TPA Executive

3 weeks ago


Gurugram, India ClaimBuddy Technologies Pvt Ltd Full time

Job Designation-: Insurance TPA, Claim Specialist

Roles & Responsibilities-:

  • Candidates should have worked in Hospital Insurance desk (Most Important)
  • Provide Medical opinion for Health Insurance Claims
  • Processing of Cashless Requests & Health Insurance Claim Documents
  • Proficient with medical terms & system.
  • Understanding of Policy terms & conditions & Various Protocols / Guidelines
  • Understanding of Claims adjudication / Claims Processing
  • Maintaining & Ensuring Standard Operating Procedures & Protocols
  • Ailment Wise ICD & Procedure Coding
  • Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
  • VIP Claims Processing and TAT Maintenance
  • Claim Case Management / Cost Management

Requirements-:

  • At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
  • Good Excellent oral and written communication, negotiation and decision-making skills.
  • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.

Immediate Joiner

Job Type: Permanent

Pay: ₹18, ₹27,862.52 per month

Benefits:

  • Health insurance
  • Provident Fund

Experience:

  • total work: 1 year (Preferred)

Work Location: In person



  • Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full time

    **Designation-Executive in CRM for Client Servicing** **Individual Contributor in Team for Corporate EB.** Job Location: Gurgaon **Industry-TPA Company or Health Insurance will only be preferred.** **Immediate Joiner required.** **Job Description**: **Key Responsibilities**: **1**. Management and Retention of Top corporate for the region along with Team...


  • Gurugram, India Vidal Health Insurance TPA Private Limited Full time

    *Designation-Executive in CRM for Client Servicing Individual Contributor in Team for Corporate EB. Job Location: Gurgaon Industry-TPA Company or Health Insurance will only be preferred. Immediate Joiner required. Job Description: Key Responsibilities: 1. Management and Retention of Top corporate for the region along with Team as a L1 Level. Handling queries...

  • Tpa Executive

    3 days ago


    Gurugram, Haryana, India Shivam Hospital Gurgaon Full time

    Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Couriering the hard copy of patient's medical file to the Insurance companies. - Responsible for all co-ordination activities from patient's admission to...


  • Gurugram, India Sight Avenue Full time

    Looking after the corporate client & their empanelment's Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. Handling all queries related to patients. Call me on

  • Executive

    3 weeks ago


    Gurugram, India Vidal Health Insurance TPA Ltd Full time

    Vidal Health Insurance TPA is hiring for Executive for Client Servicing Roles and Responsibilities: 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 Fulfilment of SLAs of top stakeholders for the respective region. Oversee...

  • CRM Manager

    3 weeks ago


    Gurugram, India Vidal Health Insurance TPA Full time

    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...

  • TPA Executive

    1 week ago


    Shivaji Nagar, Gurugram, Haryana, India Best for Him Full time ₹ 3,00,000 - ₹ 4,20,000 per year

    Ensure that OT patients have an appointment with doctor before admissionReconfirm Financial counseling of patient done by Medical OfficerSolve surgery related queries of patients telephonicallyCheck Pre-Authorization filled by Medical officerGet final approvalTrack settlements of paymentsMaintain Reimbursement RegisterCollect PaymentsPrepare OT list by...


  • Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full time

    Vidal is hiring for Claims-Executive Work Location: Gurgaon **Work from Office only** **Key Responsibilities** Claim processing which includes NME evaluation Tariff applicability Policy T & c Co-pay Discount deduction Investigation criteria knowledge Insurer wise policy T&C knowledge Basic Documentation required for claim processing Experience...

  • Store Executive

    5 days ago


    Gurugram, Haryana, India Vidal Health Insurance TPA Private Limited Full time

    We are hiring for Store Executive for Vidal Health Insurance TPA Pvt ltd Job Location: Gurgaon, Phase 5,Udhyog Vihar Monday - Saturday(8hrs Shift) **Key Responsibilities**: - **File Management**:. - **Data Entry**s. - **Organizational Efficiency**: Implement efficient storage and organization techniques to maximize space utilization and accessibility. -...


  • Gurugram, India Vidal Health Insurance TPA Private Limited Full time

    Vidal Health Insurance TPA is hiring for Front Office Executive ( Female candidate). Key Responsibilities: Greet and assist visitors, clients, and employees with professionalism and warmth Manage incoming calls, emails, and messages; route them appropriately Maintain visitor logs and ensure security protocols are followed Schedule appointments and coordinate...