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7 Claim Process Jobs

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2.0 - 7.0 years

1 - 4 Lacs

new delhi, gurugram, delhi / ncr

Work from Office

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...

Posted 1 week ago

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2.0 - 6.0 years

0 Lacs

faridabad, haryana

On-site

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...

Posted 1 week ago

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2.0 - 7.0 years

1 - 4 Lacs

new delhi, gurugram, delhi / ncr

Work from Office

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...

Posted 1 week ago

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5.0 - 9.0 years

0 Lacs

vijayawada, andhra pradesh

On-site

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 ...

Posted 1 month ago

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0.0 - 2.0 years

3 - 4 Lacs

Kolkata, Hyderabad, Chennai

Work from Office

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

Posted 2 months ago

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0.0 - 1.0 years

2 - 3 Lacs

Bengaluru

Work from Office

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...

Posted 2 months ago

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5.0 - 9.0 years

7 - 11 Lacs

Gurugram

Work from Office

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 ...

Posted 3 months ago

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