Claim Processing Jobs

Hiring: TPA Billing Executive Hospital Location: Panvel, Navi Mumbai Salary: 15,000 22,000 (based on experience) Gender: Male / Female Experience: Minimum 1 year Industry: Hospital / HealthcareJob Responsibilities:Handling TPA & Insurance billingSubmission of cashless & reimbursement claimsCoordination with insurance companies & TPAsMaintaining patient billing and claim recordsFollow-up on approvals and paymentsRequirements:Minimum 1 year experience in hospital TPA billingKnowledge of insurance portals & claim processingGood communication and documentation skills Interested candidates can call: 9011935513

Dear Candidates,Greetings from Odisha Job Consultancy!!We are looking for a skilled Automobile Service Claim Executive to join our team in Bhubaneswar. As an Automobile Service Claim Executive, you will play a crucial role in managing and processing service claims efficiently. Your work is essential in ensuring customer satisfaction and maintaining the company's reputation in the automotive industry. You will be involved in handling various service claim projects, resolving issues promptly, and optimizing the claim process for maximum efficiency.Qualification: Any Bachelor's DegreeExperience: 2-5YrsSalary: 20,000/m to 25,000/m and PF, ESIResponsibilities:Review and analyze service claims to determine their validity and accuracy.Communicate with customers, service advisors, and technicians to gather necessary information for claim processing.Ensure all required documentation is complete and accurate before submitting claims for approval.Collaborate with insurance companies and third-party administrators to expedite claim approvals.Investigate and resolve any discrepancies or issues related to service claims.Maintain detailed records of all service claims and related correspondence.Provide timely updates to customers on the status of their service claims.Identify opportunities for process improvements to enhance claim processing efficiency.Requirements:Prior experience in handling automobile service claims.Strong knowledge of automotive systems and components.Excellent communication and interpersonal skills.Attention to detail and ability to analyze complex information.Proficiency in using claim processing software and tools.Ability to work efficiently in a fast-paced environment.Problem-solving skills and a proactive approach to resolving issues.Good organizational skills and the ability to prioritize tasks effectively.Contact HR Saumya Interview Venue- Odisha Job Consultancy, 1st Floor, MRF Tyre Building, Opposite Baramunda Bus Stand, Bhubaneswar

We are looking for Medical Claim Processing with 1 to 3 years experience in Chennai .Immediate Joiners Preferred.

1. Oversee and manage the dealerships portfolio of vehicle insurance policies, ensuring that all vehicles in stock and those sold are properly insured.2. Ensure that insurance policies meet the requirements of both the dealership and customers, providing appropriate coverage.3. Review and negotiate terms, conditions, and premiums with insurance providers to secure competitive rates for both the dealership and its customers.4. Advise customers on the most suitable insurance products for their needs, explaining policy options, coverage limits, and premiums.5. Provide information to customers about mandatory insurance requirements, including third-party liability, comprehensive, or collision coverage.6. Assist customers in selecting insurance packages that complement their vehicle purchase, ensuring that they understand the policy details before finalizing the sale.7. Maintain strong relationships with key insurance providers, ensuring the dealership has access to the best products, competitive rates, and prompt service.8. Regularly evaluate the performance and offerings of insurance partners, renegotiating contracts when necessary to improve terms for the dealership and its customers.9. Ensure all insurance partners are fully licensed and compliant with industry regulations.10. Oversee the renewal process for customer insurance policies, ensuring that customers are reminded in advance and that renewals are processed on time.11. Proactively work with customers to adjust their coverage as necessary based on changes in their needs or vehicle status (e.g., a change in driving habits or vehicle modifications).12. Monitor and report on the performance of insurance sales, analyzing trends, conversion rates, and customer satisfaction.13. Prepare regular reports for senior management on insurance product sales, profitability, and claims data.

Job profile: Accurate and timely submission of periodic and ad-hoc reports related to Claims Trainings to the partner claim processors regarding policy T&Cs, Time management, Delegation Debit note supervision for all the payments from TPAs & OPD Partners Viz. Coordinating with Partner leadership teams /tech teams for MVP implementations viz In health check-ups utilization should be driven towards home collection instead of hospitals. FWA investigations are to be conducted in the agreed percentage of claims. (Partner end) The reimbursement claims adjudication rule engine (automated) should be aligned with the company process Real time client Dashboard for client reviews. Query management Medicos to process OPD claims Maintain daily MISTechnical skills: Reimbursement claims, MIS , Insurance, health insurance, medical insuranceSoft skills: Good communication skills, leadership skills, interpersonal skills, analytical skills, , interpersonal skillsEducational Qualification: Any GraduateExperience: 2 or more years of relevant experience in insurance or third party administrator

Urgent Hiring for TPA ExecutiveProfile - TPA ExecutiveSalary - 20K to 25KExperience - 3 to 7 YearsLocation - Karol Bagh, DelhiQualification - Any Graduate / Post GraduateJD -Patient HandlingQuery reply, document submission intimation to TPA,Day to day tracking of each claim and process for approval,Having knowledge of all TPA's,Validate and dispatch TPA claim files for claim processing.