1024 Tpa Jobs - Page 9

Looking for fresh BAMS, BHMS graduates to join our Claims Processing team. This role involves reviewing medical documents and helping process health insurance claims (cashless/reimbursement) as per policy guidelines.

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. For more details: https://www.rentokil-pestcontrolindia.com 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...

Silver Streak Multi-Speciality Hospital is seeking a detail-oriented and experienced TPA Manager to lead and streamline the hospital s Third-Party Administrator (TPA) operations. The ideal candidate should have minimum 5 years of experience in a TPA cell within a hospital setting and be we'll-versed in handling the complete cycle of patient approvals, claims processing, reconciliations, and recovery follow-ups. The role also involves coordination with insurance companies, empanelment of new TPAs, and ensuring timely collections and documentation. Key Responsibilities: Oversee the end-to-end TPA process, including patient pre-authorization, final approval, and billing coordination. Liaise wit...

1.Coordinate with insurance companies and third-party administrators (TPAs) for processing patient claims. ECHS/ESIC/CGHS 2.Ensure accurate and timely submission of insurance claims and necessary documentation.

Responsibilities: Manage insurance cases from intake to settlement Collaborate with medical providers on claims resolution Ensure timely claim processing and payment distribution Health insurance Annual bonus

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. For more details: https://www.rentokil-pestcontrolindia.com About The Role OE / Sr. OE shall be the 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 Technici...

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. For more details: https://www.rentokil-pestcontrolindia.com Our Family Of Businesses Rentokil Pest Control is the world's leading commercial pest control company, operating in 70 countries and ranked in the top 3 in 65 of those countries. Ranking in the top 3 in 38 of the 44 countries we ...

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: Team Lead - Hospital Operations Location: Udupi, Karnataka Experience: 0-5 Years Qualification: Any Degree + 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....

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At l...

Vidal Health Insurance TPA is hiring for an AVP CRM -Client Servicing role for large corporate accounts Job Location: Gurgaon Interested candidates can send their resumes on tiju.jose@vidalhealth.com Key Responsibilities: 1. Management and Retention of Top corporate for the region. 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 of top stakeholders for the respective region. 4. Oversee timely submission of MIS reports to Insurance Companies/Corporate etc. 5. Relationship with HO of Insurance Companies, Brokers etc... 6. Service fees collection for the region. 7. Oversee departm...

Key Responsibilities: Handle and process cashless claims efficiently and within timelines. Coordinate with TPAs , insurance companies , and internal departments for smooth processing of patient admissions and discharges. Manage pre-authorisation, enhancement, and final approval processes for all cashless patients. Ensure accurate and timely documentation for CGHS , GIPSA , and private insurance claims. Track claim status, follow up on pending claims, and ensure timely reimbursements. Maintain up-to-date records and MIS reports. Coordinate with patients regarding insurance queries and documentation needs. Ensure compliance with standard protocols and hospital policies. Requirements: Minimum 2...

Bigfix Gadget Care is looking for Process Executive (Claims) to join our dynamic team and embark on a rewarding career journey Analyze and identify areas for process improvement Develop and implement process improvement strategies Monitor and evaluate operational processes and provide recommendations for improvement Develop and implement policies and procedures to ensure compliance with regulatory and legal requirements Ensure that operational processes are efficient, effective, and meet established goals and objectives Proven experience in process improvement and project management Strong analytical and problem-solving skills Excellent communication and interpersonal skills Disclaimer: This...

Responsible for managing and reconciling payments related to executive compensation within the organization. This role requires meticulous attention to detail, strong analytical skills, and the ability to collaborate effectively with various departments to ensure accurate and timely processing of the payments. Qualification Any Bachelors degree /Any Masters degree Should have have good knowledge of all TPA work. Must be aware of norms of the insurance sector. . Basic Knowledge of billing. Provides excellent customer care. Excellent communication and computer skills Demonstrates strong interpersonal skills. Multi-tasks well in a fast-paced workplace. Key Responsibilities Claims Processing: Ov...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Salary- 25k/month + other benefits Work Location-Gurgaon Contact No-9971006988 through whats app chat

Work Location (Work from Office): IBC Knowledge Park, Bannerghatta Rd, Bhavani Nagar, S.G. Palya, Bengaluru, Karnataka 560029, India Role & responsibilities Review the performance of all the key Pan India accounts and address the possible areas of improvement to enhance stakeholder satisfaction. Be a team player and leader by periodically reviewing the team's performance, setting goals and targets, and encouraging upskilling for efficient client management. Prepare interim performance reports for these accounts for both the internal and external stakeholders. Organize employee engagement sessions and upskilling for team members through training, coaching and any relevant mentoring sessions. ...

Vidal Health Insurance TPA is hiring for Executive for Client Servicing Key Responsibilities: 1 . Management of query related to Claims and Cashless at Level 1. 2.Reports on top corporate/insurance companies/brokers to be reviewed with Leadership Team 3. Fulfilment of SLAs of top stakeholders for the respective region. 4. Oversee timely submission of MIS reports 5. Relationship with HO of Insurance Companies, Brokers if required. 6. Oversee department functions like the Customer Care, Claims, Contact Centre and related functions. Qualification & Experience required: Experience: Minimum Graduation with 1-2 years of experience in Customer Service with good com skills. Industry- Health Insuranc...

Preferred candidate profile * Its Team handling Role (Having reporting of 4-5 Cluster Manager) * Candidate Must be from Corporate Sales, Agency Sales,Preferably from Health Life and General Ins with GMC GPI product experience * Candidate must have experience of Group Sales Corporate Sales preferable in Health Insurance *Candidate must have good performance track record and stability of 2+ years in current company. Desired candidate profile form Insurance Agency Sales retail or corporate sales exposure with team handling exposure e.g. Agency Branch Manager * Young with Good Communication, Age preferably below 35 Years * Candidate must be from Heath Insurance or TPA Background with strong comm...

We are seeking a talented individual to join our Employee Health & Benefits team at Marsh India Insurance Brokers Pvt Ltd. This role will be based in Gurgaon . This is a hybrid role that has a requirement of working at least three days a week in the office. Assistant Vice President Employee Health & Benefits We will count on you to: Responsible for developing new clients and servicing existing clients. Studying the client's existing portfolio and consulting the client in managing their risks. Doing gap analysis of the existing policies, suggesting better terms and negotiating the same with the insurers. Client Retention to be maintained at 100% Responsible for preparing proposals for client’...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 t...

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(Domestic) - 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 insu...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Work location Vidal Health Insurance TPA PVT LTD Global Gopalan Tech Part, G-Block, Satya Sai Baba, Whitefield, Bangalore Contact No -9901837404 Contact Person Name ...

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. For more details: https://www.rentokil-pestcontrolindia.com Requirements About the Role: OE / Sr. OE shall be the 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 qual...

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

This role is responsible for developing and maintaining strong relationships with strategic clients, driving revenue growth, and ensuring customer satisfaction. This role requires a blend of strategic planning, business development, and operational execution to optimize customer value and long-term partnerships. The ideal candidate should have a strong background in account management, client servicing, and business expansion within a fast-paced, customer-centric environment. Key Responsibilities: Develop and execute a strategic account plan for key clients to maximize revenue and customer satisfaction Identify and capitalize on growth opportunities within existing accounts Act as the primar...