Tpa Domestic Claims

**Job Duties & Responsibilities** - To interact with hospital insurance patients. - Sending Pre-Authorization and getting approval for Cashless claims. - Cross checking Packages or tariff before sending to Insurance Company or TPA. - Educating patient about deduction on settlement. - To create awareness about reimbursement claims. (Pre, Post &...

Insurance claim process Need to check eligibility coverage status Track Claim status with TPA's Prepare hospital bills Need to explain the claim process to patient's **Job Types**: Full-time, Fresher Pay: ₹12,942.52 - ₹17,800.25 per month **Benefits**: - Paid sick time Schedule: - Day shift - Morning shift Supplemental Pay: - Performance...

Greetings From **Link - K Insurance** **Tpa Pvt Ltd** We are Third Party Administrators (TPA) in Health Insurance space having corporate office in Chennai.Incorporated in April 2023, we are licensed by Insurance Regulatory and Development Authority of India with License No. 038. We are empanelled by Insurance companies to service their policy holders. Our...

Paramount Health Services & TPA Pvt Ltd One of the leading TPA Industry. Looking for Claims Processer. - Checking KYC document matching with our data. - IRDA guideline knowledge - Estimate the payments and granted payments of the claims. - Review the provided documents or files like photographs, videotaped or any written statements - Good Knowledge about...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**Job description** **Job profile: CRM helpdesk.** CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims...

**Location - Bangalore**: **CTC - 4-5 LPA**: **Nova Benefits** is on a mission to provide the best in class health and wellness benefits for employees in India. We envision that a vast majority of the county's population will get better access to high-quality healthcare through their employers. We are a tech-first company and believe that technology can make...

To interact with patients/attenders. Educating patients/attenders about process. To create awareness about reimbursement claims submission. (Pre, Post & Hospitalization) Efficiently and effectively handle grievance / issue raised by patients, escalate issue to the team leader, as necessary. Regularly Follow-up with Insurance company/TPA for claim status...

JD: TPA/Health Insurance Executive **Skills**: - Excellent people management skills - Ability to use technology to improve outcomes - 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...

Designation**:Trainee/Executive** **Function : Claims** Experience : 0 to 2 years Qualification : Any Graduation Salary : For Freshers 13500/ - Location : Kanakpura, Bangalore - To create awareness about reimbursement claims submission. (**Pre & Post Hospitalization**) - Efficiently and effectively handle grievance / issue raised by patients, escalate...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**Claims Executive - EB** - **Job Summary**: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking...

JD: TPA/Health Insurance Executive **Skills**: - Excellent people management skills - Ability to use technology to improve outcomes - 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...

**Job description** **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

Responsibilities: - Processing of Claims with verification and settlement with customer accounts. - Claim adjudication under strict adherence to hospital tariff and policy terms. - Communicating with insurance agents and beneficiaries. - Preparing claim forms and related documentation. - Reviewing claim submissions and verifying the information. - Recording...

**Roles and Responsibilites**: - Processing of Claims with verification and Settlement with Customer Accounts. - Evaluation of customer/Claims and posting accordingly. - Resolving Claims related queries and discrepancies, Follow up and respond to queries of Customers. - Approving and Rejection of Payments to the Customers with all verification. - Updating...

Greetings From **Link - K Insurance TPA PVT LTD.** **We are hiring Executive for our Provider Network Team (**_Hospital Empanelment_**)**_ - **Year of Experience : 3 to 5 years (TPA Industry Must )**_ - **Qualification: Any Degree **_ - **Roles And Responsibilities**_ - Hospital visits for empanelment - Coordination for Getting Mou, Hospital Information...

Greeting from Ericson Insurance TPA Pvt. We are having a requirement for CRM - Customer Relationship Management role. JD: - Daily interaction with Insurance company on claims Sharing data and reports Providing details on Ombudsman, IRDAI, Legal cases & Grievances claims Following up for cases pending for payments Getting claims reviewed with insurance...

**Job Duties & Responsibilities** - Play as an intermediate role Between the Insurance co. and Hospital and the Team. - Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. - Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the...