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    Job · 18881286

    Paramount Health Services TPA logo

    Paramount Health Services & Insurance TPA Pvt. Ltd.

    Paramount Health Services TPA · Not specified · onsite · Posted 30d ago

    Not disclosed0–5 yrsfulltimeSourced fromFoundit

    About a minute. You'll make an account on the way through.

    About this role

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    Claim Intimation
    IRDAI License No: 006 | Valid till: 20-03-2026 ISMS - ISO/IEC 27001:2022 Cashless Everywhere Create ABHA
    • About
      • Overview
      • Vision & Mission
      • Gallery
      • Customer Testimonial
      • Annual Reports
        • Annual Report
        • ROC-Annual Return (Form MGT-7)
          • FY 2020-21
          • FY 2021-22
          • FY 2022-23
          • FY 2023-24
          • FY 2024-25
      • Public Disclosure
      • Corporate Social Responsibility (CSR)
        • Corporate Social Responsibility
        • CSR Annual Action Plan
          • FY 2022-23
    • Login
      • Insurer Login
      • Agent Login
      • Broker Login
      • Member Login
      • Corporate Login
      • Provider Login
      • Approval Module
      • ZKGI GMC Login
    • Quick Help
      • E-Cards
      • Intimate a claim
      • View claim status
      • Claim Procedures
        • Cashless Claims Procedure
        • Reimbursement Claims Procedure
      • List of Non Payables by IRDAI
        • IRDAI Non Payable List Before 01-10-2020
        • IRDAI Optional Cover List w.e.f. 01-10-2020
    • Downloads
      • Forms
      • CKYC Form
      • Other Information
        • Common Deficiencies
        • Claim Document Checklist
        • AML Guidelines
    • Network Hospital
      • Hospital Network
      • Enroll In Network
      • Cautious / Excluded Hospital
      • Information Guide
        • Accrediation Standards
        • ROHINI Registration Guide
        • IRDAI Protocols for Hospitals
          • Dated 28.3.2016
          • Dated 18.3.2013
        • Hospital Guide & FAQ
      • Hospital Downloads
        • Policy Declaration Form
        • IRDAI - Modification Guidelines on
          Standardization in Health lnsurance
        • GIPSA PPN Network - Declaration Form
          (National, United, New India and Oriental)
        • Discount circular - IRDAI & NIAC
          (For Cashless-Reimbursement)
        • Circular for Signing Authority on
          Laboratory & Diagnostic Reports
        • Standard Discharge Card
        • Summary Bill Format
        • Detailed Bill Format
    • Mobile App
      • Download Link
        • iOS Users
        • Android Users
      • Manual
      • FAQ's
    • Health Corner
      • Health Tip
      • Covid - JN 1
      • Magazine
      • Health Guide
        • Policy Information
        • Standard Guide Book
    • Help Line
      • Toll Free Number - [phone removed]
      • Senior Citizen - [phone removed]
  1. Contact Us
    • Contact Us
    • Grievance
    • FAQ
    2. HomeCareers

    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. One of the main reasons for our success is – our HUMAN CAPITAL which consists of 2200+ personnel. Paramount believes in providing an environment for employees where innovative thinking is encouraged and rewarded. We understand every employee's uniqueness and are aware of the value addition they bring to our existing system. Paramount is an equal opportunity employer, we encourage people from all walks of life to join us. We are continuously on the lookout for hard working and dedicated professionals who will help take forward our success story. We have multiple openings in various specializations. Do send your resume to [HIDDEN TEXT], we will help you find the best fit for your interests and passion!

    CURRENT OPENINGS

    Job Disclaimer
    We bring to the notice of all concerned that we i.e., Paramount Health Group have not deployed any outsourced/external agency for recruitment. Our internal recruitment team does the selection procedure. We do not charge / accept any amount or security deposit from job seekers during the selection process or while inviting candidates for an interview. We have noticed that fake job offers in the name of our company Paramount Health Services and Insurance TPA Pvt. Ltd. and our other group companies have been circulated by some unauthorized persons / fraudsters. Some fraudsters are using the name of our company to solicit job applications and asking the job seekers / applicants to pay processing fees or deposit amount by sending false e-mails or by making fraudulent telephone calls. We shall not accept any liability towards the representation made in any fraudulent communication or its consequences and such fraudulent communication shall not be treated as any kind of offer or representation by any Paramount Health Group Companies. Any person dealing with unauthorized parties for seeking job opportunities with Paramount Health Group Companies in lieu of money is doing so at his/her own risk. Paramount Health Group Companies will not have any obligation to honour terms of any fake offer letter so issued, or provide employment to anyone who has been issued a fraudulent offer letter. On receipt of an interview call for any job in any Paramount Health Group Company, the candidate may take some measures such as visiting the official web site of the concerned Paramount Health Group Company to get the contact details and enquire with the Human Resources department of such company about the interview details and other relevant information.

    Current Job Openings

    ×
    Sr No. Position Name No of Position Location Years of Experience Skillset Job Description
    1 Claims 15 Thane, Andheri, Bangalore, Baroda, Delhi, Lucknow 0 - 5 years Graduate
    1. Responsible for the settlement and approval for payments.
    2. Consult the policy, check hospital records and examine property harm to find out the extent.
    3. Estimate the payments and granted payments of the claims.
    4. Review the provided documents or files like photographs, videotaped or any written statements
    2 Medical Officer 50 Ahmedabad, Andheri, Thane, Bangalore, Baroda, Chennai, Delhi, Hyderabad, Pune, Mohali, Patiala, Moga, Amritsar, Bathinda, Worli 0 - 5 years BHMS / BAMS / BDS / BPT
    1. Processing of cashless / reimbursement claims request received from the hospital.
    2. Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
    3. 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.
    4. Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. 5. Handling grievances effectively.
    3 Call Centre Executive 10 Andheri 0 - 5 years Graduate
    1. Handle inbound and outbound calls to customers and clients.
    2. Identify the needs of customers, resolve issues and provide solutions.
    3. Maintain client satisfaction based on explicit criteria set forth by the company.
    4. Meet personal targets and work towards meeting team targets.
    4Customer Relationship Management ( CRM)45Delhi, Bangalore, Baroda, Pune, Thane, Chennai1 - 5 years ( Experienced professionals from TPA industry can also apply)Graduate
    1. Close Co-ordination with Brokers and Insurance Companies for successful management of Corporate Clients.
    2. First level scrutiny of the claim documents. Handling Online, Phone, and Mail Query.
    3. Build and maintaining proofitable relationships with key customers.
    4. Liasoning with Brokers and Insurance Companies.
    5. Manage multiple, high priority tasks simultaneously within the given TAT.
    5Operations Manager2Andheri, Pune2-3 Years in Hospital, Diagnostic Centres, Healthcare OrganizationDiploma / Degree in Hospital Administration
    1. Communication with Member Hospital.
    2. Claim Management.
    3. Conducting Periodic Training.
    4. Prepare NABH SoPs and Manuals.
    5. Visit the Hospital across Mumbai and Sub Urban.
    6. Collection Information, Service Request and Data from Hospital.
    7. Will be required to travel as per the position requirement.
    6Business Development Manager2Andheri, Pune2-3 Years in Hospital, Diagnostic Centres, Healthcare OrganizationGraduate
    1. 2-3 Years in Hospital, Diagnostic Centres, Healthcare Organization.
    2. Meet Doctors to introduce the Company (HBN) & add them to the network.
    3. Do regular presentations, promote support services provided by HBN.
    4. Create the pipeline from initiation to closure and prepare daily tracker of hospital meetings.
    5. Achieve and exceed monthly, quarterly and annual targets
    6. New Business development, retention and upselling existing and upcoming product and services.
    7. Maintain daily report of all the visits and calls made to Hospitals
    7Sales Support Executive1Andheri3-4 years of experience as MIS executiveGraduate
    1. Sound knowledge of other Office Tools (Word, Power Point)
    2. Eexpected to focus on outreach, prospecting, and lead qualification.
    3. Experience Doing Sales of Banking / SAAS / IT Products.
    4. Background in account management with a strong understanding of how to build relationships with key prospects at all levels.
    5. Proven communication skills with the ability to set expectations and manage difficult conversations.
    6. Would be responsible of achieving set targets.
    8Recruitment Executive1Andheri1-3 Years Experience in Talent AcquisitionGraduate+ Degree or Diploma in HRM
    1. End to end recruitment for member hospitals across India.
    2. Posting requests on the portal and talent acquisition.
    3. Primary screening of candidate and interview.
    4. Placement of candidate in the respective organization.
    5. Invoicing to hospital and payment follow-up.
    6. Source manpower from various sources.
    9Learning and Development Executive1Thane / Andheri3 years in Training Reports & Coordination Graduate/BBA/HR related Certifications /Diploma (Optional)
    1. Manage the Training Needs Identification
    2. Maintain the Training Schedule
    3. Communication & Follow-up with Participants & HODs
    4. Host the Training's on the Zoom Platform
    5. Manage all Training Recordings & Learning Deck's on HRMS
    6. Assist participants of E-learning programs
    7. Regular Tracking of Training Related Expenses
    8. Assist in the follow-up Training Module creation on HRMS
    9. Regular Communication & Connection with Participants to follow-up on Training Effectiveness
    10. Support with Functional Process Training Design
    11. Prepare & Maintain Training Reports
    10Graphic Designer1Andheri1 - 3 years
    1. Degree/diploma in Design, Fine Arts, or related field.
    2. Experience as a UI/UX Designer as well as a strong portfolio of related projects.
    3. Proficient in Adobe Creative Suite (specifically Illustrator, InDesign and Photoshop).
    4. Proficient in prototyping tools such as Sketch, InVision, etc.
    1. Create user-centered designs by understanding business requirements, and user feedback
    2. Creating user flows, wireframes, prototypes and mockups
    3. Translating requirements into style guides, design systems, design patterns and attractive user interfaces
    4. Designing UI elements such as input controls, navigational components and informational components
    5. Creating original graphic designs (e.g. images, sketches and tables)
    6. Identifying and troubleshooting UX problems (e.g. responsiveness)
    7. Collaborating effectively with product, engineering, and management teams
    8. Incorporating customer feedback, usage metrics, and usability findings into design in order to enhance user experience
    11Asp.net Developer8Thane, Andheri, Pune ( Candidates working at remote location can also apply )1. 2+ Years of experience as .Net Developer
    1. Experience developing database driven web-based applications using C#, ASP.NET.
    2. Hands-on experience in software development and web technologies - WCF REST, API, Entity Framework, LINQ, Ajax, jQuery, JSON, Angular JS.
    3. Experience of SQL Server (2008 or later) or other RDBMS, Oracle, Stored Procedures and reporting services.

      Sourced from foundit

      Skills

      Asp.Net CoreEntity FrameworkwcflinqOracle DBJSONJQueryREST APIAngularjsSQL ServerAjax

      About Paramount Health Services Tpa

      Paramount Health Services TPA logo

      Paramount Health Services TPA

      Insurance

      1.0k+

      employees

      2002

      24 years old

      Mumbai, Maharashtra

      India

      ₹3.4L PA avg

      Avg at Paramount Health Services Tpa

      About

      Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) began its journey in 1996. In 2002, it acquired a license from Insurance Regulatory and Development Authority (IRDA no: 006), to act as a TPA, when the concept of TPA was at a very nascent stage. Today, it is one of India’s leading Third Party Administrators (TPA). PHS has created benchmarks in the industry with its focus on quality customer service and expertise in claims management with emphasis on checking fraud and abuse. It operates in 165+ locations in India touching many lives each day with its bouquet of services. PHS' core services include: Comprehensive Claims Management Inbound call center Health Portfolio Management Pre-policy & Pre-employment check-ups Indoor Hospitalization Assistance Medical Second Opinion Wellness programs To its credit, PHS also handles Government Health Projects – BKKY (Odisha), Swasthya Sathi (West Bengal) & MJPJAY (Maharashtra).

      Industries

      InsuranceHealthcare

      Employee ratings

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      3.8/ 5

      Employees rate it well for

      Overall Company38Work-Life Balance37

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