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Paramount TPA Pune Medical Officer : paramounttpa.com

Organisation : Paramount Health Services & Insurance TPA Pvt Ltd
Designation : Medical Officer
Qualification : BHMS / BAMS / BDS / BPT
Job Location : Pune
Website : https://www.paramounttpa.com/Home/careers.aspx

Current Job Openings in Paramount TPA

1. Medical Officer

Skillset: BHMS / BAMS / BDS / BPT
Experience: 0 – 5 years
Location: Ahmedabad, Andheri, Thane, Bangalore, Baroda, Chennai, Delhi, Hyderabad, Pune, Mohali, Patiala, Moga, Amritsar, Bathinda, Worli

Related / Similar Job :

Bai Jerbai Wadia Hospital Mumbai Protocol & Liaison Officer

Ericson TPA Mumbai Medical officer 

Job Description:
** Processing of cashless / reimbursement claims request received from the hospital.
** Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
** Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if treatment protocol is not appropriate to the diagnosis.
** Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. 5. Handling grievances effectively.

2. Call Centre Executive

Skillset: Graduate
Experience: 0 – 5 years
Location: Andheri

Job Description:
** Handle inbound and outbound calls to customers and clients.
** Identify the needs of customers, resolve issues and provide solutions.
** Maintain client satisfaction based on explicit criteria set forth by the company.
** Meet personal targets and work towards meeting team targets.

3. Operations Manager

Skillset: Diploma / Degree in Hospital Administration
Experience: 2-3 Years in Hospital, Diagnostic Centres, Healthcare Organization
Location: Andheri, Pune

Job Description:
**Communication with Member Hospital.
**Claim Management.
**Conducting Periodic Training.
**Prepare NABH SoPs and Manuals.
**Visit the Hospital across Mumbai and Sub Urban.
**Collection Information, Service Request and Data from Hospital.
**Will be required to travel as per the position requirement.

4. Customer Relationship Management

Skillset: Graduate
Experience: 1 – 5 years ( Experienced professionals from TPA industry can also apply)
Location: Delhi, Bangalore, Baroda, Pune, Thane, Chennai

Job Description:
**Close Co-ordination with Brokers and Insurance Companies for successful management of Corporate Clients.
**First level scrutiny of the claim documents. Handling Online, Phone, and Mail Query.
**Build and maintaining proofitable relationships with key customers.
**Liasoning with Brokers and Insurance Companies.
**Manage multiple, high priority tasks simultaneously within the given TAT.

5. Learning and Development Executive

Skillset: Graduate/BBA/HR related Certifications /Diploma (Optional)
Experience: 3 years in Training Reports & Coordination
Location: Thane / Andheri

Job Description:

**Manage the Training Needs Identification
**Maintain the Training Schedule
**Communication & Follow-up with Participants & HODs
**Host the Training’s on the Zoom Platform
**Manage all Training Recordings & Learning Deck’s on HRMS
**Assist participants of E-learning programs
**Regular Tracking of Training Related Expenses
**Assist in the follow-up Training Module creation on HRMS
**Regular Communication & Connection with Participants to follow-up on Training Effectiveness
**Support with Functional Process Training Design
**Prepare & Maintain Training Reports

Paramount TPA Careers

Paramount Health Services and Insurance TPA Pvt. Ltd. has a deep-rooted presence in the Indian TPA industry, having been the pioneer in providing TPA services and leading the way for other TPAs

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