1627 Claims Adjudication Jobs - Page 46

Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 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 cust...

We are hiring for Automobile claim settlement process. - Helping customer through email and voice for settlement of claim - Skills Required: Knowledge of warranty claim process in automobile industry / Service Advisor in workshop. HR - 75488 27248 Required Candidate profile Qualification: Diploma in Automobile / Diploma in Mechanical Experience: Experience in Automobile / Internship experience in Automobile Language - Tamil or Hindi or Telugu and English Day shift

Hiring Alert Medical Officer (Claims) | Contract Role Location: 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Company: Medi Assist Insurance TPA Private Limited Timing: 9:30 AM 6:00 PM | MonFri (Rotational Saturdays working) Eligibility: BAMS or BHMS graduates only 03 years experience (freshers welcome!) Role Overview: You will scrutinize and process insurance claims based on policy terms, verify treatment/diagnosis, raise queries for incomplete documents, and ensure accurate and timely closure of claims. Key Skills: Strong medical understanding Basic com...

Job Description Position: Auto Claim Adjuster Job Title: Auto Claims Adjuster Department: Claims Reports to: Claims Manager Location: Bangalore Employment Type: Full-time Roles & Responsibilities : Dealing with Insurance Companies for Auto claims only Dealing with Location Managers for paper formalities Maintaining In-House location, Insurance companies etc. Coordinating with parent company representatives Skills & Qualifications : 1 - 3 years SOLID experience with insurance company Claims Dept or Brokerage dealing with AUTO claims / Auto Insurance only Knowledge of LOCAL Auto insurance regulatory laws Good Communication & Negotiation Skills (writing and speaking) Time flexibility requiremen...

Job roles and responsibilities: The Team Lead will manage and oversee a team of two to three mechanical / automobile / electrical/electronic engineers to set up and deliver an efficient claim process for BEVs and HEVs. The team will take end-to-end responsibility for the BEV and HEV Claims, from operating procedure design IT/App developments to claim settlement. A variety of strategies and models will be developed on the core platforms to give maximum scale and coverage to BAGIC's EVFS (electric vehicle focus supplier) national network, with scope for Traction Battery, Powertrain, and Power electronics repairability. Each team will specialize in one vehicle architecture (3Wheelers / 2 Wheele...

FIMS Hospitals is looking for NURSING ASSISTANT to join our dynamic team and embark on a rewarding career journey Personal Care: Assisting patients with activities of daily living (ADLs), such as bathing, dressing, grooming, toileting, and feeding Vital Signs: Taking and recording vital signs, including blood pressure, heart rate, respiratory rate, and temperature Mobility Assistance: Assisting patients with mobility and transferring, such as helping them move from beds to chairs or assisting with walking Feeding: Helping patients with meals and ensuring they receive proper nutrition and hydration Hygiene: Providing basic hygiene care, such as oral care, hair care, and nail care Observation:...

Responsibilities: * Manage health insurance claims from start to finish. * Ensure timely TAT compliance through process improvement. * Prepare medical summaries for cashless procedures.

Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Should have typing skills Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred.

Minimum 1 - 4 yrs of working experience in calling the US health insurance companies. Minimum 1 - 4 yrs of working experience in calling the US health insurance companies. Should have in-depth knowledge in medical claims denial management. Should have in-depth knowledge in medical claims denial management. Should be open to work in night shift (US shift timings).

Minimum 1 -5 yrs of working experience in denial management and AR claims follow up. Minimum 1 -5 yrs of working experience in denial management and AR claims follow up. Should have end to end knowledge in US based medical billing. Should have end to end knowledge in US based medical billing.

Charge Entry Eligibility Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred. Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred.

Designation: Finance Assistant - Global Provider of Multimedia Platform Location: Mumbai Experience: CA Passed Out Working days: Monday Friday 9.00 AM 5.30 PM Job Purpose: To support the Financial Accountant in all aspects of management reporting, whilst ensuring that professional standards of financial accounts are maintained. The role includes liaison with local management, sales staff, and may sometimes require liaison with external accountants across the EMEA and India region. Responsibilities : Management and Financial Reporting To assist Financial Accountant in preparation of the monthly management accounts for the company, including purchase ledger, debtors ledger etc To assist Financ...

Designation: Desktop Support Technician Location: Bangalore Experience: 3+ yrs Shift hours: 9AM 5:30PM Job Purpose: The Desktop Support Technician is responsible for receiving, tracking, documenting, resolving or escalating all internal or external customer identified application and hardware issues Primary Responsibilities: Provide first and second level application and hardware support to internal users and external clients Field incoming problem tickets from end users to resolve application and software issues within servers, databases, and other mission-critical systems. Document all pertinent end user identification information, including name, department, contact information, and natur...

Location: Bangalore (Work from Office) Grade: G Designation: Team Executive Shift: Night shift Number of Positions: 1 About the Role: We are seeking a dynamic and experienced Team Lead with a strong background in US Healthcare , specifically in Member Enrollment . The ideal candidate will have proven experience in managing teams, excellent communication skills, and a deep understanding of the healthcare domain. This is a Team Lead role and requires hands-on leadership experience in enrollment processes. Key Responsibilities: Lead and manage a team responsible for US healthcare member enrollment activities. Ensure compliance with CMS guidelines and support processes related to Medicare (prefe...

Key Responsibilities Counsel students through inbound and outbound calls, emails, or in-person meetings. Understand student requirements and suggest suitable academic or professional courses. Provide detailed information on course structures, eligibility criteria, admission procedures, and career outcomes. Follow up with potential leads to convert inquiries into enrollments. Maintain student databases and track communication history. Assist students with application forms, documentation, visa procedures (if applicable), and scholarship guidance. Coordinate with internal departments (faculty, marketing, admin) for smooth onboarding. Participate in seminars, open houses, and education fairs as...

We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims / Lability Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA ( Pune / Mumbai /Kochi Location) Process : Back office Process /UK Insurance Process Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Ali : 7391077622 / 7391077621 / 8888850831 Regards Dipika 9623462146

SUMMARY Job Opening: Retail Staff Location: Jaipur Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team in Jaipur. This is an excellent opportunity for individuals looking to kickstart their career in the retail industry. Responsibilities: Folding and stacking at basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displayed on the right browser. Providing customers with shopping bags. Requirements Requirements: Minimum qualification of 10th/12th/Graduate...

Special Skills : 1.Abide by and display BMH core values in all aspects of work 2.Flexible approach to work demands3.Ability to work in teams and collaborate with staff at all levels4.Willingness to learn, change and adapt5.Organized with the ability to multitask6.Leadership and mentoring capability Additional Skills/ Professional Characteristics : 1.Good knowledge with regard to ESIECHS rules and regulations 2.Proficient with the computer applications Job Description Responsible for overseeing InsuranceESIECHS Claims section under the guidance of the management in accordance to the statutory rules and regulations and hospital norms and to provide speedy results and increase the comfort of th...

1.Oversee claims process - commercial insurance products (Fire, Marine, Property) 2.Interpret insurance policy language to determine coverage 3.Conduct investigations to establish facts and assess damages. 4.Identify potential fraudulent claims. Required Candidate profile Handles the process of managing commercial insurance claims, from initial notification to settlement.

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have kn...

Roles and Responsibility Manage accounts receivable, including processing payments and resolving outstanding balances. Coordinate with patients, insurance companies, and other healthcare providers to ensure timely payment. Analyze and resolve billing discrepancies and denials. Maintain accurate records of patient information and payment history. Collaborate with the healthcare team to ensure seamless communication and coordination. Identify and implement process improvements to increase efficiency and reduce errors. Job Requirements Strong understanding of healthcare billing and payment processes. Excellent communication and interpersonal skills. Ability to work in a fast-paced environment a...

Work timings : Monday to Friday : 8am -4:30 pm/10am-6:30pm /11:30am-8 pm (Shifts) Reports to: Head of Operations Mumbai Overall Role Objective: To provide the skills to handle the processing of tasks generated by PRNs Operations Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corporate strategy. Ad...

Our Client is the premier global provider of multimedia platforms that enable marketers, corporate communicators, sustainability officers, public affairs and investor relations officers to leverage content to engage with all their key audiences. Job Profile Work towards and achieve daily, weekly and monthly business salestargets and set KPIs To achieve agreed call targets by being a self-starter who is motivated to consistently pick up the phone, engage with clients, build relationships and close sales To hit agreed revenue targets by converting sales opportunities through making outbound calls to new B2B clients across India Ensure you are quickly able to understand a clients structure and ...

This role involves reviewing insurance documentation for newly booked loans to ensure compliance with loan, closing, and investor requirements. Responsibilities include resolving missing or inconsistent insurance data, coordinating with agents, borrowers, and internal teams, and managing annual insurance reviews. The role also entails handling insurance payments, loss draft/claims processes, and force-placed insurance, while maintaining strong stakeholder relationships.

Work timings : Monday to Friday : 8am -4:30 pm/10am-6:30pm /11:30am-8 pm (Shifts) Reports to: Head of Operations Bangalore Overall Role Objective: To provide the skills to handle the processing of tasks generated by PRNs Operations Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, PR Newswire for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corpora...