1604 Claims Adjudication Jobs - Page 31

Spanish Language Specialist - Health Insurance - Metrics, Analytics & Reporting Mercer is seeking candidates for the following position based in their Noida Office. This is a hybrid role that has a requirement of working at least three days a week in the office. Spanish Language Specialist - Health Insurance - Metrics, Analytics & Reporting What can you expect? Global Benefits Management - A client solution whereby in exchange for a global mandate to appoint MMB as broker in each market. We provide aggregated reporting, coordination and consulting services with a view to facilitate execution of benefit strategy globally for a multinational company This role is to support GBM COE Team Manager...

WANT A GOOD WORK LIFE BALANCE Fixed shifts and fixed weekend off Collection Voice Process Sutherland is seeking highly proficient * Claims associate in Bangalore. If you have the right experience and expertise, this could be an excellent career opportunity for you. Position Details: Minimum 2 yeras of experience in claims. " Location: Kundan halli Bangalore Work Schedule: *FIXED SHIFTS AND FIXED Saturday & Sunday off* Compensation: Competitive salary with a significant hike on your last drawn salary, plus attractive incentives and transport allowance Work Mode: On-site Eligibility Criteria: Bachelors degree or college Diploma. Experience in P&C, Healthcare Claims dealing with damage, liabili...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Responsible for preparing Variation Instruction, Variation Order, Recommendation to the Employer for approval / rejection of Variations. Responsible for assessment of Contractor s/Employer s Claims for Agreement/Determination also providing notification to the Employer and Contractor of any Claim Agreement. Assessment and determination of the Employer s Claims/ Counterclaims, taking into account the actual work done, related events encountered in the project & confirming to the Contract provisions. Evaluation and submission of Interim Claims (Cost), under the relevant Contract norms attributable to the Employer. Checking for submitting Price Adjustment/ Variations Bills, in terms of Contract...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

A hospital billing executive manages a healthcare facility's billing operations, focusing on accurate claim submission, patient invoicing, and insurance coordination to ensure timely payments and regulatory compliance . Key duties include patient registration, medical coding (ICD-10/CPT), submitting insurance claims, resolving payment discrepancies, and maintaining patient billing records. This role requires strong attention to detail, proficiency with medical billing software, knowledge of healthcare regulations, and excellent communication skills to work with patients, insurance providers, and hospital staff. Role & responsibilities PMC Card preparation &visit to PMC weekly for fund alloca...

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

You will utilize UiPath to automate repetitive tasks, enhancing operational efficiency and reducing manual errors. Your responsibilities will include executing claims adjudication processes with precision, ensuring compliance with industry standards. You will collaborate with cross-functional teams to resolve complex claims issues, thereby enhancing customer satisfaction. Implementing best practices in claims processing to optimize workflow and resource allocation will be a key aspect of your role. Monitoring and reporting on key performance indicators will drive continuous improvement initiatives. You will provide support in the development and testing of new automation solutions, contribut...

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...

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...

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...

Designation - Assistant Vice President Job Location - Bangalore Skill - Claims Operations Leading Service Delivery Practitioner who can help design and articulate the Claims Operations to the Gold Standard. Ideal candidature would be 18-20+ YEARS OVERALL EXPERIENCE WITH MIN 10- 12 YEARS IN US HEALTHCARE CLAIMS OPERATIONS in a Senior Service Delivery Leadership Role. 18-20+ Years experience in healthcare BPO/BPM organisation Team Management with preferable span of control of 800+ FTE ( multi location) Experience & Competencies expected from the Role: 18-20+ years of overall experience as a Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his p...

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity. Maintain accurate records of all interactions with policyholders, agents, and other stakeholders throughout the claims process. Identify areas for improvement in processes and implement changes to increase efficiency.

The role involves retrieving medical records, coordinating with external entities, verifying accuracy, maintaining an organized database, collaborating with internal teams, and conducting quality checks. Required Candidate profile Salary : up to 35 ctc + Other Benefits. Shift :6:30 pm to 3:30 am ( Night Shift ). Experience : 0.6 Month to 5 Year.

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...

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...

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...

Kindly Mention "Thrisha HR" on top of your resume Role & Responsibilities: Claims Specialists are responsible for accurately reviewing and processing claims for Flexible Spending Accounts and Health Reimbursement Arrangements in accordance with IRS regulations and specific employer plan rules. Claims Specialists spend their entire day working through the automatically fed claims queues within OnBase in the designated order to ensure turnaround times are met for our clients. Preferred Candidate Profile A candidate with claims adjudication experience is preferred. Freshers are also encouraged to apply. (Should have provisional / Consolidated certificate) The candidate should be flexible with w...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate 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 insuranc...

Work From Office NON-VOICE PROCESS Location: Jaipur Min 6 Months Experience Mandatory in US Medical Billing Rotational Shifts Salary up to 26k CTC Incentives HR Manish (7062933674) HR Jatin (9672625299) Required Candidate profile Min 6 Months needed in US Healthcare or Medical Billing

About The Role Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations Associate Qualifications: BCom Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medic...

Criteria: > Shift Timings: Night Shifts form 5:00PM to 3:00 AM /Work from the office & hybrid Good and fluent in Communication Skill [No Mother tongue influence] Transportation: Two-way company-provided transportation for all shifts Looking for Immediate joiners only MBA and B. Tech Graduates are not eligible (ONLY BA/BCOM/BBA/BBM/BSC Graduates Can Apply) Position Requirements & Key Details: • Contract Duration: 6-month contract with potential for conversion to a permanent role based on performance Training Comprehensive 3-week training covering domain knowledge and essential Excel skills Job Description: Analyze insurance claims in accordance with standard operating procedures Resolve routi...