189 Claim Payment Jobs - Page 6

Greetings from TMI Group !!!!! Hiring for one of the leading Insurance company. Role & responsibilities " Job Title: Executive/Sr Executive Location: Financial District(Gachibowli) Department: Finance and Accounts (operations) Purpose of the Position: Review and Reconciliation of All core transactions related to Claims payment, Commission payment process and premium accounting. Duties and Responsibilities: Processing of Claim payments Processing of Commission payments Premium collection process Submission of MIS on regular basis Review and analysis of Trail Balance and General ledger on regular basis BRS review (Collection and Expense) and Coordination with other stake holders Registering and follow up with IT developers on bugs and improvements related to operational and accounting package. Any other assignments/unforeseen assignments from time to time. Submission of periodical reports / returns to IRDAI and other statutory authorities. Knowledge in Direct Tax & In Direct Tax Preferred candidate profile : Commerce graduate/Post graduate (B.Com/M.com & MBA finance) Certified in Licentiate of Insurance Institute of India At least 2 to 7 years of experience Knowledge of life insurance industry Good Knowledge in Accounts Sound understanding of Life insurance payment process Technical Skills. MS office suite /Communications skills Interested can share their updated CV on whatsapp(Sneha - 9032608694)

Greetings from TMI Group !!!!! Hiring for one of the leading Insurance company. Role & responsibilities " Job Title: Executive/Sr Executive Department: Finance and Accounts (operations) Purpose of the Position: Review and Reconciliation of All core transactions related to Claims payment, Commission payment process and premium accounting. Duties and Responsibilities: Processing of Claim payments Processing of Commission payments Premium collection process Submission of MIS on regular basis Review and analysis of Trail Balance and General ledger on regular basis BRS review (Collection and Expense) and Coordination with other stake holders Registering and follow up with IT developers on bugs and improvements related to operational and accounting package. Any other assignments/unforeseen assignments from time to time. Submission of periodical reports / returns to IRDAI and other statutory authorities. Knowledge in Direct Tax & In Direct Tax Preferred candidate profile : Commerce graduate/Post graduate (B.Com/M.com & MBA finance) Certified in Licentiate of Insurance Institute of India At least 2 to 5 years of experience Knowledge of life insurance industry Good Knowledge in Accounts Sound understanding of Life insurance payment process Technical Skills. MS office suite /Communications skills

Please take some time to review the JD and the project information, as they will give you a deeper understanding of the role and responsibilities. If you have any questions or need further clarification, do not hesitate to reach out to us. We are here to provide you with all the support and information you need during this process. Client- Optum Position: Quality Analyst Location: Hyderabad Location: Optum Global Solutions, (Avans)Phoenix Info city Private Ltd, Site 4, 1st floor, SEZ, Hitec City, Hyderabad, 500081. Interview Process: Face to Face Contract base Job Payroll will be Joulestowatts Business Solutions experience: 6months to 3Year Location Hyderabad Work module Work from office Cab facility - Both way cab provided Notice period Immediate Nature of work: Non-Voice Amenities: Deployment at Client location Transportation – Home Pickup and Home Drop facility within transport radius. Pantry Services – Regular Tea, Green Tea, Coffee, Milk with Sugar/Jaggery available round the clock. Selection process: Candidates need to be available in Optum premises during the Interview process, no scope of virtual interview. 1st round – Typing Assessment (30 WPM, 95% accuracy) 2nd round – Written assessment (Analytical, Reasoning, US Healthcare) 3rd round – Line Manager Round 4th round – Final Round Need to carry pens along Need to be in formal attire Shift timings: 5:45 PM to 3:15 AM (Night shift) primarily, however they may be asked to work in morning shift as well on need basis. Hence candidates must be flexible to work in both the shifts. It’s the peak season. Hence candidates must be ready to work overtime on weekdays/weekends when required as CLRA guidelines. OTs are payable additionally. Role: Quality Analyst (Contractual/Temp – Would be converted purely based on performance) Salaries + Incentives: Package 2.4 LPA + Additional Incentives Incentives Rs.400 for 100% attendance (monthly) Rs.200 is allocated towards team outings and team refreshment activities (monthly) Top 10% of the performers would receive a GV worth Rs.1000 (monthly) Rs.400 per month towards Project retention bonus which would be accumulated and released along with FnF. Candidates serving the entire tenure of the program are eligible for it. If interested kindly share cv

Responsibilities: Accounts Receivable Management: Manage invoicing, payment collections, and account reconciliation. Monitor and follow up on outstanding accounts to ensure timely collections. Communicate with parents and other stakeholders regarding payment inquiries. Financial Reporting: Assist with month-end and year-end closing activities. Prepare financial reports and statements as required. Ensure compliance with financial policies and regulations. General Accounting Support: Maintain accurate financial records and documentation. Support internal and external audits. Collaborate with internal teams to ensure smooth financial operations. Preferred candidate profile Experience: Minimum 2-3 years of proven experience in accounts receivable and payable processes. Skills: Proficiency in accounting software (e.g., Tally Prime and Collection software). Strong understanding of financial principles and practices. Excellent organizational and time-management skills. Communication: Effective verbal and written communication skills for interacting with parents, vendors, and internal teams. Problem-Solving: Ability to analyze and solve accounting-related issues independently. Education: Relevant qualifications (e.g., a degree in Accounting, Finance, or a related field) are preferred. Work Area: Ability to adjust work hours as needed to accommodate different tasks or deadlines.Role & responsibilities Preferred candidate profile

Roles and Responsibilities: For Payment Posting: Posting insurance and patient payments into the billing software accurately. For AR Calling: Calling insurance companies in the US to follow up on unpaid or underpaid claims. Over time allowance Gratuity

Job Description: We are looking for a detail-oriented and proactive AR Follow-Up Executive to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for following up on outstanding claims with insurance companies to ensure timely reimbursement for healthcare services To apply, Call/WhatsApp HR Palak 9289050069 Key Responsibilities: Review and analyze unpaid or denied medical claims. Follow up with insurance carriers via phone or online portals. Resolve claim rejections and denials by identifying root causes. Update the billing system with action taken and next steps. Meet daily productivity and quality targets. Requirements: 13 years of experience in AR follow-up (US healthcare domain). Strong understanding of the denial management process. Good communication skills and ability to work in a fast-paced environment.

ROLE- TEAM LEAD Location- Pune, Bangalore Skill- P&C insurance- Claims or Underwriting (Voice or Non voice) Experience- 7-12 years along with 1- or 2-years experience in Team Management on paper CTC- 10-14 lacs Contact- 7742324144

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 determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606553811 / 9606557106 !!!Thanks & Regards HR TEAM!!!

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English - Intermediate 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 you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to manage multiple stakeholdersAbility to perform under pressureAgility for quick learningPrioritization of workloadProblem-solving skills Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes

Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine)

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. Receives instruction, guidance, and direction from others. Functional Knowledge Requires a conceptual understanding of theories, practices, and procedures. Business Expertise Applies general knowledge of business developed through education or experience. Impact Works self-guided with no supervisory responsibilities. Follows standardized procedures and practices to achieve objectives and meet deadlines. Leadership No supervisory responsibilities. Responsible for developing technical contributions. Problem Solving Uses existing procedures to solve standard problems. Examines information and standard practices to make judgments. Interpersonal Skills Exchanges information and ideas effectively. Asks questions and checks for understanding. Responsibility Statements Serves as liaison between end-users and product development teams. Partners with senior BA's to examine, define, and document project requirements. Communicates project requirements to development teams. Supports analyzing requirements and defines tech solutions. Defines a go-to approach for system construction. Performs other duties as assigned. Complies with all policies and standards.

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting - Near Madhavaram Location Experience & Requirements: Minimum 3+ years of experience in US Medical Billing. Strong verbal and written communication skills. Charge Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311

Crucial role in managing the entire claims process — right from documentation and coordination to ensuring smooth and timely settlements.

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 you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingClaims AnalysisClaims AdministrationPayer Claims ProcessingStrong analytical skillsWritten and verbal communicationResults orientationDetail orientationAbility to perform under pressure Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Responsibilities: * Ensure timely claim settlements within budget constraints * Manage claims from intake to payment * Process insurance claims accurately and efficiently * Adjudicate claims based on policy terms

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 determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606557106 / 9606553811 !!!Thanks & Regards HR TEAM!!!

*Denial Management *Perform pre-call analysis & check status by calling the payer/ using IVR / web portal services for Hospital billing *Record after-call actions & perform post call analysis for the claim follow-up. *Resolve enquiries, complaints Required Candidate profile *Qualification: HSC/ 12th/ Under Graduates/Graduates *Experience: 01 to 4yrs *Good exposure to the US Healthcare Industry, Various Reports & Denial Management. *Open for night shifts

* Minimum of 2 years of experience in inpatient coding Hospital Billing * Knowledge of ICD-10-CM/PCS coding guidelines, medical terminology, anatomy, and physiology. * Specialty: Multispecialty Must be Knowing Denial Management Required Candidate profile * Expertise in Hospital Billing (UB04) * Strong understanding of UB04 claim forms and related processes * Good communication skills * Open for Night Shift or rotational shift

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - Payment - AR Analyst Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

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. Receives instruction, guidance, and direction from others. Functional Knowledge Requires a conceptual understanding of theories, practices, and procedures. Business Expertise Applies general knowledge of business developed through education or experience. Impact Works self-guided with no supervisory responsibilities. Follows standardized procedures and practices to achieve objectives and meet deadlines. Leadership No supervisory responsibilities. Responsible for developing technical contributions. Problem Solving Uses existing procedures to solve standard problems. Examines information and standard practices to make judgments. Interpersonal Skills Exchanges information and ideas effectively. Asks questions and checks for understanding. Responsibility Statements Serves as liaison between end-users and product development teams. Partners with senior BA's to examine, define, and document project requirements. Communicates project requirements to development teams. Supports analyzing requirements and defines tech solutions. Defines a go-to approach for system construction. Performs other duties as assigned. Complies with all policies and standards. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:click here to access or download the form. Complete the form and then email it as an attachment toFTADAAA@conduent.com.You may alsoclick here to access Conduent's ADAAA Accommodation Policy. At Conduent we value the health and safety of our associates, their families and our community. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

Hiring Payment Posting specialists with 3–6 yrs of exp in US healthcare RCM. Location: Perambur, Chennai. Immediate joiners only. Must have hands-on experience in ERA/EOB posting. Night shift. Join our dynamic team today!

Pacific an Access Healthcare is conducting walk in drive on 04-June-2025 (Wednesday) Payment Posting Charge Posting Location: Noida (Work from office) Minimum 8 months of relevant experience is mandatory Interested candidates can directly come for walk in interview Time 1-4p.m. Address: C-27 Trapezoid It park sec 62 Noida 7th floor Carry photocopy of resume and Aadhar card and mention HR Ishika on the top of your resume Call or WhatsApp on 9289356699/ ishika.batra@pacificbpo.com

Candidates with experience in US Healthcare (Medical Billing) are encouraged to share their resumes at avni.g@crystalvoxx.com or send a WhatsApp message to +91 75670 40888.

Job Tile : Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required BDS, BHMS, BAMS Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.