10 Claim Process Jobs

Position: Calim Process Executive Experience: 0-1 Year Qualification: Any Graduate Note: Apply only if fine to work at hospital and location Job Description: Updating records and files in portal Knowledge in computers like MS office. Usage of company platform for patients data updation. Database management. Good interpersonal skill. Coordination with other team members and internal department of the hospital Share daily activity report to the reporting manager

Job description Greetings!! Openings for " Immediate Openings-Claims Adjudication-Quality Analyst " - Bangalore Required Skills: Subject matter expert in Claims process. Able to perform Quality Audits. Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills. Proficiency with the necessary technology, including computers, software applications, phone systems, etc. Ability to improve and/or transform teams processes across functions within the organization. Ability to understand basic data and take appropriate action. Ability to drive individual and team efficiency and productivity through effective and efficient metric man...

As a Senior Process Associate-OTC at Bunge, you will be responsible for various tasks related to Finance OTC department. Your main accountabilities will include: - Booking adjustments for discounts, refunds, cash in advance cases, and accounting entries for provision for doubtful debts during month close - Conducting credit reviews, new customer setup, customer change process, and shipment release - Regularly clearing advances against invoices and handling billing, issuing credit/debit notes - Reviewing claim processes and following up with sales/execution team for remittance details if required - Timely clearing of sub-ledger, following up on old aged items with different teams - Providing ...

Hiring for Wns Please find below the JD and hiring inputs for Payment Posting Post all insurance ACH , manual checks and credit card payments to accounts in the practice management systems in a timely and accurate manner. Record and balance batch totals daily. Ensure payments, allowances, adjustments, denials and rejections are researched and posted with a high degree of accuracy. Research and clear unapplied payments and recoupment payments from payor. Identify payor fees not being paid at the allowed or contracted amount and communicate these findings to the Supervisor or Manager. Access payer websites to obtain Explanation of Benefits. Complete office requests for locating payments and ad...

As a Motor Insurance Executive at our company, you will play a crucial role in handling motor insurance policies, processing claims, and delivering exceptional service to our clients. You will be responsible for generating quotes, managing policy issuance, coordinating with insurance companies, assisting clients with product information, processing claims, and ensuring compliance with guidelines. Key Responsibilities: - Generate quotes for new and renewal motor insurance policies. - Handle policy issuance, endorsements, and renewals efficiently. - Coordinate with insurance companies for rates, approvals, and claims processing. - Assist clients by providing detailed information on motor insur...

Hiring for Wns Please find below the JD and hiring inputs for Payment Posting Post all insurance ACH , manual checks and credit card payments to accounts in the practice management systems in a timely and accurate manner. Record and balance batch totals daily. Ensure payments, allowances, adjustments, denials and rejections are researched and posted with a high degree of accuracy. Research and clear unapplied payments and recoupment payments from payor. Identify payor fees not being paid at the allowed or contracted amount and communicate these findings to the Supervisor or Manager. Access payer websites to obtain Explanation of Benefits. Complete office requests for locating payments and ad...

As a Distributor Manager, your primary responsibility is to ensure that distributors achieve maximum ROI in accordance with industry standards. This involves various key tasks including inventory management, FIFO and expiry management, as well as ensuring that distributors and retailers receive fresh stocks promptly. You will be in charge of monitoring the claims process, ensuring timely submission to avoid delays, and providing necessary supporting documents for quick reimbursement. Additionally, you will track the POSM received and utilized in the market and manage competition by monitoring and analyzing competitor prices, promotions, new launches, and marketing activities. Your role will ...

Role & responsibilities Process cashless and reimbursment claims (Should have knowledge of processing retail policies of National/United/New India/Oriental insurance companies. Preferred candidate profile BAMS/BUMS/BHMS Fresher or max 2 years experience in the similar field. Ready to work in shifts

Experience: 0-12 months Qualification: BDS, BHMS, BAMS Key Responsibilities: Good communication skill. Knowledge in computers like MS office. Good medical knowledge. Independently process Post hospitalization claims; process complex claims with minimal assistance Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information Suggest operational policies, workflows and process improvement initiatives Proactive approach by informing Providers regarding missing or repetitive errors by various hospital departments and improvisation of the same. Applying medical and surgical aspects to scrutinize t...

Roles and Responsibility Analyze complex data sets to identify trends and patterns in health-related claims. Develop and implement effective analytical models to predict future claim outcomes. Collaborate with cross-functional teams to design and implement process improvements. Provide expert guidance on health-related risk assessment and mitigation strategies. Conduct thorough analysis of medical records to determine claim validity. Develop and maintain comprehensive reports on claim performance metrics. Job Requirements Strong knowledge of insurance industry regulations and standards. Proficient in analyzing large datasets using advanced statistical techniques. Excellent communication and ...