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12 Claim Processor Jobs

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2.0 - 5.0 years

4 - 7 Lacs

Chennai

Work from Office

Job Tile : Claims processing 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 Medical Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 1 week ago

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0.0 - 4.0 years

5 Lacs

Chennai

Work from Office

Job Tile : Claims processing 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 Medical Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 3 weeks ago

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0.0 - 5.0 years

5 - 6 Lacs

Chennai

Work from Office

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 Medical Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 3 weeks ago

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2.0 - 9.0 years

4 - 11 Lacs

Chennai

Work from Office

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, MD, Pharm D Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 3 weeks ago

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3.0 - 8.0 years

5 - 9 Lacs

Noida

Hybrid

Job Title: Travel and Expense Auditor / Claim Processor Location: Noida, 25A (Hybrid - Tuesday, Wednesday, Thursday in Office) Shift Timing: General Shift 9:30 AM IST to 5:30 PM IST Job Summary: We are seeking an experienced and detail-oriented Travel and Expense Auditor/Claim Processor to join our team. The ideal candidate will be responsible for auditing travel and expense reports, ensuring compliance with company policies, and efficiently processing claims. The role requires strong analytical skills, a deep understanding of travel and expense procedures, and the ability to resolve discrepancies effectively. Key Responsibilities: Audit Travel and Expense Reports : Review and audit employee travel and expense reports for completeness, accuracy, and adherence to company policies and IRS travel/fringe benefit guidelines. Ensure that all receipts and supporting documentation are provided and verify their authenticity. Process Claims : Ensure timely processing of travel and expense claims, ensuring all necessary information is captured, accurate, and compliant. Investigate and resolve discrepancies in expense claims by working with employees and stakeholders. Policy Compliance : Ensure compliance with company travel and expense policies and procedures. Provide guidance to employees regarding company policies and help resolve any questions or concerns related to claims or procedures. Reporting & Data Analysis : Generate detailed reports on travel and expense trends, identifying areas for potential cost savings or operational improvements. Analyze data to recognize patterns in expense claims, reporting findings to management for decision-making. Issue Resolution : Address and resolve any issues or discrepancies related to travel and expense claims promptly and efficiently. Collaborate with relevant stakeholders to clarify complex claims or policy exceptions. Training and Support : Provide training and assistance to employees regarding travel and expense policies, ensuring proper understanding and adherence. Offer continuous support for employees submitting claims, ensuring a smooth process. Continuous Improvement : Suggest and help implement process improvements to streamline the auditing and claims processing workflow. Stay updated on best practices and industry standards to ensure the company remains compliant and efficient. Required Skills, Knowledge, and Abilities: Experience : Minimum of 3 years of experience in travel and expense auditing , claim processing, or a related role. Educational Background : Bachelors degree in Accounting, Finance, Business Administration , or a related field. Technical Skills : Proficient in Microsoft Office Suite (Excel, Word, PowerPoint). Familiarity with expense reimbursement tools and systems. Understanding of the travel industry operations and compliance regulations. Communication Skills : Excellent verbal and written communication skills in English . Ability to interact with a wide range of employees and stakeholders, offering clear guidance on travel and expense procedures. Analytical Skills : Strong problem-solving and analytical abilities, with a keen attention to detail. Ability to generate and analyze reports, identifying trends and areas for improvement. Knowledge of Industry Guidelines : Proficient understanding of IRS travel and fringe benefit guidelines , as well as company travel and expense policies. Interpersonal Skills : Ability to interact with employees across different levels of the organization. Ability to resolve issues and discrepancies diplomatically and effectively. Time Management : Ability to manage multiple tasks efficiently, ensuring timely processing of claims and adherence to deadlines. Supportive Role : Willingness to provide support and training to employees in relation to travel and expense policies. Additional Qualifications (Optional but Beneficial): Certification in Accounting or Finance . Previous experience with global travel and expense auditing. Knowledge of tools and software specifically designed for travel and expense management. This position is an excellent opportunity for a professional with a strong background in travel auditing and claims processing. The successful candidate will play a key role in ensuring compliance and efficiency in the company's travel expense management system.

Posted 1 month ago

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4.0 - 6.0 years

4 Lacs

Chennai

Work from Office

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 Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 1 month ago

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3.0 - 8.0 years

5 - 6 Lacs

Chennai

Work from Office

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 Medical Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 1 month ago

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0.0 - 4.0 years

2 - 6 Lacs

Chennai

Work from Office

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, MD, Pharm D Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 1 month ago

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0.0 - 5.0 years

2 - 7 Lacs

Chennai

Work from Office

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, Pharm D, MD Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 1 month ago

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2.0 - 9.0 years

4 - 11 Lacs

Chennai

Work from Office

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.

Posted 1 month ago

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0.0 - 1.0 years

2 - 3 Lacs

Chennai

Work from Office

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.

Posted 1 month ago

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2 - 7 years

4 - 9 Lacs

Chennai

Work from Office

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 MBBS Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 2 months ago

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