Quality specialist For claims adjudication with Sagility Sagality India

3.0 - 7.0 years

4 - 5 Lacs

indore, coimbatore, bengaluru

Work from Office

Urgent hiring for Specialist quality for claims adjudication from US Healthcare. Looking for immediate joiners or less than 30 days' notice period. Interested folks can reach out to below mentions contact persons. Quality Analyst Claims Adjudication (US Healthcare) Experience: 4 years Location: Indore, Coimbatore, Bangalore Department: Claims Operations Role Summary: A results-driven Quality Analyst with 4 years of experience in US healthcare claims adjudication. Proficient in conducting audits, ensuring compliance, and improving accuracy in claims processing. Skilled in applying 7 QC tools, Root Cause Analysis (RCA), Corrective & Preventive Actions (CAPA), and Six Sigma methodologies to dri...

Posted 2 months ago

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Senior Medical Officer Paramount health caee

5.0 - 9.0 years

0 Lacs

maharashtra

On-site

You will be responsible for conducting internal quality checks on claims processed by the Claim Team on a daily basis. Additionally, you will attend external audits conducted by different Insurers at PHS Mumbai premises and visit Insurer offices to discuss recoveries/queries raised. It will be part of your role to sensitize the team about various errors made during processing. The job is a full-time position located at A-442, Road No. 28, Ram Nagar, M.I.D.C. Industrial Area, Wagle Estate, Thane West, Pin Code - 400604. The work schedule is during day shifts, and the benefits include health insurance and Provident Fund.,

Posted 3 months ago

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