We are India’s leading HealthTech and InsurTech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits Administration model is designed to deliver the tools necessary for a health plan to succeed, whether it’s our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members. Our claims analysis blends talent and technology to help our members defy national claim cost trends. We complement internal processing with advanced surveillance software, and once a claim is identified for potential savings, certified medical specialists work through the claim to find cost-saving solutions. Often benefits managers will either point to their provider network discounts as proof of their ability to help grow the bottom line or others will boast of a smaller administration fee, at Medi Assist, benefits management means more than just reducing service fees. Our comprehensive approach to benefits management ensures our members have a positive experience while helping businesses and members keep health care costs low. Our comprehensive approach to benefits management ensures that our members enjoy a positive experience, while we help businesses and members to keep healthcare costs low.
Bengaluru
INR 3.0 - 5.5 Lacs P.A.
Work from Office
Full Time
Role & responsibilities Close Coordination with the Hospitals and the Medi Assist Internal Stake Holders for patients best discharge experience. Collaborate with the operations team to ensure timely and accurate data processing. Ensure maximum discharges are happening through the Raksha Prime Services. Use relevant tools and MIS tools to organize data for reporting purposes. Preferred candidate profile Qualification: Bachelor's/Masters Degree in the field of Pharmaceutical/Hospital Management/Medical Sciences/Insurance (but not Mandatory) Experience: 2-3 Years’ Experience Hospital/Medical/Health Insurance service. Candidates with experience in Hospital IP/OPD/Floor Management.
Bengaluru
INR 2.5 - 3.25 Lacs P.A.
Work from Office
Full Time
Role: Executive / Sr Executive - Account Management (CRM) Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Candidates must have TPA experience Interested candidates can reach out via email at sarika.pallap@mediassist.in or WhatsApp their CVs to 8951865563
Mumbai
INR 3.0 - 5.5 Lacs P.A.
Work from Office
Full Time
Role: Team Leader - Account Management (CRM) Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify thatall queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can reach out via email at varsha.kumari@mediassist.in
Bengaluru
INR 5.0 - 10.0 Lacs P.A.
Work from Office
Full Time
JD- Dot Net Developer Experience: 2-5 years Education: Graduate Responsibilities : - Working with one of the products and be part of the engineering team. - You will be responsible for writing API using Web API, Service Stack. - Writing code for Secure Asp.net Core ,ASP.NET MVC , C# , .NET ,SQL coding. -Wrinting code using Jquery and framework. Requirements : - Versed with Asp.net and Ado.net - Ability to define the service interface using HTTPS/JSON OOPS. - Understanding of container & Dependency Injection. - ORM - Entity Framework or anything equivalent. - Basic Understanding of SQL - Index, Join and functional programming. - Exposure of Elastic or any NOSQL database. Thanks & Regards Hariprasad Email id :hariprasad.m@mediassist.in
Bengaluru
INR 4.5 - 6.0 Lacs P.A.
Work from Office
Full Time
Role: Team Leader - Account Management (CRM) Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify thatall queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can reach out via email at varsha.kumari@mediassist.in
Bengaluru
INR 15.0 - 20.0 Lacs P.A.
Work from Office
Full Time
Roles & Responsibilities: Handling litigations, Company Secretarial, replying to legal notices issued on behalf of claimants, clients, vendors etc. Reviewing complaints filed under Consumer Protection Act and advising on legal strategy to be adopted for effective defense of the matter. Coordinate with external advocates, insurance companies and various branch offices of the company and ensure representation is made on behalf of the company before the concerned consumer disputes forum on scheduled dates of hearing. Maintain accurate MIS of all litigation matters and ensure it is up to date at all times. Traveling (if required) to appear before the concerned consumer forums, judicial/quasi-judicial authorities, law enforcement agencies etc. Liaising with external counsels to get latest updates on cases. Assisting the reporting manager in reviewing and finalizing plaints, written statements, writ petitions etc., drafting of legal notices and responses to legal, statutory and labour notices received by the company. Ability to work independently with little supervision in fast paced working environment and close the given assignments speedily. Any other duty / duties as may be entrusted by the management from time to time. Academic and professional Qualification : CS qualified, LLB/LLM Experience: 8-10 years post qualification experience in litigation matters as an advocate or in house legal counsel with a special expertise and proven experience to handle disputes under Consumer Protection Act. Knowledge of court procedure is mandatory. Excellent communication skills. Hands on experience in drafting notices, plaints, written statements, case summaries, written brief on consumer cases etc. Candidates from insurance company or TPA background are preferred. Interested candidates can share your resume to varsha.kumari@mediassist.in
Bengaluru
INR 2.5 - 3.25 Lacs P.A.
Work from Office
Full Time
Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Voice coordinator Respond to queries from the employees of the corporate over Phone Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Interested candidates can share their CVs to disha.raman@mediassist.in or WhatsApp on 8904968911.
Noida
INR 3.25 - 4.0 Lacs P.A.
Work from Office
Full Time
Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on varsha.kumari@mediassist.in Thanks & Regards Varsha Email - varsha.kumari@mediassist.in
Bengaluru
INR 2.0 - 5.0 Lacs P.A.
Work from Office
Full Time
We seek a creative, detail-oriented Graphic Designer and video Content Creator to join our team. The ideal candidate will be responsible for designing visually compelling graphics and producing engaging video content that aligns with our brand identity and marketing objectives. Key Responsibilities: Graphic Design: Develop visually engaging creatives for digital and print media, including social media posts, brochures, banners, and advertisements. Collaborate with the marketing team to create brand-consistent visuals for campaigns. Ensure all designs align with the brands guidelines and messaging. Stay updated on design trends and emerging tools to enhance creativity. Video Content Creation: Create motion graphics, animations, and short-form videos for ads and promotional content. Work with the content team to develop video scripts, storyboards, and concepts. Optimize videos for various platforms, ensuring high-quality production standards. Manage and organize video assets, maintaining an efficient content library. Required Skills & Qualifications: Education: Degree/Diploma in Graphic Design, Multimedia, Visual Arts, or a related field. Experience: 3+ years of experience in graphic design and video content creation. Proficiency in Adobe Creative Suite (Photoshop, Illustrator, Premiere Pro, After Effects) or equivalent design software. Strong understanding of design principles, typography, color theory, and branding. Hands-on experience with video editing, motion graphics, and animation. Ability to manage multiple projects while meeting deadlines. Experience in photography/videography is a plus. Knowledge of social media trends and video formats for platforms like Instagram, YouTube, and LinkedIn. Preferred Attributes: A strong creative portfolio showcasing both design and video work. Passion for storytelling through visuals and videos. Ability to work independently and collaboratively in a fast-paced environment. Attention to detail and a keen eye for aesthetics.
Bengaluru
INR 3.0 - 3.5 Lacs P.A.
Work from Office
Full Time
Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in
Bengaluru
INR 2.5 - 3.25 Lacs P.A.
Work from Office
Full Time
Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : B.Sc. Nursing, Msc Nursing, Interested candidates can share there profiles to sarika.pallap@mediassist.in or WhatsApp to 8951865563.
Noida
INR 3.0 - 5.5 Lacs P.A.
Work from Office
Full Time
Role: Senior Executive/Team Lead CRM Job Responsibilities Client Servicing Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims Transactional Activities To coordinate with inward team for claim receiving and claim registration Allocating new generated claims to processing team for action Liasoning with enrolment team to register the policy for cashless and reimbursement Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement Answering incoming calls of all customers / agents / internal team Keep track of all customer queries with claim numbers and follow-up to verify thatall queries are resolved. Coordinating with cashless / pre auth team to ensure cashless is granted within TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions. Interested candidates can reach out via email at varsha.kumari@mediassist.in
Bengaluru
INR 3.0 - 5.0 Lacs P.A.
Work from Office
Full Time
Key Responsibilities: Strong Team player, ensuring the effective execution of Raksha Prime operations. Stakeholder Coordination: Work closely with internal and external stakeholders to deliver exceptional customer service and smooth operational workflows. Hospital Coordination: Collaborate with hospitals to optimize discharge processes and ensure maximum utilization of the Raksha Prime service. Operations Management: Oversee day-to-day operations, ensuring that processes are executed efficiently, with a strong focus on improving the quality of service and delivery. Customer Communication: Engage with patients to explain charges, address concerns, and resolve disputes with clarity, empathy, and professionalism. Continuous Improvement: Identify areas for operational improvement and implement process enhancements to reduce escalations, streamline workflows, and improve customer satisfaction. Ownership & Accountability: Demonstrate a proactive attitude and take full ownership of operational processes, ensuring prompt actions and resolutions under pressure. Required Skills & Qualifications: Experience: A minimum of 4 years of experience in operations and customer service Education: Bachelor's or Masters degree in Hospital Management, Healthcare Administration, Insurance, or a related discipline. Skills: Excellent communication skills with the ability to resolve complex issues clearly and tactfully. Strong problem-solving, analytical, and decision-making abilities. Proficiency in Microsoft Office Suite and other relevant software applications. Personal Attributes: Bias for Action: Demonstrates initiative and the ability to execute tasks without unnecessary delay. Ownership: Strong sense of responsibility and accountability for the overall success of operations. Empathy: Ability to handle sensitive situations with care and understanding, particularly when communicating with patients.
Noida
INR 3.25 - 4.5 Lacs P.A.
Work from Office
Full Time
Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my Mail ID - varsha.kumari@mediassist.in Thanks & Regards Varsha Kumari Email - varsha.kumari@mediassist.in
Bengaluru
INR 3.0 - 3.5 Lacs P.A.
Work from Office
Full Time
Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 9035613355 Thanks & Regards Hariprasad Email - hariprasad.m@mediassist.in
Noida
INR 3.0 - 4.0 Lacs P.A.
Work from Office
Full Time
Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on varsha.kumari@mediassist.in Thanks & Regards Varsjha Kumari Email - varsha.kumari@mediassist.in
Bengaluru
INR 10.0 - 20.0 Lacs P.A.
Work from Office
Full Time
Work Model: Work from office\ About Medi Assist Medi Assist is India's largest health benefits administrator, handling over 8 million claims annually and serving more than 226 million lives across the country. Our proprietary claims processing platform, Matrix, is central to our operations, ensuring efficient and accurate claim settlements. With a network of over 29,000 hospitals and partnerships with 35 insurance providers, Medi Assist is at the forefront of transforming health insurance administration in India. Role Overview We are seeking a Product Manager to oversee key modules of our Matrix claims processing platform. This role involves enhancing the platform's efficiency, integrating AI-driven solutions, and ensuring seamless user experiences. The ideal candidate will collaborate closely with cross-functional teams to drive product initiatives that streamline claim processing and improve operational workflows. Key Responsibilities Product Ownership: Manage the end-to-end lifecycle of specific modules within the Matrix platform, from ideation to deployment to handover to operations. Stakeholder Collaboration: Work with operations, engineering, and other teams to gather requirements and prioritize features. AI Integration: Leverage AI and machine learning to improve claim processing quality and reduce turnaround times. User Experience: Continuously assess and improve the user interface and experience for internal users and external stakeholders. Qualifications Experience: Minimum 2 years in product management, preferably in health tech, insurance, or enterprise SaaS platforms. Technical Proficiency: Familiarity with AI/ML applications in product development and a solid understanding of software development processes. Analytical Skills: Strong analytical and problem-solving abilities, with a data-driven approach to decision-making. Communication: Excellent verbal and written communication skills, capable of articulating complex ideas to diverse audiences.
Bengaluru
INR 3.0 - 3.5 Lacs P.A.
Work from Office
Full Time
Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package, etc. Understand the process difference between a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and respond to mails accordingly. Interested Candidates can share their resumes to disha.raman@mediassist.in or WhatsApp on 8904968911
Noida
INR 3.0 - 4.25 Lacs P.A.
Work from Office
Full Time
About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Qualification: BAMS BHMS Work from office only Interested candidates can send their CV to dona.antony@mediassist.in or WhatsApp to 9632777628
Bengaluru
INR 0.5 - 3.0 Lacs P.A.
Work from Office
Full Time
Hiring Alert Medical Officer (Claims) | Contract Role Location: IBC KNOWLEDGE PARK, Bhavani Nagar, S.G. Palya, Bengaluru, Karnataka 560029 Company: Medi Assist Insurance TPA Private Limited CTC: 3.4 LPA Timing: 9:30 AM 6:00 PM | MonFri (Rotational Saturdays working) Duration: 12-month contract (with chance of contract extension/on-roll conversion) Eligibility: BAMS or BHMS graduates only 0–3 years experience (freshers welcome!) Role Overview: You will scrutinize and process insurance claims based on policy terms, verify treatment/diagnosis, raise queries for incomplete documents, and ensure accurate and timely closure of claims. Key Skills: Strong medical understanding Basic computer & typing skills Good communication Send your resume to: pavana.praveen@mediassist.in prathiba.b@mediassist.in
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