Vidal Health TPA Private Limited TTK Healthcare Services is a part of the 74 year old TTK Group providing TPA services to leading general insurance companies. TTK as a TPA provides call center, customer-relations and claim settlement services to the policy holders. COMPANY WEBSITE:http:\\www.vidalhealthtpa.com\home.html
Retention of current business by ensuring good service. Fulfilment of SLAs (Service Leave Agreement) as agreed with the stakeholders (Insurance companies, brokers, corporate and individual customer) by coordinating with the backend operations team. Attending to stakeholders query in person/mails/over the…
Key Stakeholder Management: Actively interact with key stakeholders of the hospital like Insurance, Billing, Counseling, Admission etc. to understand their needs, gather feedback, and build strong relationships that can convert to business. Customer Relationship Management: Develop and implement effective sales…
Analysis: Identification of cases for analysis from data dump and further analysis as per the requirement and arrive at the root cause and possible solution for the same. Presentation/Reporting: To provide a timely and detailed report on the analysis done…
JOB DESRCIPTION: The role involves auditing claims and preauthorization, to ensure clinical appropriateness, policy compliance, and correct system processing. It requires a strong blend of medical understanding and system knowledge to identify errors, investigate their root causes, and support in…
Drafting of contracts, Legal Documents eg. Legal Notices, Reply to various Notices, power of attorneys, affidavits, declarations, contracts addendums, amendments etc. ยท Drafting case summaries, collating evidence for briefing external counsel. Coordinating with external lawyers appointed by company. Review of…
Handle inbound calls related to health insurance policies. Follow up with the internal team for Pre Auth cases. Convince customers regarding claims. Provide Claim & Pre Auth status to customers and hospitals. Update daily tracker for escalation teams. Guide customers…
Ensuring error free processing of pre authorization within agreed TAT (Turnaround time) by way of following the following process By entering accurate information into the application defined by the organization. Review structured clinical data matching it against specified medical terms…
Willing to travel for Audit purpose. Minimum 6 months of experience in same field needed. Graduate Meeting with clients to discuss the nature of the investigation. Conducting online research. Conducting field investigations on appointed cases, insurance claims, or client requests.…
Involved in analyzing reports process medical claims. Final approval of medical bills. Should have good medical knowledge eagerness to learn and implement new medical aspects. Providing quality service with in TAT. Should have good academic qualification in BHMS or BAMS.…
Willing to travel for Audit purpose (Hospital and Insurance Company). Minimum 6 months of experience in same field needed. Graduate Meeting with clients to discuss the nature of the investigation. Conducting online research. Conducting field investigations on appointed cases, insurance…