Claims Investigations Manager

The Ayushman Manager is responsible for overseeing all operations related to the Ayushman Bharat – Pradhan Mantri scheme, ensuring smooth claim processing, documentation, and compliance with government policies and empanelment guidelines.

Full job descriptionKey Responsibilities:TPA & Insurance CoordinationLiaise with various TPAs, insurance companies, and corporate clients for emplacement and claim processing.Ensure timely submission and follow-up of all pre-authorization and final claim documents.Maintain records of all cashless and reimbursement patients.Claims ManagementVerify patient...

Position: Promo Mats / Veeva Vault/ Regulatory / Medical DevicesExp: 2-6 yearsLocation: ChennaiPosition Description: Hands on experience in Veeva Vault, Promo Mats, and other systems to review and verify regulatory documentation, minimizing manual effort.Ensure all regulatory claims, supporting evidence, and documentation are complete, accurate, and properly...

Role & responsibilities:-Sales planning and Execution:Firm up sales plans for the month/quarter/annual with ManagementEnsuring right forecasting, Volume/Value build up for the monthly numbers and clarity on Trade/marketing inputsCommunicating and aligning the plans with the Sales Team ( ASM, ASE, SO/SR)Tracking and Monitoring of Sales plans on...

Profile – HR Manager/Sr. Manager HRExp- 9+ yrsSalary -negotiableLocation- VaranasiQualification- Any GraduateMust have :Should be comfortable in Rotational Shift/ day shift/ Night ShiftUS IT Recruitment experience will be advantageRoles & Responsibilities :Managing the complete range of human resources functions and overseeing the daily operations of the...

Roles and Responsibilities (i) Dealing with references on legal issues received from various departments of the Bank and its associate institutions. (ii) Able to monitor and handle – - Drafting and vetting of various agreements; Handling of creditdocumentation and finalising the same from legal point of view; Handlingcases and advising dealing team before...

Patient Care & MonitoringKey Responsibilities:Conduct regular patient rounds and assess patient conditions.Monitor vitals and report any changes to the consultant immediately.Ensure all treatment orders (medications, investigations, procedures) are executed promptly.Coordination with ConsultantsAssist consultants during ward rounds and patient...

1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation. Track claim status, address rejections, and handle appeals if necessary. 2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions. Assist with pre-authorizations for treatments as required. 3. Coordination with Insurance...

Company DescriptionIncorporated in 2007, Canara HSBC Life Insurance Company Limited is a joint venture promoted by Canara Bank (51%) and HSBC Insurance (Asia Pacific) Holdings Limited (26%), with Punjab National Bank also holding 23% as an investor. Based in Gurugram, Haryana with over 100 branches across India, the company combines the market knowledge of...

About Futuristic Underwriters Pvt. Ltd. We are a business transformation center dedicated to achieving efficient underwriting operations, utilizing AI/GENAI capabilities, and further advancing its digital transformation and innovation. We will advance Futuristic Group's global strategy through pioneering work in streamlined underwriting processes, AI,...