experience with focus on sales strategy, investment strategy, financial modelling, analytics or consulting. Experience collaborating with cross-functional teams in a high-performance culture. Exceptional analytical skills, including proficiency with Microsoft Excel, relational databases, as well as familiarity with predictive modelling, statistics, and statistical tools. Strong written and verbal communications. Demonstrated ability to form trust-based relationships with both senior leaders and internal partners. Ability to learn quickly, breakdown and quickly understand complex business processes, and comfort working with ambiguity. What you will get : Competitive salary, generous paid time off policy and more! India: Group Medical Insurance, Parental Leave, Employee Assistance Program (EAP) Collaborative, team-oriented culture that embraces diversity Professional development and unlimited growth opportunities #LI-MP4 #GSSO Who are we At Gartner, Inc. (NYSE:IT), we guide the leaders who shape the world. Our mission relies on expert analysis and bold ideas to deliver actionable, objective insight, helping enterprise leaders and their teams succeed with their mission-critical priorities. Since our founding in 1979, we ve grown to more than 21,000 associates globally who support ~14,000 client enterprises in ~90 countries and territories. We do important, interesting and substantive work that matters. That s why we hire associates with the intellectual curiosity, energy and drive to want to make a difference. The bar is unapologetically high. So is the impact you can have here. What makes Gartner a great place to work What do we offer Ready to grow your career with GartnerJoin us. The policy of Gartner is to provide equal employment opportunities to all applicants and employees without regard to race, color, creed, religion, sex, sexual orientation, gender identity, marital status, citizenship status, age, national origin, ancestry, disability, veteran status, or any other legally protected status and to seek to advance the principles of equal employment opportunity.

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, Karthick 8754142459

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answering to specific trigger in reports. • Manage multiple cases with confidence and accuracy and respond well to working to meet targets and tight deadlines. • Prepare reports, maintain records and keep track of evidence trails. Note : Bike is Mandatory for travelling. Kindly share your Resume on ta4@mdindia.com

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary. Follow-up and Updates to be given to the clients Required Skills and Experience Education: Any Diploma, Graduation, or Under Graduation. Experience: 6 months to 1 year in hospital or insurance roles (preferred). Strong communication and problem-solving skills. Ability to multitask, prioritize, and work efficiently. Detail-oriented with a professional and confidential approach.

Fortis Hospital Mohali is hiring for following vacancies; 1. OPD 2. IPD 3. TPA 4. Counsellor interested candidates can come directly for the interview as per schedule or share resume at baljinder.singh@fortishealthcare.com

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims 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. Work regularly in improving the companys operations performance. Also, the deputy operations manager works in certain cases in touch with the clients to make sure that they receive the required service with the highest quality. In Customer service company, the deputy operations manager works with his team to make the clients satisfied by offering to his team the required training and courses to be able to communicate correctly with the customers. Follow up with the running project daily in order to make sure that they follow the right operation process. Check the logistics operations. Monitor t Show to the employees the company strategies and regulations in order to maintain the operation process. Solve all the different problems that could face the operations, to ensure the operational strategy. Issue a weekly, and monthly report for the operations manager to see all the updates realized on

Urgent requirement for BHMS/BAMS/BDS Mumbai(Fort) candidate with TPA experience required. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Minimum 1 Year TPA Expereince Candidates required Work from office. Venue details: Mezzanine floor, Ballard House, Adi Marzban path, Ballard estate, Bearing CTS number 1185, Fort, Mumbai 400001

Responsibilities: * Ensure accurate Hospital Billing of cash/insurance patients. * Manage TPA claims from submission to settlement * Collaborate with insurance companies on claim resolution and settlement. Please contact 9326009595

The selected candidate willbe responsible for managing the approval and rejection processes for cashlessclaims under TPA and MJPJAY schemes. This will involve close coordination withhospital doctors, wards, the billing team, and insurance companies. Key Responsibilities: Handle approval and rejection of cases within the TPA department. Coordinate with hospital doctors and wards to ensure the availability of cashless facilities for patients. Manage pre-authorizations, patient admissions, and discharges, especially in the absence of the respective TPA/MJPJAY team member. Collaborate with the in-house ward, ICU, IPCU, and billing team to ensure final cashless approval for patients. Resolve issues related to cashless claims with TPA/MJPJAY authorities. Coordinate with TPA and insurance companies for approvals, rejections, or queries related to cashless cases. Prepare daily MIS reports for cashless cases. Be well-versed with TPA and MJPJAY portals for smooth processing. Settle cashless cases on the HMIS portal. Prepare refund sheets for cashless deposit refunds. Qualifications

About Rentokil PCI Rentokil PCI is the leading pest control service provider in India. A Rentokil Initial brand, Rentokil PCI was formed in 2017 through a joint venture (JV) between Pest Control India, the number one pest control company in India, and Rentokil, the world s leading pest control brand. Rentokil PCI aims to set new standards for customer service having operations across 300 locations in India. About the Role: OE / Sr. OE shall be owner of his / her assigned service areas within the Branch in terms of operations related actions as given in job responsibilities, and shall be responsible for providing qualified Technicians for execution of services. Responsible for Resi, SA, SMEs. Job Responsibilities: A. Core Operations Ensure availability of qualified (trained & certified) Technicians at all time as per Technical Training Guidelines. Coach and train assigned technicians in order to improve the service quality and customer retention of the assigned service area, as per Technical Training Guidelines & service SOPs. Ensure availability of recommended preparation, materials, and service tools in working condition to Technicians as per service SOPs Conduct daily 10 min stand up meeting, and explain safety and special instruction to assigned technicians to execute the job as per instructions received from Sales Team/Service Docket. Ensure SCP devices are effectively used by technicians, troubleshooting of SCP issues and providing refresher training to technicians on the updates as & when required. Ensure all On-Site service documentation in Partner Kit are up to date as per contractual requirements and as per myRentokil (for myR customer) Ensure implementation and Compliance of service SOP, SHE golden rules, ATEX and PINK NOTE by self and the assigned technicians . Minimum 15 customer visits per week that includes- Surprise visits, Rout ride, TPA, Customer complaints, Pest Audits, etc.- Resi & SA (including QSRs) Ensure APL (Approved Preparations List) listed preparations, products and materials are used in line with service SOPs Ensure material stores are maintained appropriately as per good storage practice and disposal of empty containers, used TG/Control board, pesticides wrappers and damaged materials are disposed in line with SOP Ensure proper schedule of maintenance & repairs of equipment is established & is followed periodically In case any of the Operations colleagues are on leave or position is vacant, should ensure entries are made in iCABS to achieve operations KPI of Branch. Ensure technicians carry out treatment within a given Standard Treatment Time (STT) in a competent manner and effectively follow the route plan and timings defined by Service Planner. Approval of conveyance amount for assigned technicians Promote highest grooming standards (uniform, Safety shoes, PPEs) B. Advance Operations Conduct PMI Pest Audit as per icabs- QSRs & Small branch accounts Plan & execute 01 TPAs (Technicians Performance Assessment) per assigned technician with 1 development programs per year. Identify & resolve Service delivery issues in coordination with the Branch Manager Ensure customer complaints are resolved as per complaint management SOP and update the Root Cause in iCABS to ensure proper ticket closure in time. Analyse customer complaints- CO- service wise and improve skills of identified Technicians to reduce CO & ensure closure by monitoring open tickets on weekly basis Compliance and closure of audits non-conformities w.r.t. service operations (Internal / External) Track and optimize material consumption as per SRF, Cost sheet and SOW and report deviations to line manager Ensure adequate stocks of materials as pending & new jobs in line with APL and SOPs are available in branch, and near expiry materials are used first. Track and monitor materials consumption to ensure branch material consumption within the target. Maintaining Optimum Stock Level and Ensuring Indents are raised after checking requirement and stock. Monitor and drive service productivity and efficiency. Carry out Pest Management Inspection- Pest Audits of assigned customers as per iCAB using rAuditor Ensure Service leads are submitted by all technicians as per the target Monitor & report to Line Manager on input costs at all major sites as per gross margin agreed & discuss action plans to bring it within limits. Actively drive Service & Product Leads for assigned technician group within service area by on the job coaching to create density of customers. Encourage technicians to plan their leaves in advance to curb absenteeism Help Resolve any Grievances & IR issues of Technicians & bring to the notice of the Line Manager on day to day basis Report any deviation that could impact service quality or productivity of technicians like over commitments, recommendation regarding night service, additional visits, covered area mismatch, etc. Self Development- Be updated with latest innovations, Service SOPs, SHE and PN updates. Key Result Areas: 100% completion of PMI Pest Audit as per icabs- QSRs & Small branch accounts Material consumption target to be met 100% as per Branch AoP target TPA and Development plan

The role involves verifying insurance eligibility and benefits for patients, and coordinating with internal and client teams to ensure timely and accurate claim processing.

Ensure the smooth operations of all departments within the hospital Ensure the smooth flow of all patient services and facilities Ensure efficient operations of hospitals accounting and budgeting systems Protect the reputation of the hospital and its employees Advise the board of directors and hospital administration Provide leadership and management to hospitals staff Informed decision-making ability Effective communication skills High level of interpersonal skills Good knowledge of healthcare.

Urgent requirement for MBBS-Chennai( Kilpauk ) Freshers. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: MBBS graduate. MBBS Candidate Should be MCI Registered Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Only Male Candidates Required Venue details: MDIndia Health Insurance TPA Pvt. Ltd. No: 226 , OM Sakthi Towers Kilpauk Garden road, Kilpauk, Chennai-600010.

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- 8951865563 Whatsapp CV mail id -sarika.pallap@mediassist.in

Designation: Medical Officer Location: Ghaziabad JD: History taking and documentation, assessment of vitals. Discussing patients history and findings with treating consultant for formulation of a care plan. Transcribing any medication or other orders given by the treating consultant into the medical record. Clarifying any doubts, the patient/ family may have about treatment/ procedure/ processes at the hospital/ investigation results. Liaison between patients and treating doctor or administrative staff for any patient queries. Transcription of discharge summaries on treating consultants directions. Entering data and maintaining all documentation in hard & Soft copy for all possible records and documents (Scan Report/ Prescription/ Discharge card/ Investigations/ Referral letter / Sickness /Fitness/Medical certificate, etc.). Transcribing ultrasound scan report of patients into the electronic system. To work as patient care coordinator for centre. Explaining all procedures to patient as well as all pre-procedure advice to be observed by the patients before procedure. Educating couple about flow of patient on various visit Explaining Medicine to Couple/Patient as per the prescription advised by the Sr. Consultant Resolve patients’ queries & brief them about various fertility solutions available. Liaise with patients and other staff to ensure seamless centre operations. Ensure compliance with healthcare regulations and safety standards, while maintaining the highest standards in patient care Regards Interested candidate can share updated resume on sheetal.devadiga@indiraivf.in

Designation-Team Lead/Assistant Manager/Manager in CRM for Client Servicing Job Location: Gurgaon Industry-TPA Company or Health Insurance will only be preferred If you are interested, please you can visit to Office between 11AM to 1PM Monday-Friday Vidal Health TPA | 531-532 | Udyog Vihar | Phase V | Gurgaon | Haryana 122 016 Contact Number-9971006988 Job Description: Key Responsibilities: 1 . Management and Retention of Top corporate for the region alont with Team as a L1 Level. 2. Reports on top corporate/insurance companies/brokers to be reviewed with Leadership Team and proactively act on issues before escalations. 3. Fulfilment of SLAs. 4. Oversee timely submission of MIS reports to Insurance Companies/Corporate etc.. 5.. Oversee department functions like the Customer Care, Claims, Preauth and related functions. 6.Claims and Cashless settlement 7. Coordination with Broker, Insurance Company and Corporate Client etc. Experience required: Experience: 2-4 years of experience in Customer Service or Client Relationship roles in Health Insurance or TPA Company Personal Attributes and Competencies: Strong verbal, written, presentation and persuasive skills that effectively communicates with Experience of making and developing strategies Strong negotiation skills that demonstrate creative, innovative problem-solving approaches to complex situations. Strong analytical and problem-solving skills. Interested Candidate can connect -09971006988

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 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 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 unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingProperty and Casualty Insurance Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

JOB DESCRIPTION : HOSPITAL RELATIONS MANAGER Department: Hospital Relations Location: Hyderabad,Warangal,Nizamabad,Vijaywada,Visakhapatnam Job Type: Full-Time Job Summary: The Hospital Relations Manager will be responsible for managing and optimizing the relationship between the organization and hospital partners. This role involves overseeing pricing strategies, negotiating claims, resolving pending issues, and ensuring smooth coordination with internal stakeholders. The position also requires meticulous documentation related to training, meetings with internal and external stakeholders and updates to facilitate effective communication and decision-making. Key Responsibilities: 1. Hospital Visit Management: Conduct regular visits to hospital partners to review and address pricing structures, contract terms, and service quality. Analyze and assess hospital billing and pricing strategies to ensure alignment with organizational objectives. 2. Claims Negotiation: Lead negotiations with hospital partners regarding claims and reimbursement issues to ensure favorable outcomes for the organization. Work closely with the internal claims team to resolve discrepancies and expedite claim resolutions. 4. Pending Issues and Concerns: Identify, track, and resolve pending issues and concerns related to hospital partnerships, including billing disputes, service quality, and contractual obligations. Act as a liaison between the hospital and internal teams to address and mitigate concerns promptly. 5. Coordination with Internal Stakeholders: Collaborate with internal departments to ensure alignment on hospital-related activities and strategies. Facilitate effective communication and coordination between internal teams to address issues and implement solutions. 6. Documentation and Reporting: Prepare and maintain comprehensive documentation of hospital visits, pricing agreements, claims negotiations, and issue resolutions. Document and update sales meetings, including key takeaways, action items, and progress reports. 7. Sales Meeting Coordination: Organize and lead sales meetings to discuss hospital partnerships. Provide regular updates and reports to sales teams and management on hospital-related activities and performance. Qualifications: Education: Any Medical Background Minimum of 3 years of experience in hospital relations,Provider Management, healthcare finance, or a similar role. Strong negotiation skills with a proven track record of successful claims resolution. Excellent communication and interpersonal skills to effectively interact with hospital partners and internal teams. Proficiency in Excel, PowerPoint, MS Word. Ability to handle complex issues and provide strategic solutions in a fast-paced environment. Preferred Skills: Experience with hospital billing systems and healthcare reimbursement processes. Knowledge of insurance industry regulations and compliance requirements. Working Conditions: Outdoor visits to hospitals. Flexibility to work outside regular office hours as needed for urgent issues or meetings.