1575 Claims Adjudication Jobs - Page 20

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 mod...

Hiring For AR Caller In US Healthcare -Shift: US Shift -Salary: 19K CTC (Depends on Interview & Experience) -Location: Ahmedabad, Gujarat -Fluent English Required -Experience & Fresher Both Can Apply

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

Hiring for {Claims Management Analyst} Skill required: Motor Insurance Claims- Claim 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

Medical Billing Executive Shift: US Shift 5days working Location: Ahmedabad Salary Up To 30KCTC (Based on Interview) Cab Facility Available International Voice & Non-Voice Experience can apply

Fluency in English Salary: Up To 30k Fixed Night Shift Cab Facility Available 5 Days Working 2 Days Fixed off For Freshers:- 19k CTC and Experience Up To 30k CTC ( Depending on Interview)

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 mod...

International Medical Billing/AR Caller executive 5 days Working Sat& sun Fixed Week off Up to-40K CTC( Depends On Interview) US Shift/Night shift Cab facility is available

{ Hiring for AR caller } -Salary: Up To 30kCTC -US Shift -Cab Facility Available -5 Days Working 2 Days Fixed off -For Freshers:- 19k CTC and Experience Up To 30k CTC ( Depending on Interview)

{ Hiring for AR caller } -Salary: Up To 30kCTC -US Shift -Cab Facility Available -5 Days Working 2 Days Fixed off -For Freshers:- 19k CTC and Experience Up To 30k CTC ( Depending on Interview)

-Salary: Up To 32kCTC(2-3 years) -US Shift -Cab Facility Available -5 Days Working 2 Days Fixed off -Experience Candidate Up To 32k CTC ( Depending on Interview) -HSC passed but with AR caller experience(At least 1 year) -Fluent English

Process Trainer We are looking for an experienced Process Trainer to join our team in Coimbatore The ideal candidate will have a strong background in process training, particularly in US Healthcare Process, and will be responsible for providing training to our team members to enhance their skills and abilities Location Coimbatore Responsibilities Provide process training to team members on US Healthcare Process, including Provider Support, Non-Voice Process, Claims Adjudication, and Healthcare Payer Process Develop and deliver training programs to enhance skills and knowledge of team members in Process Training, Process Specialist, and Skill Development Trainer Work closely with the Process ...

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 4+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Deputy...

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 3.6+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Depu...

Dear Aspirants, Sagility is conducting a huge walk in drive process trainer role for Coimbatore location. Job Description Summary We are seeking a highly motivated and experienced Training Specialist to join our team as a Claims Administration Trainer. In this role, you will be focusing on equipping our team members with the necessary expertise to effectively handle claims processing, customer inquiries, and ensure compliance with company policies and industry regulations. As a Training Specialist, you will play a critical role in maintaining the high standards of our claims administration department and contribute to the overall success of the organization. Job Description Education: Any Gr...

1. Handle Provider Chat queries and meet client SLA 2. 5*10 Operation during weekdays 3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words

Search Keywords : US Healthcare Team Lead, Claims Adjudication Lead, Payer Provider Operations, Non-Voice Healthcare BPO, Healthcare Operations Team Lead, Medical Claims Processing, Healthcare Back Office, Healthcare Process Team Leader Job Overview We are seeking a dynamic and experienced Team Lead to manage a team within the US Healthcare non-voice operations, focusing on claims adjudication and payer/provider support. The ideal candidate should be well-versed in healthcare BPO processes and be accountable for delivering on key performance metrics including CSAT, AHT, SLA adherence, quality scores, and productivity. Key Responsibilities Supervise and manage day-to-day operations for non-vo...

Job Overview: We are seeking a detail-oriented and experienced Quality Specialist with a strong background in US Healthcare processes, specifically in claims adjudication. This is a non-voice role focused on ensuring accuracy, compliance, and continuous improvement in healthcare claim processing. The ideal candidate will bring analytical rigor, process knowledge, and a passion for quality assurance. Key Responsibilities: Conduct audits of healthcare claims to ensure accuracy and compliance with US healthcare regulations and payer guidelines Identify trends, errors, and areas of improvement in claims adjudication processes Collaborate with operations and training teams to address quality gaps...

Education Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies: (Job related) Computer Savvy Should have working knowledge of MS-Office Soft Skills: (Job related) Comprehend English Language and average communicator Commitment to achieving deadlines Ability to make sound judgment calls and be decisive

Summary The Sales & Product SME bridges sales, product, and demo engineering by designing realistic demo scenarios, defining business outcomes, and representing the user perspective. This SME ensures all demos align to practical workflows, working closely with the Demo COE, Product, and Infra teams. This role is strictly involved in the development of the product and does not involve access to Protected Health Information (PHI) & Personally Identifiable Information (PII) or any secured/confidential client data. The work is limited to application development and does not include handling or processing of sensitive health information. Key Responsibilities Author, document, and maintain detaile...

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...

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...

Education Graduate or above / Post Graduation preferred. Job Descriptions- Responsible for the Sales enrollments/Sales in the city. Do the market race and prepare the list of prospective customers , Handle the Team Members and motivate them for better sales , Ensure the team members are in market where enrollments & usage are done regularly. Should have good networking capabilities and be willing to travel extensively throughout their specified areas Key Role: Manage an assigned geographic sales area to maximize sales target and meet corporate. Objectives Build Database of key contact persons in the assigned geography. Build and maintain relationships with key client personnel Manage Categor...