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694 Tpa Jobs - Page 9

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2.0 - 7.0 years

1 - 4 Lacs

ahmedabad

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Role & responsibilities Conduct technical analysis of insurance proposals across Fire, Marine, Engineering, CAR, EAR, Liability, and GMC lines Liaise with insurance companies for quotes, placement, and policy issuance Negotiate and bargain with insurers to ensure best terms for clients Provide technical training and guidance to team members Ensure timely preparation and submission of quotes (TAT adherence) Handle placement of new business and manage renewals proactively Support client servicing with technical expertise and risk assessment Maintain strong industry relationships to facilitate smooth placement of business Preferred candidate profile Graduate / Post Graduate with specialization ...

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3.0 - 5.0 years

2 - 5 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 that can meet the u...

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3.0 - 5.0 years

2 - 5 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 that can meet the u...

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1.0 - 3.0 years

1 - 5 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service 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 that can meet the...

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1.0 - 2.0 years

1 - 3 Lacs

ahmedabad

Work from Office

Urgent requirement for BHMS,BAMS,BDS -Badodara(Gujrat )candidate with TPA experience. 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. Need to Visit the Hospitals Should have own Bike Required Candidate profile: BHMS,BAMS,BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is manda...

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1.0 - 2.0 years

1 - 3 Lacs

vadodara

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Urgent requirement for BHMS,BAMS,BDS -Badodara(Gujrat )candidate with TPA experience. 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. Need to Visit the Hospitals Should have own Bike Required Candidate profile: BHMS,BAMS,BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is manda...

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1.0 - 3.0 years

0 - 3 Lacs

chennai

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Company: Casagrand Builder Private Limited Location: Thiruvanmiyur, Chennai Experience Required: 1 - 3 years About Casagrand: Casagrand Builder Private Limited is a leading real estate developer in South India, known for delivering high-quality residential projects that cater to the aspirations of homebuyers. With a strong presence in Chennai, Bengaluru, and Coimbatore, Casagrand is committed to excellence and customer satisfaction. Key Responsibilities: Query Resolution: Serve as the first point of contact for employees' queries related to medical insurance, benefits, and policies. Communication: Effectively communicate with employees to understand their concerns and provide timely and accu...

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

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...

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

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...

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1.0 - 2.0 years

0 - 2 Lacs

ranchi

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Urgent requirement for BHMS/BAMS -Jharkhand(Ranchi) Freshers/candidate with clinical or TPA experience. 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 graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Wo...

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1.0 - 6.0 years

3 - 7 Lacs

noida

Work from Office

Government Panel Knowledge like CGHS, ESI, ECHS Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Preparing split bills/ Doctor charges etc. Handling all TPA Portals.

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1.0 - 5.0 years

4 - 9 Lacs

rajkot

Work from Office

Roles and Responsibilities Will be responsible for handling Corporate Clients such as Banks / Govt., Departments / PSU / IT Companies / Educational institutions, etc., for brand building, conducting camps and managing strong relationships with customers Area Mapping, cold calling, prospecting, negotiation, freezing on commercials, and closing of deals with the necessary documentation Helping the clients to understand various product offerings and solutions available with Dr. Agarwals Handling all B2B activities in order to increase footfalls in the hospital Responsible for revenue and growth of the assigned center Required Skills and experience Experience in business development and B2B acti...

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1.0 - 3.0 years

3 - 4 Lacs

gurgaon/ gurugram

Work from Office

Interested candidate can share their CV at Hr82@miracleshealth.com , resumes@miracleshealth.com or call at 9911652651,7678254255

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

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...

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

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...

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0.0 - 2.0 years

1 - 3 Lacs

bengaluru

Work from Office

Role & responsibilities . To interact with hospital insurance patients. Create WhatsApp groups to provide/share information. Collecting necessary documents from Patient /Hospital. Coordinate with internal medical and Ops team for initial approval. Cross checking the files before sharing with the approval team. Educating patients about deduction. To create awareness about reimbursement claims. ( Pre & Post Hospitalization ) Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the ...

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1.0 - 2.0 years

2 - 3 Lacs

bengaluru

Work from Office

Job Title : Claim Processor Open Positions: 2 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications : Degree in M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS . Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing expe...

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1.0 - 3.0 years

1 - 2 Lacs

guwahati

Work from Office

Roles and Responsibilities Department: Cashless & TPA Designation: Executive-Cashless & TPA JOB RESPONSIBILITY 1. Need to reach Hospital on Time and cross check the cleanliness of Cashless & TPA room, need to check proper working condition of internet, PC, Printers, Telephone Lines. 2. Should have an updated list of all TPA & Govt PSU on panel with updated MOU & Rate list as per agreed tariff, Email ID with Contact Number of costumer care and TPA Coordinator. 3. Should have proper knowledge of all the documents required for cashless approval, Preauthorization form, claim form and process like RSBY, BSBY, ECSH, CGHS. 4. Should handle entire billing part and documentation. 5. Should fill the a...

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6.0 - 9.0 years

7 - 9 Lacs

gurugram

Work from Office

Job Title : CRM Manager TPA Industry Industry : Health Insurance / Third Party Administration Role Objective To lead and optimize the organizations CRM strategy, ensuring seamless client interactions, data integrity, and service delivery across health insurance workflows. The CRM Manager acts as a bridge between technology, client servicing, and operational teams to enhance customer satisfaction and retention. Key Responsibilities Functional Area RM Strategy & Execution - Design and implement CRM strategies aligned with business goals - Drive customer engagement, retention, and satisfaction initiatives -Working at L3 Level in Client Servicing Client Data Management - Ensure accurate and secu...

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

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...

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1.0 - 3.0 years

1 - 5 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service 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 that can meet the...

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7.0 - 11.0 years

3 - 7 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 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 that can meet t...

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3.0 - 5.0 years

2 - 5 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 that can meet the u...

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3.0 - 5.0 years

2 - 5 Lacs

pune

Work from Office

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 that can meet the u...

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3.0 - 8.0 years

4 - 5 Lacs

ranchi

Work from Office

Dear Candidate, We have a Job Opening for TPA Marketing in Reputed Hospital at Ranchi. Requirement Details: Location : Ranchi Designation: Manager Experience: 3 to 8 Years Qualification: Any degree, MBA Expected Notice Period : Immediate to 30 days Responsibilities: Maintain & strengthen the existing relations with TPAs/Corporate/PSUs Signing up with new TPA’s , Corporations & PSU’s Trouble shooting Arranging activities at corporate & PSU’s by the way of Camps awareness programs, Poster campaigns, Standard display. Organizing CME’s for corporate doctors Coordinate between Clients, Insurance, Helpdesk & Doctors in the system for patients' seamless treatment Keeping tab on competitors & their ...

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