45 Claim Adjudication Jobs - Page 2

Education: Graduation Mandatory Role & responsibilities: Looking for Assistant Manager (US Healthcare) with good experience at provider side & MediClaims. Should have good team management experience Good communication skills Good experience in healthcare Shift details: US Shifts

POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Medical Officer Claims PA/RI Approver Reporting to Location Assistant Manager Claims Noida Educational Qualification BHMS, , BAMS Shift Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical admissibility of a claim by confirming the diagnosis and treatment d...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determinin...

We are currently hiring Medical Officers to handle the processing of cashless requests and health insurance claims for TPAs/Insurance companies and Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.

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.

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determinin...

Female Candidates can apply. Must have Min 1+yrs exp as a Team Leader from International Voice Chat Process BPO. Must know KPI's CSAT/NPS/AHT and Have Team Leading Skills. US Shifts Fluent English Call 8447780697 send CV monu@creativeindians.com

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determinin...

Greetings from Firstsource !!! HR Spoc - Madhubala Looking for US Healthcare Professionals !! Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication & Claims Adjuster!! US Healthcare experience. Work location : Navalur Chennai Required : Experience in International Healthcare BPO Education - Any Graduates and Diploma(10+3)can apply. Willing to work in Night Shift/rotational shifts. If interested , Share your resumes to Madhubala.suresh@firstsource.com Interested folks can directly Walk-in to Location: 5th floor, 4th block, Sandhiya Infocity(Bayline Infocity), OMR Rajiv Gandhi Salai, Navalur, near to AGS Bus Stop, Chennai, Tamil Nadu 603103. Walk - in time: 11:00 Am - 2:00 ...

Greetings from NTT DATA, Roles &Responsibilities of this position are: Supervises team ensuring highest quality of service is provided to clients. Monitors performance of team and reports results and issues to higher-level leadership. Assists team with escalated client or account issues. Manages the hiring, staffing, and maintaining of a diverse and effective workforce. Responsible for career development / planning, performance and pay discussions of team members. Interacts with clients and internal departments to resolve issues. Leads staff to complete assignments using established guidelines, policies, and procedures. Demonstrates professional courtesy and represents the company in a posit...

Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. There are two types of positions available: Non-Voice Process (200 positions) Key Responsibilities: For Non-Voice Process (200): Retrieve medical records from healthcare facilities, ensuring accuracy and completene...

Any Graduate 06 months exp in insurance domain or Property and casualty Book Roll Endorsement Underwriting Call/Whatsapp RASHMI 8130669625 Required Candidate profile 1 Year bpo experience Candidate must be okay with walkin interview Excellent communication skills required.

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 Hindi & Malayalam. CTC – Upto 3.5 LPA.

Role: TM / STM claims adjustor *************************************************** IMMEDIATE JOINERS REQUIRED Send your updated CV directly to: 9152808909 **************************************************** Role Mandates :- Min 7-8 years of experience 2 yrs in people management role. Responsible for end-to-end claims adjustor Candidate should be flexible with shifts Location is Pune

Walk-in |TCS Bengaluru Hiring for Claim Adjudication Specialist Interview Date : May 10th, 2025 Interview Time : 10 AM onwards (Entry is closed at 12:30 PM) Venue : Tata Consultancy Services Ltd, Think Campus, Phase 2, Electronic City, Bengaluru 560100 Role : Claim Adjudication Specialist Desired Experience Range : 5-8 yrs Shift : Should be comfortable with night shift & in a 24X7 shift environment Mode of Working : Work from Office Position Overview : We are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5-8 years of hands-on experience in managing claims adjudication and processing with a strong focus on India and International claims processing. The ide...

Greetings from NTT DATA, Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes perfor...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determini...

Job Description: Medical Record Review Position Overview: We are seeking dedicated and detail-oriented Medical Record Review Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. There are two types of positions available: Non-Voice Process (200 positions) Key Responsibilities: For Non-Voice Process (200): Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards re...

Job Description: Medical Record Review Position Overview: We are seeking dedicated and detail-oriented Medical Record Review Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. There are two types of positions available: Non-Voice Process (200 positions) Key Responsibilities: For Non-Voice Process (200): Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards re...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determini...