Mediclaim - Health Insurance Claims

1 week ago


Mumbai, India Focskill pvt.ltd Full time

Medical Scrutiny
- 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

**Salary**: ₹20,302.24 - ₹40,860.10 per month

Schedule:

- Morning shift

Supplemental pay types:

- Commission pay

Ability to commute/relocate:

- Greater Mumbai, Mumbai - 400025, Maharashtra: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- mediclaim: 1 year (preferred)
- Health insurance claims: 1 year (preferred)



  • Mumbai, Maharashtra, India Beshak Insurance Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    Location: In-office Type: Full-Time Experience: 2-3 years About the Role:We're looking for a Health Insurance Claims Expert who has hands-on experience in managing or analysing claims and wants to use that experience to make the insurance ecosystem more transparent and consumer-friendly. You'll work with our founders, research, and marketplace teams to...


  • Vidyavihar, Mumbai, Maharashtra, India Tresbien HR Staffing Full time

    Greetings! Hiring Doctors (BAMS\BHMS) Medical Officers for a TPA Health\Mediclaims for a Healthcare TPA Co. Location - Vidyavihar, Mumbai Experience - 5 years Qualification - BHMS\BAMS Industry - Healthcare Role - Healthclaims Medical Officer Job Profile - Medical Scrutiny. Provide Medical opinion for Health Insurance Claims. Processing of Cashless...


  • Mumbai, Maharashtra, India Grayquest Finance Full time ₹ 5,00,000 - ₹ 12,00,000 per year

    Job Description: Health Insurance Claims ManagerLocation: MumbaiExperience: 2-3 years in Health InsuranceEmployment Type: Full-timeJoining: ImmediateAbout GrayQuestGrayQuest is a rapidly growing FinTech company in the Indian education ecosystem. We specialize in providing EMIs for the $100B+ education market, offering zero-cost installments with insurance...


  • Mumbai, Maharashtra, India Star Health and Allied Insurance Co. Ltd Full time ₹ 5,00,000 - ₹ 10,00,000 per year

    Company DescriptionStar Health & Allied Insurance Co. Ltd. is an Indian health insurance company based in Chennai, established in 2006 as India's first standalone health insurance provider. The company offers innovative health, personal accident, and travel insurance products. With an extensive network of over 14,000 hospitals, Star Health delivers cashless...


  • Mumbai, India SKD HEALTH ALLIED SERVICES Full time

    About the Company SKD Health Allied Services is a reputed organization and a pioneer in the industry of claims investigations across south India and Maharashtra, having its offices at Chennai , Bangalore , Ernakulam , Madurai, Hyderabad and Pune Need talented, experienced doctors and para medics for the role of claims manager, who has a responsibility of...

  • Medical Claims

    1 week ago


    Malad, Mumbai, Maharashtra, India Dr Claims Full time ₹ 2,20,000 - ₹ 2,40,000 per year

    Verify patient insurance coverageGenerate bill estimate based on hospital guidelines and determine patient copay / depositHandle end to end documentation for billing and claims of health insurance patients based on information provided by the hospitalObtain required case information and signoff from hospital and share information with insurer / TPADraft...


  • Andheri, Mumbai, Maharashtra, India Tresbien HR Staffing Full time

    Greetings from Tresbien HR! Urgently required Doctors -BAMS\BHMS\BDS for processing Mediclaims for a Health Insurance Co for a Indian Co. Experience - 5 to 8 years Location - Andheri - Mumbai (WEH Metro) Job profile - Processing Healthcare Claims, TPA Insurance. Checking & scrutiny of claims. Coordinationg with team & completion of work in TAT. CTC -...


  • Mumbai, India Weekday AI Full time

    This role is for one of Weekday’s clients Salary range: Rs 400000 - Rs 600000 (ie INR 4-6 LPA) Min Experience: 4 years Location: Mumbai JobType: full-time Requirements We are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for...

  • Medical Claims

    1 week ago


    Malad, Mumbai, Maharashtra, India Dr Claims Full time

    Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...


  • Mumbai, Maharashtra, India Weekday AI Full time ₹ 24,00,000 - ₹ 36,00,000 per year

    This role is for one of Weekday's clientsSalary range: Rs Rs ie INR 4-6 LPA)Min Experience: 4 yearsLocation: MumbaiJobType: full-timeRequirementsWe are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for managing and processing...