TPA Cashless Claim Processesing Executive Domestic Healthcare exp

3 days ago


Pune, Maharashtra, India Al Fahad Enterprises Full time ₹ 5,50,000 per year

Locations : Pune / Banglore

Looking for Immediate Joiners

Exp - Exp in Domestic healthcare

CTC - Upto 5.5 LPA

Role Description

This is a full-time, on-site role for a Claim Processing Executive - Domestic Healthcare based in Bengaluru. The Claim Processing Executive will be responsible for handling and managing healthcare claims, ensuring timely and efficient processing. Day-to-day tasks include reviewing claims for accuracy, liaising with healthcare providers and customers, analyzing claim data, and resolving any discrepancies through effective communication and customer service skills.

Qualifications

  • Analytical Skills, Claims Handling, and Claims Management skills
  • Strong Customer Service and Communication skills
  • Attention to detail and the ability to accurately process claims
  • Ability to work in a fast-paced environment and manage multiple tasks simultaneously
  • Relevant experience in the healthcare industry is advantageous
  • Bachelor's degree in Healthcare Administration, Business, or a related field is preferred


  • Pune, Maharashtra, India 1path2peace Full time US$ 60,000 - US$ 1,20,000 per year

    Company DescriptionWe suggest you enter details here.Role DescriptionThis is a full-time on-site role for a TPA Healthcare Claims professional located in Pune. The individual will be responsible for managing and handling healthcare claims, ensuring all claims are processed accurately and efficiently. Daily tasks will include assessing claims, verifying...


  • Pune, Maharashtra, India Response Informatics Full time

    Cashless / Provider Network (Health Claim) - Leading General Insurance - Pune (Hinjewadi) Purpose of this role : Team Management, achieving KPIs, Claims Management and People Management. Main Responsibility 1.Monitoring TATs and KPIs of Cashless Team. 2.Detection of frauds and prevention of claim leakages. 3.Hand holding and grooming of team members....


  • Pune, Maharashtra, India Response Informatics Full time

    Cashless / Provider Network (Health Claim) - Leading General Insurance - Pune (Hinjewadi)Purpose of this role: Team Management, achieving KPIs, Claims Management and People Management.Main Responsibility1.Monitoring TATs and KPIs of Cashless Team.2.Detection of frauds and prevention of claim leakages.3.Hand holding and grooming of team members.4.Monitoring...


  • Pune, Maharashtra, India beBeeNetwork Full time ₹ 18,00,000 - ₹ 25,00,000

    Job TitleWe are seeking a highly skilled Cashless Provider Network Manager to lead our team and drive key performance indicators (KPIs). As a seasoned professional with a strong background in TPA/Insurance, you will be responsible for managing claims, people management, and ensuring smooth functioning of claims processes.Main ResponsibilitiesMonitoring TATs...


  • Pune, Maharashtra, India Medico Hub Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Contact Mr Nishant Chaudhary WhatsApp Job Title: TPA / Billing ExecutiveLocation: Talegaon, Pune, MaharashtraJob Type: Full-TimeAbout The RoleWe are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have...


  • Pune, Maharashtra, India Medico Connect Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Job Title: TPA / Billing ExecutiveContact Mr Nishant Chaudhary WhatsApp Location: Talegaon, Pune, MaharashtraJob Type: Full-TimeAbout the RoleWe are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have...


  • Pune, Maharashtra, India Al Fahad Enterprises Full time US$ 40,000 - US$ 80,000 per year

    Location: PuneExperience: 2-3 years experience in handling end to end ClaimsRole DescriptionThis is a full-time, on-site role for a TPA Reimbursement Claims Specialist located in Pune. The TPA Reimbursement Claims Specialist will be responsible for managing and handling claims, verifying insurance details, coordinating with insurance companies, and ensuring...


  • Pune, Maharashtra, India beBeeLeadership Full time ₹ 12,50,000 - ₹ 24,90,000

    Job OpportunityWe are seeking a seasoned professional to lead our Cashless Provider Network team. As the Cashless Provider Network Leader, you will be responsible for overseeing a team of professionals distributed across various geographies in India.Your primary objective will be to monitor and control turnaround times (TATs) and key performance indicators...


  • Pune, Maharashtra, India Organo Mart Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Location: PuneLanguages Required: Hindi (Fluent) and English (Fluent) both Mandatorily requiredRole DescriptionThis is a full-time on-site role for a TPA Reimbursement Claims Specialist based in Pune. The TPA Reimbursement Claims Specialist will handle daily tasks including managing claims, coordinating with insurance providers, and processing...

  • Senior Manager

    1 week ago


    Pune, Maharashtra, India Response Informatics Full time

    Purpose of this role : Team Management, achieving KPIs, Claims Management and People Management.Main Responsibility1.Monitoring TATs and KPIs of Cashless Team.Detection of frauds and prevention of claim leakages.3.Hand holding and grooming of team members.4.Monitoring and controlling the team member's performance.5Resolution of queries, requests, and...