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...

· Billing executives works under supervision of your reporting manager· Update Patients file for the services render.· Ensure correct computation of OPD & IPD billing as per respective guidelines, to issue billing adjustments, track, process and complete third-party invoices.· Validate refund cheques for Patients,· Follow up on any declined credit card,...

Handles insurance approvals, documentation, claim processing, patient guidance, and coordination with TPA for smooth hospital billing.Job Types: Full-time, PermanentPay: ₹18, ₹20,000.00 per monthBenefits:Health insuranceProvident FundExperience:Insurance coordinator: 1 year (Required)Work Location: In person

TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to driveAccident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise inhealth insurance claims, fraud mitigation, provider network management and regulatory compliance. Key ResponsibilitiesStrategic...

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 Summary:We are seeking a dynamic and experienced professional to lead health insurance claim management operations, with a specialized focus on risk mitigation, fraud investigation, and process efficiency. The Vice President – Claim Management will oversee end-to-end claim processing, implement robust fraud detection frameworks, and ensure compliance...

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...