Associate Group leader - Claims Operations MD India Health Insurance TPA Pvt Ltd

1.0 - 6.0 years

0 - 3 Lacs

Pune

Work from Office

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolution

Posted 1 week ago

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Institutional sales Turtlemint

4.0 - 6.0 years

4 - 6 Lacs

Delhi, India

On-site

Client Engagement Meeting physicians, gynecologists, pediatricians, orthopedics, and general practitioners in clinics and hospitals. Meeting chemists and taking feedback. Dealing with customer accounts . Responsible for customer relationship management . Sales Operations & Coordination In cooperation with the Managing Director . Making tenders . Rate coordination with government departments & management for quotation . Coordinating with the office for dispatch . Payment follow-up from government departments . Coordinating with all Hospitals for documentation for medicine supply . Responsible for generating sales management information . Making coordination with various companies for documentation . Tracking the progress of opportunities in relation to the sales process .

Posted 2 weeks ago

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