TPA and INSURANCE CLAIM EXECUTIVE

Role & ResponsibilitiesHandling 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...

Greeting From Link-K Insurance TPA Pvt LtdWe are hiring Provider Network Management at our Bangalore Office.Job Role: Provider Network ManagementIndustry: TPA/Health InsuranceLocation: Bangalore, KarnatakaExperience: 1 Year to 2 YearsPreferred Male CandidateQualification: Graduate in any disciplineRoles & Responsibilities:Hospital visits for...

Job Profile SummaryTo provide administrative and operational support to the claims team and carry out other assigned office tasks in alignment with the requirements of the client program.Primary Purpose: To assist in the creation and maintenance of Auto Liability (AL), General Liability (GL), and Property loss claims in the client system. Essential...

Role & responsibilitiesTo 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 and Updates on ERP.Timely follow up with patients' messages and...

Job Title: Quality and Process Manager Health Claims OperationsLocation: BangaloreDepartment: Health Claims OperationsReports To: Head of Health ClaimsEmployment Type:Full-TimeJob SummaryWe are seeking a highly analytical and process-driven Quality and Process Manager to lead quality assurance and process improvement initiatives within our Health Claims...

About PlumPlum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations.Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as...

Job Description – OPD Health Claims Processing(MR)Key Skills & CompetenciesKnowledge of health insurance policy coverage, exclusions, and claim processing.Familiarity with claim categories (IPD/OPD/Pre-post health claims processing).Basic understanding of medical terminology and treatment protocols.Strong attention to detail and analytical skills.Good...

Key Responsibilities1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) andLife Insurance.Ensure timely submission and processing of claim documentation.Liaise with insurers to expedite claims approvals and settlements.2. Coordination & CommunicationServe as the single point of contact for all internal and...

About Job:-Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying...

Common in hospitals, TPAs, and insurance support offices.Focus on assisting customers and handling insurance documentation.Job Types: Full-time, PermanentPay: ₹18, ₹22,000.00 per monthBenefits:Health insuranceProvident FundWork Location: In person