461 Claim Settlement Jobs - Page 6

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

MVR Cancer Center is looking for Manager - Insurance to join our dynamic team and embark on a rewarding career journey Develop and implement insurance policies and programs. Manage insurance claims and processes. Monitor and report on insurance performance. Collaborate with insurance providers and stakeholders. Ensure compliance with insurance regulations and standards. Provide support and guidance on insurance matters. Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying. More than 1...

Roles and Responsibilities Manage claim settlement process from intimation to finality, ensuring timely and accurate resolution. Ensure compliance with regulatory requirements and internal processes for claims processing and management. Coordinate with various stakeholders such as customers, agents, and third-party administrators to resolve complex claims issues. Analyze data to identify trends and areas for improvement in the claims department.

Santiniketan Medical College & Hospital seeks an experienced TPA Executive to manage cashless health insurance claims. Key duties include pre-authorization, patient coordination, and claims processing. Apply now to join our dedicated team.

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English and Hindi CTC – Upto 3.5 LPA

Role & responsibilities Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues. Process patient claims from admission to discharge, ensuring accurate billing and payment processing. Manage TPA (Third Party Administrator) operations, including CRM (Customer Relationship Management) systems. Handle customer queries related to medical insurance policies, claims status updates, and reimbursement procedures. Maintain accurate records of all interactions with customers and stakeholders. Job Requirements : Strong understanding of health insurance products, medical terminology, and regulations governing TPAs. Proficiency in using CRM software for man...

Role & responsibilities Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues. Process patient claims from admission to discharge, ensuring accurate billing and payment processing. Manage TPA (Third Party Administrator) operations, including CRM (Customer Relationship Management) systems. Handle customer queries related to medical insurance policies, claims status updates, and reimbursement procedures. Maintain accurate records of all interactions with customers and stakeholders. Job Requirements : Strong understanding of health insurance products, medical terminology, and regulations governing TPAs. Proficiency in using CRM software for man...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

About Honasa: Honasa Consumer Limited (HCL) is the fastest-growing Beauty & Personal Care house of brands, building the FMCG conglomerate of the future. Rooted in the values of Honesty, Natural ingredients, and Safe care, HCL meets the evolving needs of todays consumers through innovation, direct-to-consumer marketing, and efficient e-commerce fulfillment. With popular brands like Mamaearth, The Derma Co., Aqualogica, and BBlunt, HCL currently serves over 500 cities across India, creating value for both consumers and communities. We are backed by leading investors such as Sequoia Capital India, Sofina SA, Fireside Ventures, and Stellaris Venture Partners. Job Title: Sr. Executive Commercial ...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Role & responsibilities Processing of pre-authorization/cashless claim. Maintain processing TAT for pre-auth/cashless claim Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data Must have previous experience of conducting audit, sampling and preparing reports Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim. Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment. Preferred candidate profile Any Medical degree (Mandatory) Good communication skills Ability to multi-task Good interpersonal skills Should know internal systems Goo...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Calling Insurance companies (in US) and follow up on outstanding Accounts Receivable. Calls to insurances for claim status and eligibility verification Denial documentation and taking further action Required Candidate profile Get the status of the unpaid claims 1+ year experience in USA AR calling experience /US healthcare Ready to work in night shift Completes targets with speed and accuracy as per client SLAs

Verify patients insurance coverage and benefits Handle and submit insurance claims Communicate with insurance companies Resolve claim denials and issues Ensure accurate billing and coding Maintain up-to-date patient insurance records Assist patients with insurance-related questions

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Role Overview: As an Insurance & Claim Settlement Executive (Semi-Qualified CA) at our company, your role will involve overseeing insurance-related matters, managing claim processes, and ensuring effective coordination with insurers and stakeholders. You will need to demonstrate high levels of professionalism, analytical ability, and attention to compliance. Additionally, occasional travel outside Surat for claim inspections and related engagements will be required. Key Responsibilities: - Administer and oversee insurance policies, including renewals, endorsements, and compliance requirements. - Manage the complete claim settlement cycle, from initiation and documentation to final closure. -...

Hiring for {Claims Management Analyst} Skill required- Claim process ( Voice Process) Location: Bengaluru 3 to 5 years experience required Salary: Upto 7LPA English communication required UK Shift : Between 12:30pm to 11pm CTC- Upto 7 LPA

Open Positions (US Healthcare – Claims Adjudication Process_ Team Leader – Operations Quality Specialist Subject Matter Expert (SME) Quality Team Leader Process Trainer Assistant Manager Experience : 4 Years into US Health care Location : Coimbatore

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...