344 Claim Payment Jobs

Hiring for leading insurance company for US Claims process Graduate with min 3 years End to end Claims experience is mandate US shift SAT-SUN OFF Package upto 8 LPA Viman Nagar, Pune CALL US 93254 29799 / 87669 05361

Responsibilities: *Freshers Preferred * Manage claims from intake to payment. * Investigate health claims accurately. * Ensure timely claim settlements. * Collaborate with stakeholders on claims management. * Process insurance claims efficiently. Office cab/shuttle Food allowance Health insurance Annual bonus Provident fund

Job Summary: We are looking for a detail-oriented and analytical Claims Associate to join our non-medical insurance team. The ideal candidate will be responsible for reviewing, assessing, and processing insurance claims with accuracy and integrity, ensuring adherence to company policies and compliance standards. Key Responsibilities:- Evaluate and process insurance claims to determine validity and payment eligibility. - Review documentation including claim forms, bills, and related records for accuracy and completeness. - Interpret policy terms to determine coverage and liability. - Detect and investigate potential fraudulent or suspicious claims. - Coordinate with internal teams and externa...

Hello Jobseekers, Were Hiring! Claims Process | Bangalore Looking to grow your career in the Claims Process domain? We are hiring experienced professionals for our Bangalore location! Position: Claims Process Executive Experience: Minimum year in Claims Process Location: Bengaluru Salary: Up to 5 LPA Working Days: 5 Days (Monday-Friday) Transport: Both-way cab provided What Were Looking For: Minimum 1 year of hands-on experience in Claims Processing Strong analytical & documentation skills Ability to handle claims with accuracy and timelines Good communication skills How to Apply: Share your CV at [7355126736 Ishwari ] #Hiring #ClaimsProcess #BangaloreJobs #JobOpening #NowHiring #ClaimsExecu...

Analyze pricing variations and ensure benefit accuracy across systems - Design and execute automated test scripts using Python + Selenium - Write and optimize SQL queries for data validation and backend testing -Perform end-to-end validation of healthcare claims and HRP processes - Conduct API testing using Postman, including request/response validation - Collaborate with cross-functional teams to ensure healthcare compliance and data integrity

****People from Medical Billing Background alone apply*** ****Immediate joiners needed, WFO in Chennai location - Madhavaram Tabbal Petti**** Greetings from ACP Billing Services! We are hiring for the following roles Payment Posting Experience & Requirements: Minimum 2+ years of experience in US Medical Billing. Strong verbal and written communication skills. Payment Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business ...

Maintain day-to-day accounting records in SAP,Handle vendor invoices, purchase orders, and contract terms.Handle vendor invoices, purchase orders, and contract terms.Follow up on payments and outstanding receivables. Contract Invoice Generate Required Candidate profile Maintain day-to-day accounting records in SAP,Handle vendor invoices, purchase orders, and contract terms.Handle vendor invoices, purchase orders, and contract terms.Follow up on

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We emb...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We emb...

Key Responsibilities: - Evaluate and process insurance claims to determine validity and payment eligibility. - Review documentation including claim forms, bills, and related records for accuracy and completeness. - Interpret policy terms to determine coverage and liability. - Detect and investigate potential fraudulent or suspicious claims. - Coordinate with internal teams and external stakeholders to resolve claim-related disputes. - Maintain proper documentation and ensure compliance with regulatory guidelines. - Support continuous process improvements to enhance claims operations efficiency. Requirements: - Bachelor's degree in Insurance, Healthcare Management, B.Pharma/ M.Pharma/ Pharm.D...

Job Description Associate Claims (Non-Medical) Job Title: Associate Claims Non-Medical Location: Bangalore 5 Days working Role Overview We are seeking a dedicated and empathetic Associate Claims Executive (Non-Medical) to join our health insurance team. The role involves evaluating claims, reviewing documentation, determining coverage, and ensuring smooth and transparent claim settlement. The ideal candidate should have strong analytical skills, attention to detail, and excellent communication abilities to deliver a positive experience for policyholders. Key Responsibilities Claims Evaluation: Review and assess insurance claims to determine validity and payment eligibility. Documentation Rev...

Claims Management: Follow up on outstanding claims to reduce the accounts receivable (AR) days & resolve claim issues in a timely manner Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing Required Candidate profile Effectively communicate with insurance companie Account Follow-up,Monitor & review Documentation Maintain,Maintain accurate records of communications, actions taken Compliance Reporting

JOB DESCRIPTION PURPOSE OF ROLE Providing operational leadership to the Central Operations function ensuring quality, productivity, utilization of manpower and adherence to SLA. Designation AVP- Central Operations Function Central Operations - Supervisor Location Bangalore Educational Qualification MBA / Any IT Professional / BAMS / BHMS / MBBS Industry Type TPA / Insurance / Healthcare Roles and Responsibilities Claims Processing Metrics Claims Settlement Cycle Time: Average days from claim receipt to payment, targeting quick resolution to enhance member satisfaction Claims Denial Rate: Percentage of claims rejected, indicating adjudication accuracy and policy compliance. Claims Processed P...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medi...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would yo...

Role: Back End Operations Experience: 0-4 years' work experience in back office/BPO/Customer Service or similar transaction BPO processing Shift Timing- 1.30pm to 11.30pm IST (Only fixed shift /Mon-Fri) Cab -One Way Cab drop Work from Office: From Day 2 Onwards (Work from office -5days) Permanent work profile with Wipro Education - B.com, BA, BBA, Any B.sc (graduates only)/ NO BE/B TECH will be eligible for this hiring Note - No Remote from Work /Hybrid for this position, Monday -Friday (Work from office) Work Location: Wipro Kolkata salt lake Application Link to apply - Backend Operations-UK Pension hiring @Wipro-Kolkata Fill out form Get application filled from 30th Nov -5th Dec Job Summar...

Job Opening: Claims Associate (P&C / Insurance / Healthcare) Bangalore Position: Claims Associate – P&C / Insurance / Healthcare (Claims Processing / Adjudication) Location: Bangalore Experience: Minimum 2 years in Claims / Insurance / Healthcare claims processing / adjudication Qualification: Graduate / Undergraduate Shifts: 24/7 rotational shifts Off Days: 2 rotational weekly offs Salary: Up to 4.5 – 5.0 LPA Transport: Two-way cab provided (within 25 km radius) — no additional transport allowance Key Responsibilities: Process and adjudicate insurance / healthcare claims accurately and in line with company policy. Review claim documents, validate coverage, verify loss/event details, and det...

Role: Medical Billing Manager Experience: 8+ years Salary: 6 LPA shift: Day shift Location: Chennai Must have: Team Lead Experience Regards, Sowmiya 9600445623

Role:AR Analyst( Medical Billing background) Exp: 0.6-1 year Salary: 21k Must Have : Resolve issues related to unpaid medical claims, denied claims Review and appeal unpaid and denied claims. Shift:General Location: Chennai Regards Sowmiya 9600445623

Role: AR Caller(Account Receivable) Process: International Voice Process Experience : Freshers Location: Chennai Shift: Night Shift Package : 3LPA Qualification : Any Graduate Regards, Prabhakaran Please share your CV to this number 6381236843

Key Responsibilities: Quickly and efficiently respond to incoming faxes, identify how best to assist. Document fax in appropriate tracking systems, and handle/escalate per established procedures. Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up tasks and respond to enquiries from patients and/or healthcare providers as necessary. Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication, i.e. uses grammatically correct and concise language. Coordinate the order an...

SUMMARY Retail Staff Opportunity for Freshers ===================================== Summary ----------- We are seeking a dynamic and enthusiastic Retail Staff member to join our team in Rajasthan. As a key member of our retail team, you will be responsible for providing an exceptional customer experience, maintaining a well-organized store environment, and contributing to the overall success of our retail operations. Responsibilities - - - - - - - - - - - - - - - - - - - Folding and stacking merchandise at the basic table Timely displaying received stocks to ensure a visually appealing store environment Maintaining the upkeep of the store section, including ensuring a carton-free floor Ensur...

Role & responsibilities Roles common to TP dispatch/billing Submit and track insurance claims Verify coverage, follow up denials, appeal Maintain compliance (HIPAA, Medicare, Medicaid) Ensure billing data integrity and EHR integration Interface with providers, patients, payers Train staff, update policies, generate reports Impact on Healthcare Operations Improves clean-claim rates , reduces denials Enhances cash flow , revenue recovery Supports PHI compliance via TPO/limited disclosur Technical Skills Medical Billing & Coding : CPT, ICD-10, HCPCS Insurance & Payer Rules : Medicare, Medicaid, private insurance guidelines Revenue Cycle Management (RCM) : claim submission, AR follow-up, denial ...

Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication, i.e. uses grammatically correct and concise language. Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate. Be familiar with the marketplace and the insurance options available for patients. Educate patients on the available options as appropriate. Strict adherence to follow the process SOPs Other duties as assigned Insurance Verification: Confirming if a patient's prescribed medication is covered by their insurance. Data Entry: Documenting call information and patient data in tracking s...

Job Track Description: Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Rece...