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
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.…
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.…
. Customer Service Operations Manage end to end customer care operations including inbound/outbound calls, emails, and escalations. Ensure timely resolution of customer queries related to claims, pre authorizations, and policy benefits. Develop and implement service quality standards and monitor adherence…
Handle inbound/outbound calls in Malayalam with professionalism and courtesy. Resolve customer queries, complaints, and requests effectively. Maintain accurate records of customer interactions and update systems regularly. Provide information about products/services and generate leads where required. Meet individual and team performance…
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…