Tpa Insurance Operations

1 week ago


Hyderabad, India Ayu Health Full time

**Job Designation-: Insurance TPA, Medical Officer/ Claim Specialist**

**Roles & Responsibilities-**:

- 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

**Salary**: ₹15,086.00 - ₹21,412.00 per month

**Benefits**:

- Cell phone reimbursement
- Health insurance
- Life insurance
- Provident Fund

Schedule:

- Day shift

Supplemental Pay:

- Yearly bonus

Ability to commute/relocate:

- Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (preferred)

**Experience**:

- total work: 1 year (preferred)

**Speak with the employer**

+91-XXXXXXXXXX


  • Customer Retention

    4 days ago


    Hyderabad, Telangana, India Link-K Insurance TPA Private Ltd Full time

    **We’re Growing - Join Our Team!** Looking for passionate professionals ready to take their career to the next level. **Position**:Customer Retention & Insurance Liaison (CRM) **Industry**:Insurance/TPA **Experience**:4 years+ **CTC**:3.5LPA to 5LPA **Location**:Ameerpet, Hyderabad **Roles & Responsibilities**: - Act as the primary point of contact...


  • Hyderabad, Telangana, India HEALTH ASSIST INSURANCE TPA PVT LTD Full time

    We are hiring Medical officer profile for Health Insurance TPA Co. Job location will be Hyderabad. Minimum 1-3 year experience should be of Insurance Co/ TPA/ Broker/ Healthcare Industry. Freshers can also apply.


  • Hyderabad, Secunderabad, India Health Assist Insurance TPA Pvt Ltd Full time

    We are hiring Networking Manager profile for Health Insurance TPA Co. Job location will be Hyderabad. Minimum 2-5 years experience should be of Insurance Co/ TPA/ Broker/ Healthcare Industry will be preferred.

  • TPA Companies

    1 week ago


    Hyderabad, Telangana, India Hexamed Healthcare Services LLP Full time ₹ 4,80,000 - ₹ 6,00,000 per year

    1. Empanelment & NetworkingIdentify, approach, and liaise with leading TPA companies and insurance providers for clinic/hospital empanelment.Prepare and submit necessary documentation and forms for empanelment.Maintain updated records of all active TPA tie-ups and agreements.Coordinate renewal and compliance of empanelment contracts.Job Type: Full-timePay:...


  • Hyderabad, Chennai, Pune, India Prudential Group Full time

    Job Description You could be the right candidate if you - Have 5-6 years of experience in Travel Insurance operations and claims management with at least 2-3 years experience in lead/ equivalent role. - Expert knowledge of Travel Insurance product features, process, regulatory and compliance requirements and implementation and management of comprehensive...

  • Senior Manager

    4 days ago


    Hyderabad, Telangana, India Shriram Life Insurance Full time ₹ 15,00,000 - ₹ 25,00,000 per year

    Prior experience in Medical TPA management for Life Insurance sectorMust have basic knowledge of Underwriting guidelines & Insurance OperationsEstablish and manage relationships with Medical TPAsGood in team handlingVendor ManagementRegulatory complianceInternal/External AuditGood in MIS, Reports & Data AnalyticsRole & responsibilities


  • Hyderabad, Telangana, India Safeway Insurance Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    We are hiring MIS Assistant Manager profile for Health Insurance TPA Co. Job location will be Hyderabad. Minimum 1-4 years experience should be of Insurance TPA Industry will be preferred .

  • Tpa Companies

    1 week ago


    Hyderabad, Telangana, India Somnifera Health & Wellness Private Limited Full time

    **1. Empanelment & Networking** - Identify, approach, and liaise with leading TPA companies and insurance providers for clinic/hospital empanelment. - Prepare and submit necessary documentation and forms for empanelment. - Maintain updated records of all active TPA tie-ups and agreements. - Coordinate renewal and compliance of empanelment contracts. Pay:...

  • Insurance Executive

    3 days ago


    Hyderabad, Telangana, India Navjeevan hospital Full time

    **Claims Management**:Processing and managing insurance claims efficiently, ensuring timely resolution and accurate billing. - **Insurance Verification and Coordination**:Verifying patient insurance eligibility and coverage, and coordinating with insurance companies to obtain necessary authorizations or referrals. - **Patient Support**:Handling patient...

  • Senior Manager

    1 week ago


    Hyderabad, Telangana, India Shriram Life Insurance Full time ₹ 6,00,000 - ₹ 18,00,000 per year

    One point of Contact for all Sales heads for representing Medical ProcessPrior experience in Medical TPA management for Life Insurance sectorMust have basic knowledge of Underwriting guidelines & Insurance OperationsEstablish and Manage relationships with Medical TPAsGood in Handling Operations TeamAny new system related changesVendor ManagementRegulatory...