Product Manager - Insurance Manipal Technologies

4.0 - 8.0 years

15 - 20 Lacs

noida

Work from Office

Key Responsibilities Define the product roadmap for the Insurance Claim Inspection & Field Investigation platform. Convert fragmented insurance SOPs into a templatized, digital, rules-driven workflow engine. Identify automation opportunities to reduce manual decision-making in claim inspections. Build dynamic checklists, inspection templates, rule engines, escalation logic, and configurable workflows. Enable inspection formats for property, motor, health, travel, and specialized categories. Design fraud-prevention flows (geo-fencing, timestamping, image/video validations Build dynamic checklists, inspection templates, rule engines, escalation logic, and configurable workflows. Enable inspect...

Posted 1 week ago

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Need a TPA person for Multi-speciality hospital Medico Hub

0.0 years

0 Lacs

pune, maharashtra, india

On-site

Contact Mr Nishant Chaudhary WhatsApp 91050 24073 Industry & Sector: Healthcare Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim settlement. Primary job title: TPA Coordinator About The Opportunity We are hiring an experienced TPA Coordinator to join a multi-speciality hospital in Talegaon, Pune (Maharashtra). The role is fully on-site and focuses on managing third-party administrator (TPA) interactions, processing cashless and reimbursement claims, and ensu...

Posted 1 month ago

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Associate Group leader - Claims Operations MD India Health Insurance TPA Pvt Ltd

1.0 - 6.0 years

0 - 3 Lacs

Pune

Work from Office

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolut...

Posted 5 months ago

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