1604 Claims Adjudication Jobs - Page 33

Candidate should be working as a Manager / Assistant Manager on papers in US Healthcare - Claims adjudication process. Should have experience in handling Inbound voice process. Qualification - Graduate Shift - US Shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call Hr Kenedy @ 9620999035 for more details.

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...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT WORK FROM OFFICE ONLY Thanks & Regards Ronojoy Bagchi ronojoy.bagchi@mediassist.in 8050017356

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer expe...

Key Responsibilities: Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. MAXIMUM CTC :3.5 Lakhs WORK FROM OFFICE Anyone who attended interview before 30 days are not eligible to attend walk-in. Disclaimer: Firstsource follows a fair, transparent, and...

Key Responsibilities: Counsel students and parents regarding educational programs, career options, and admission procedures. Conduct one-on-one sessions, group counseling, and seminars/webinars. Handle inquiries (walk-ins, calls, emails, online leads) and follow up for conversions. Provide detailed information about courses, fee structures, eligibility, and career opportunities. Guide students in application and documentation processes for admissions. Maintain accurate records of student interactions and admissions data. Build strong relationships with students, parents, and academic institutions. Achieve individual and team enrollment/admission targets. Stay updated with education trends, n...

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...

Position Purpose Manage the company's Accounts Payable approval workflow to ensure invoices are properly coded, routed to approvers, and timely paid Responsibilities Direct Responsibilities 1. Process expense claims or invoices as per given process & policies 2 Process invoices with high accuracy & TAT. 4 Should be able to identify process risk & provide desire solutions to mitigate the risk. 5 Able to manage clients query & provide them solutions to their issues 6. Have the ability to think creatively on process improvements. 7. Knowledge of India accounting & SAP will be advantage. Contributing Responsibilities Willingness to take initiatives and take ownership of work Have the ability to ...

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...

Please Note: Team Lead / Team Manager experience is mandatory. JOB DESCRIPTION This form is designed to describe the main objectives of this job and its essential functions and job qualifications. 1. Basic Information Job Title - Senior Process Lead, SDU Report to (Job Title) - Assistant Manager, Service Delivery, Job Grade - Grade 8, Direct Reports (Job Title) - Associate, SDU and Analyst, SDU, Department -Service Delivery Unit, Location - Bangalore, India 2. Job Summary (describe in 2-3 sentences the purpose of this position) Acts as the first level of leadership within the Service Delivery Unit. The Senior Process Lead is responsible for processing client work, supporting operational exce...

Medi Assist TPA Health insurance Gautham budhnagar sector 3 Noida G M Tower, 1st Floor, D-7, Sector-3, Noida - 201301, Uttar Job description for CRM -Noida Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims .Visiting client location weekly twice or thrice. Thanks Hariprasad Mob :+ 91 9731826983 Email id :hariprasad.m@mediassist.in

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

As the Claims Processing Team Lead, you will be responsible for overseeing and optimizing the efficient processing of claims using Facets to ensure accuracy and compliance. You will lead the team in automating routine tasks through UiPath to enhance productivity and reduce manual errors. Your expertise in claims adjudication processes will be crucial in ensuring timely and accurate settlements. Collaboration with cross-functional teams will be key as you streamline workflows and improve overall service delivery. Developing and implementing strategies to optimize claims processing and reduce turnaround times will be part of your responsibilities. Monitoring system performance, identifying imp...

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...

Job Summary The TL-Ins Claims role requires a seasoned professional with 5 to 8 years of experience in the Data & Analytics Business. The candidate should have strong experience in claim adjudication claim manager role or medical coding - Healthcare/Insurance. Associate should have 2+ years experience in handling 20 -30 members teams This office-based position operates during night shifts requiring proficiency in English for effective communication. Responsibilities Oversee the claim investigation process to ensure thorough validation and accurate adjudication. Utilize advanced Excel skills to analyze data and generate insightful reports for claim assessments. Collaborate with cross-function...

Eurofins is a leading provider of assurance and inspection services, covering a broad spectrum of sustainable supply chain practices, including the circular economy. Eurofins helps the customers to identify and mitigate risks in their supply chain and to ensure the benchmarking performance with operations, processes, systems, people, or capabilities. We hold accreditations for various industry standards and memberships, ensuring comprehensive service throughout the supply chain. Whether you are in the food, consumer products, healthcare, or cosmetics industries, we offer a full range of services including product inspection, auditing, certification, training, and consultation. Eurofins Assur...

Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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, medical and health services, budgeting and rating, research...

Risk Assessment and UW Implementation and monitoring of various underwriting guidelines related to Commercial products. Main accountability includes Risk analysis, Risk acceptance, Risk selection, Policy coverage (Policy wording, Add-on covers, Exclusions / Inclusions etc.), Renewal business, etc. within the purview of set Underwriting Guideline to achieve the desired business outcomes Maintain TAT and compliance as per UW authority matrix. Reviewing proposals and providing Inputs in terms of local market dynamics, nature of business, quality of risk and recommendations thereof. Strong market intelligence i.e. a broader view of the market we operate in /competitors’ details for formulating i...

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

Level-SME Minimum exp-4 Years Skills Required-US Helathcare , claims adjudication Must have on papers SME or Assistant TL experience Location-Chennai / Bangalore US Shifts Work from office Immediate -30days Notice Share resume-archi.g@manningconsulting.in Contact- 8302372009

Candidate should be working as a Manager / Assistant Manager on papers in US Healthcare - Claims adjudication process. Should have experience in handling Inbound voice process. Qualification - Graduate Shift - US Shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Manager Reejo @ 9886360719 for more details.

Role Overview The Team Lead will be responsible for overseeing day-to-day operations, guiding team members toward performance excellence, and ensuring seamless delivery of client and internal objectives. This role demands strong leadership, communication, and problem-solving skills to foster a high-performing, collaborative environment. Key Responsibilities: Lead, mentor, and motivate a team to achieve operational and strategic goals Monitor team performance and provide regular feedback and coaching Coordinate task allocation, day-to-day resource planning, and workflow optimization Act as the primary point of contact for escalations and issue resolution from the team. Ensure compliance with ...

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

Responsibilities: * Manage US healthcare accounts receivable calls * Execute denial management strategies * Oversee revenue cycle processes * Handle medical billing tasks * Process payments accurately Health insurance Office cab/shuttle Provident fund