96 Mediclaim Jobs

Inpatient/Outpatient Billing. Overseas/Corporate/Insured/TPA billing. Payment Tracking. Bed Management. TPA files follow-up and closure. Tracking of discounts/Cancelled bills/refunds/free bills/posting of packages. Service Recovery in the billing Area. Training of the HIS modules in billing with the power users.

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answering to specific trigger in reports. • Manage multiple cases with confidence and accuracy and respond well to working to meet targets and tight deadlines. • Prepare reports, maintain records and keep track of evidence trails. Address - MD India Health Insurance TPA Pvt. Ltd. H.No.6-3-883/A/1 #: 201, 2nd Floor, imperial Plaza, Beside Topaz Building, Panjgutta, Hyderabad - 500082. Contact Number - 7030949730 ( Neha Nanoti )

Company Overview: Onsitego is India s leading after-sales service provider and offers Extended Warranty, Damage Protection, AMC Plans, and On-Demand Repair Services. We cover all electronic devices and home appliances. Our plans are widely available across retail stores and online marketplaces. We are driven by the mission to consistently deliver WOW experiences to customers. Our customer obsession allows us to have the highest Net Promoter Score (NPS) globally in after-sales services. Our hassle-free & reliable services are widely available across electronic stores and online marketplaces. We invite the brightest minds to join us in this journey that helps improve the lives of millions of device users across the country. Website: www.onsitego.com Job Title Associate Product Manager/ Product Manager Department Product Management Location Mumbai Job Purpose: As a APM / Product Manager, you will play a key role in our journey to shape the next chapter of engagement and growth strategy for Onsitego. In this cross-functional role you will be working with technology, business, marketing, design and executive teams to chart out the growth strategies. You should be able to break down complex problems into steps that drive product development, adoption and engagement. Responsibilities: Design, build, and maintain business applications that align with the companys business requirements and objectives. Integrate data sources between applications to ensure accurate and up-to-date information for planning and reporting purposes. Collaborate with end users to understand their needs and translate those requirements into solutions. Train and support end-users and clients, ensuring they can effectively utilize the business applications for decision-making and planning. Implement changes based on feedback and changing business needs. Produce and review product requirements documents (PRD). Work with senior product managers and/or executive team to create product plans and roadmaps. Desired candidate profile: Candidate should have 2+ years of experience managing high growth consumer or SaaS products. Background in engineering along with a MBA degree is preferred. Prior experience in working with different stakeholders in highly regulated, hyper-competitive landscape is a plus. Have developed product features and growth hacks using product management tools and frameworks. Write detailed product requirements and end to end use cases with effective user stories to be used by engineering & design teams. Refine product backlog. Creates clear & detailed low-fi or high-fi mock-ups using Lucid Chart, Figma or other tools. Experience on Product Management tools like JIRA, Confluence. Communication, persuasion and presentation skills. Experience: 2-3 years Qualification: MBA / BTech Benefits: We believe in work-life balance and hence we offer flexible working hours. What matters is the output of work. We have a well-defined leave policy for our people to take care of their personal commitments and exigencies. We care for our people and take care of them and their family by offering them Mediclaim policy Your professional growth and company growth go hand-in-hand We provide you a platform to learn and polish your skills

Job Summary: We are looking for a dynamic and experienced Manager Employee Benefits to join our team in Bangalore. The ideal candidate will have strong experience in employee benefits program management, relationship management, data analytics, and coordination with insurers and TPAs. Prior experience in a brokerage firm will be an added advantage. Key Responsibilities: 1. Client Relationship & Account Management: Act as the primary point of contact for assigned corporate clients. Build and maintain strong relationships with HR and employee stakeholders. Conduct regular review meetings with clients to understand needs, resolve issues, and offer strategic advice. Support renewals and policy upgrades through proactive communication and data insights. 2. Employee Communication & Support: Address employee queries and provide resolution related to group insurance policies, claims, endorsements, and benefit structure. Conduct employee awareness sessions on policies and claims processes. Manage escalations effectively and ensure timely resolution. 3. Insurance Operations & Coordination: Liaise with insurers and TPAs for smooth issuance, endorsements, claims processing, and reconciliation. Ensure timely policy endorsements, addition/deletion of members, and coverage changes. Track claims and coordinate for claim settlements and documentation. 4. Data Management & Reporting: Prepare and manage CD (Claim Details) statements, endorsement summaries, claim trackers, and MIS reports. Create and maintain dashboards for internal and client reporting. Analyze data to identify trends and provide actionable insights. 5. Internal Coordination & Compliance: Coordinate with internal teams for data collection, report generation, and service delivery. Ensure all processes comply with IRDAI regulations and internal quality standards. Qualifications & Skills: Graduate/post-graduate in any discipline (MBA/PGDM preferred). 5-7 years of experience in employee benefits management, with at least 2-3 years in an insurance brokerage setup. Strong understanding of group health insurance, claims process, and TPA functioning. Proficiency in MS Excel, PowerPoint, and dashboard tools. Excellent communication, interpersonal, and problem-solving skills. Ability to handle data-driven discussions with HR and insurance partners.

Urgent requirement for BHMS/BAMS/BDS -Chennai(Annasalai) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd., Raheja towers, Unit 005, Delta wing no-177, Beside LIC building, Annasalai, Chennai-600002.

Role & responsibilities - Due Diligence - Document Indexing & Management - Sanction Screening - Compliance checks - Premium Bordereaux Processing - Knowledge of insurance systems like Acturis, Applied Epic/Eclipse will be added advantage - Experience in the insurance sector, preferably with brokers or MGAs, will be an added advantage - Familiarity with Lloyds systems integration (XIS, XCS, ICOS/IPOS) is a plus - Updating the process documents - Providing supporting documents during various internal/external audits - Advance excel knowledge Preferred candidate profile Need Fresher or who have experience into claims and settlement Must be fluent with communication

Job Title: Hospital Billing Executive Qualification: Any Graduate Job Type: Full-Time Job Summary: We are seeking a detail-oriented and experienced Billing Executive to join our hospital's finance and accounts team. The ideal candidate will have a strong background in hospital billing processes, insurance claims, and patient account management. Key Responsibilities: Generate accurate inpatient and outpatient bills in accordance with hospital policies. Verify patient insurance details and coordinate with TPA (Third-Party Administrators). Ensure proper documentation for billing, including medical records, investigations, and doctors notes. Process and submit insurance claims within stipulated timelines. Follow up on pending or denied insurance claims and take corrective action. Handle cash, card, and digital payment transactions. Resolve patient billing inquiries and disputes in a professional manner. Maintain daily and monthly billing reports and records. Coordinate with departments like admissions, nursing, and pharmacy to ensure billing accuracy. Comply with all healthcare regulations and hospital guidelines. Required Skills: 34 years of hands-on experience in hospital billing operations. Good understanding of healthcare billing, insurance processes, and TPA procedures. Familiarity with hospital management software (e.g., HIS, Meditech, or similar). Strong numerical and analytical skills. Excellent communication and interpersonal skills. Attention to detail and ability to handle sensitive patient information with confidentiality.

We are looking for candidate with Experience into Brokerage Calculations, Renewals, QuoteSharing , Booking Revenue. Preferred candidate profile Ensure Brokerage is calculated Properly Understanding of Insurance Services Excellent Written and Oral Communications

We are looking for candidate with Employee Data, Premium Calculation , Exp into GPA , GMC, GTA , GTL will be aded advantage. Preferred candidate profile Ensure Brokerage is calculated Properly Understanding of Insurance Services Excellent Written and Oral Communications

Role & responsibilities Ensure team members are visiting the customers place as per the schedule Monitor the team members activity in terms of volumes (documents collected) Review the queries received from the customer and the responses from the team members Help team members in resolving escalationsfrom customers Review the reports sent by the team members and take necessary actions (issues with respect to claim registrations) based on the report. Coordinate with front end team and help in getting the claims registered Conduct weekly/monthly one on one review with the team membersto understand their concerns and help simplify the process Review the claims dump along with front end team and take necessary action for IR raised, reopening the claims, dummy claims as appropriate Review the feedback received from the customers. Rework on the low ratings and identify the areas of improvement and implement process improvements Team management Review on the low C-SAT/D-SAT to improve the communication quality or process gap if any as per the clients understanding/requirement. Coordinate with internal/external stakeholders and other regions on the support needed for the client requirements, like helpdesk , wellness-related activity and more. Preferred candidate profile 3-5 years of experience in people management and customer service & 7-8 years of overall experience in service industry

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English. CTC – Upto 3.5 LPA.

Role & responsibilities Empanelment / TPA's / Insurance companies / Brokers / Corporate Companies Lead generation activities which include one on one screening with our consultants Corporate Engagements - webinars and Camps Visiting the clients and giving them information regarding hospital initiatives Preparing, maintaining and timely submission of MIS related to leads and conversions Follow up on Receivables from TPA's / Insurance companies Preferred candidate profile Graduate / MBA 3-8 years Perks and benefits Company standards

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

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

Minimum 1 year in IPQA. Education Qualification: MSC/B.PHARM Division: QA Location: Santej Ahmedabad. Transportation Facility Available (As Per Circumference Of Sunrise Remedies) Mediclaim and Food Facility provide By Company. Key Responsibilities: To take plant round for monitoring of entire production operations and confirm quality conformance to specifications in shift. To issue and control of SOPs, BMRs, BPRs, BCRs and also finished product label/product container seals /sealing of the containers as the part of IPQA activities. To review BMRs, BCRs and analysis records before release of products. To perform sampling of APIs, maintain its records and ensure the cleaning of sampling tools. To provide line clearance at the time of product changes over. To perform the documentation control activity at site. To monitor/Maintain/Review of Records and Handling of controlled/Retained samples of Intermediates/Finished Products. Please drop your CV or Resume to info@sunriseremedies.in Our HR Department will get in touch with you.

Urgent requirement for BHMS/BAMS/BDS doctors-Pune (Vadgaonsheri) Candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and responsibilities: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS graduate. Good Medical & basic computer knowledge. Should have completed internship (Permanent Registration number is mandatory) Preferred -TPA or insurance sector Experience. Work from office . Interview Timings-11am To 5pm(Monday To Saturday) Venue Details: MDIndia Health Insurance TPA Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 4th floor, Pune Nagar Road, Vadgaonsheri, Pune 411014

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Company Overview: Onsitego is India s leading after-sales service provider and offers Extended Warranty, Damage Protection, AMC Plans, and On-Demand Repair Services. We cover all electronic devices and home appliances. Our plans are widely available across retail stores and online marketplaces. We are driven by the mission to consistently deliver WOW experiences to customers. Our customer obsession allows us to have the highest Net Promoter Score (NPS) globally in after-sales services. Our hassle-free & reliable services are widely available across electronic stores and online marketplaces. We invite the brightest minds to join us in this journey that helps improve the lives of millions of device users across the country. Website: www.onsitego.com Job Title Executive Assistant Department CEO s office Location Mumbai Reporting To CEO Job Purpose: To act as an executive assistant to the CEO to enable him to operate efficiently Responsibilities: Manage CEO s calendar and set up meetings Screen phone calls, visitors, correspondence etc Ensure all arrangements for meetings are made effectively Greet visitors and make them comfortable Make all travel & accommodation arrangements to ensure smooth travel & stay Support CEO in payment of personal credit card bills, making expense reports etc. Organize and maintain files Experience: 5-8 years Qualification: Graduate Candidate Requirements: Good organizing & time management skills Discreet and ability to maintain confidentiality of confidential information Courteous Good communication skills MS office knowledge Benefits: We believe in work-life balance and hence we offer flexible working hours. What matters is the output of work. We have a well-defined leave policy for our people to take care of their personal commitments and exigencies. We care for our people and take care of them and their family by offering them Mediclaim policy. Your professional growth and company growth go hand-in-hand. We provide you a platform to learn and polish your skills.

System Integration & Business Consultant Siemens Opcenter RDnL BSH Household Appliances Manufacturing Private Limited | Full time | System Integration & Business Consultant Siemens Opcenter RDnL Bangalore Your responsibilities We are looking for a highly experienced System Integration & Business Consultant with deep expertise in Siemens Opcenter. Including Solution Architect, Business Consultant, Product Owner, and Security Manager. Lead end-to-end implementation and integration of Opcenter RDnL in R&D/lab environments. Manage CI/CD pipeline and Release Management for Opcenter RDnL Act as technical contact towards Siemens regarding enhancements and operational demands Analyze complex business requirements and translate them into technical solutions using Opcenter components. Collaborate with cross-functional teams (R&D, Quality, IT, Lab Managers) to define, model, and optimize business processes. Your profile Strong experience with Siemens Opcenter RDnL Minimum 3 5 years of hands-on experience with Siemens Opcenter. Experience with .Net, MS SQL, PowerShell, and REST API integrations. Knowledge of PLM systems and V-Model . Your benefits Group Gratuity @ 4.81% of Basic Salary as per Gratuity Act Group Mediclaim Insurance, Personal Accident Insurance, Group Term Life Insurance Policy

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

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

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

Experience: 1 - 4 Years Location: Pune, Mumbai, Kolhapur, Akola, Jalgaon, Latur, Nagpur, Satara, Solapur Notice Period: Immediate to 30 Days About HDFC ERGO HDFC ERGO General Insurance is one of Indias leading private general insurance companies. As a joint venture between HDFC Ltd. (Indias premier financial services conglomerate) and ERGO International AG (the primary insurance arm of Munich Re Group, Germany), HDFC ERGO combines financial strength with deep insurance expertise to serve millions of customers across India. We are committed to delivering innovative insurance solutions and exceptional customer service. About the Role We are looking for a passionate and result-oriented Assistant Agency Manager - Health to join our growing Health Agency team at HDFC ERGO. In this role, you will play a crucial role in driving our health insurance agency business across multiple locations. You will work closely with agents, guiding them through onboarding, coaching, and engagement processes, while contributing to significant business growth. Key Responsibilities Drive Agency Success Build and grow the health insurance agency business across assigned locations. Recruit, onboard, and train insurance agents for successful activation. Coach agents to enhance productivity, customer engagement, and overall performance. Implement agency best practices across all Digital Office (DO) locations. Deliver Business Results Achieve revenue, premium, and profitability targets for your region. Drive renewal business to meet defined goals. Provide strategic insights based on local market dynamics to inform business plans. Design and implement location-specific business development strategies. Build Strong Relationships Work closely with cross-functional teams including sales, operations, and support functions. Create an engaging and motivating environment for agents. Monitor agent performance and provide ongoing coaching through regular reviews. Minimum Qualifications Bachelors degree in any field. Proficiency in computer applications and digital tools. Strong communication, interpersonal, and team management skills. Preferred Qualifications 3-4 years of experience in insurance, sales, or agency management. Proven track record of consistently achieving business targets. Ability to work effectively with cross-functional teams. Highly motivated, self-starter with a proactive approach. Why Join HDFC ERGO? Competitive salary aligned with industry standards. Comprehensive health insurance coverage for you and your family. Attractive performance-based incentives and recognition programs. Learning and development opportunities for continuous career growth. Work-life balance initiatives and employee well-being programs. Opportunity to be part of one of Indias most trusted and fast-growing general insurance companies.

Job description URGENT OPENING FOR MEDICAL OFFICER Workings Hours: 9 Hrs Work Mode : Office Key Responsibilities: Review and assess medical claims submitted by corporate clients against policy terms and medical guidelines. Analyze clinical documents such as medical reports, diagnostic tests, prescriptions, discharge summaries, and other relevant medical records. Verify the authenticity, appropriateness, and completeness of medical documentation related to claims. Provide medical expertise to determine the validity and admissibility of claims. Collaborate with claims processing and underwriting teams to resolve discrepancies or clarifications related to medical information. Identify potential fraud, over-utilization, or discrepancies in claims through thorough medical evaluation. Maintain up-to-date knowledge of medical terminologies, treatment protocols, and emerging health trends relevant to claims assessment. Assist in developing and updating medical claim processing guidelines and protocols. Support training and capacity-building activities for claims staff on medical aspects of claims. Ensure compliance with regulatory and company policies during claims assessment. Communicate effectively with healthcare providers, corporate clients, and internal teams to clarify medical information as needed. Generate detailed reports and documentation on claim assessments and decisions. Qualification: BHMS, BMS