Head - Accident & Health Claims
2 weeks ago
TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. Key Responsibilities Strategic Leadership - Build and drive end-to-end Accident & Health Claims strategy, frameworks and processes. - Ensure compliance with latest health insurance regulations; implement process refinements. - Lead the move towards paperless, automated claims settlement with superior TAT & customer experience. - Design and monitor performance metrics for TPAs and internal claims teams. - Collaborate with technology teams to build/enhance claims systems & automation. - Build strong partnerships with external stakeholders: TPAs, investigators, hospitals, OSPs, providers. - Drive continuous improvement, best practices, and customer-first delivery. Financial & Risk Management - Partner with audit & fraud teams to implement fraud prevention and loss-mitigation frameworks. - Manage claims budgets, average claims cost and cost-containment initiatives. - Analyze ICR, medical data and portfolio trends; drive proactive risk control. - Support product, U/W and actuarial teams with insights for guideline finalization. - Lead periodic reporting for internal & regulatory stakeholders. Functional & Operational Excellence - Lead teams managing claims processing, customer queries, complaints, reserving & registration. - Oversee adjudication of complex claims: indemnity, critical illness, accidental death. - Manage network providers, evaluate & empanel TPAs/OSPs, drive performance management. - Partner closely with product/business teams to strengthen service capability. People Leadership - Drive a culture of accountability, high performance and continuous learning. - Set goals, mentor teams, review performance, and build future leaders in claims operations. - Strengthen collaboration across cross-functional internal teams. Desired Profile - MBBS / BAMS / BHMS / B.Pharm preferred; or any graduate with health insurance certifications. - 15-20 years of experience in health insurance / TPA / wellness / healthcare domains. - Strong exposure to claims operations, adjudication, medical review, fraud control, underwriting basics, hospital administration, and provider network management. - Proven leadership in handling large teams and multi-stakeholder environments. - Excellent analytical, communication, negotiation and people management skills. Key Stakeholders Internal: Product, U/W, Distribution, Customer Service, Technology, Compliance, Finance External: TPAs, Hospitals, Investigators, Providers, Corporates, Customers
-
Safety Officer
4 days ago
mysore, India Mount Everest Breweries Limited Full timeSummary of the position This position is responsible to Establish, promote and maintain a safe, accident free, healthy work environment. Role and Responsibilities Coordinating and Ensuring Health & Safety Committee will run on regular basis & effectively. Maintenance of Emergency preparedness system. Maintain health & safety as per Factories Act & Karnataka...
-
Safety Officer
4 days ago
Mysore, India Mount Everest Breweries Limited Full timeSummary of the position This position is responsible to Establish, promote and maintain a safe, accident free, healthy work environment. Role and Responsibilities - Coordinating and Ensuring Health & Safety Committee will run on regular basis & effectively. - Maintenance of Emergency preparedness system. - Maintain health & safety as per Factories Act &...
-
Safety Officer
3 days ago
Mysore, India Mount Everest Breweries Limited Full timeSummary of the positionThis position is responsible to Establish, promote and maintain a safe, accident free, healthy work environment.Role and Responsibilities- Coordinating and Ensuring Health & Safety Committee will run on regular basis & effectively.- Maintenance of Emergency preparedness system.- Maintain health & safety as per Factories Act & Karnataka...
-
Safety Officer
5 days ago
Mysore, India Mount Everest Breweries Limited Full timeSummary of the position This position is responsible to Establish, promote and maintain a safe, accident free, healthy work environment. Role and ResponsibilitiesCoordinating and Ensuring Health & Safety Committee will run on regular basis & effectively.Maintenance of Emergency preparedness system.Maintain health & safety as per Factories Act & Karnataka...
-
Safety Officer
4 days ago
mysore, India Mount Everest Breweries Limited Full timeSummary of the position This position is responsible to Establish, promote and maintain a safe, accident free, healthy work environment. Role and ResponsibilitiesCoordinating and Ensuring Health & Safety Committee will run on regular basis & effectively.Maintenance of Emergency preparedness system.Maintain health & safety as per Factories Act & Karnataka...
-
Graphic Designer
4 weeks ago
India, Mysore ACCESSION CONSULTING & HEALTH TECH LIMITED Full timeJob Description Company Description ACCESSION CONSULTING & HEALTH TECH LIMITED (ACHT) is a reputable leader in healthcare services and technology (HST), offering cutting-edge solutions to streamline healthcare operations. As a 100% HIPAA-compliant organization based in Reading, United Kingdom, ACHT prioritizes data security and adopts innovative technology...
-
Ar Caller
2 days ago
Mysore, India Truce titanium Taurus Full time**Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions**. Manage A/R accounts by ensuring accurate and timely follow-up. **Job Types**: Full-time, Fresher, Regular / Permanent **Salary**: ₹10,000.00 - ₹15,000.00 per month **Benefits**: - Health...
-
Ar Caller
7 days ago
Mysore, India Truce titanium Taurus Full timeJOB DESCRIPTION - AR CALLING. Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up. Accounts Receivable (AR) is the money owed to Providers or medical billing companies for the medical care...
-
Technical Writer
2 weeks ago
Mysore, India HealthEdge Full timeOverview: Technical Writer 1s a technical writer on our team, you'll partner with subject matter experts to create documentation that helps healthcare payers process claims accurately and efficiently. We're looking for someone who's organized, naturally curious, loves diving into research, and gets genuine satisfaction from mastering new domains. This role...
-
Ar Caller
7 days ago
Mysore, India Truce titanium Taurus Full time**Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions**. Manage A/R accounts by ensuring accurate and timely follow-up. An AR caller is **someone responsible for calling insurance companies and setting in motion follow-up actions on outstanding Accounts...