1508 Claims Adjudication Jobs - Page 5

Description The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide backbone systems and operational processes which completely, accurately, and validly pay Amazon's suppliers, invoice our customers, and report financial results. Amazon is quickly building Finance Operations capabilities in the healthcare industry by creating Healthcare Finance Operations. As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented and determined people committed to drivin...

Hiring for leading insurance company for US Claims process Graduate with min 3 years End to end Claims experience is mandate US shift SAT-SUN OFF Package upto 8 LPA Viman Nagar, Pune CALL US 9226639337 / 8983678989

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the company€™s culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the e...

SUMMARY Retail Staff Opportunity for Freshers ===================================== Summary ----------- We are seeking enthusiastic and motivated individuals to join our retail team as Retail Staff. As a Retail Staff member, you will play a vital role in ensuring the smooth operation of our retail stores, providing excellent customer service, and maintaining a visually appealing store environment. This is an excellent opportunity for freshers to gain hands-on experience in the retail industry and develop valuable skills. Responsibilities - - - - - - - - - - - - - - - - - - - Folding and stacking merchandise at the basic table Timely display of received stocks to maintain a visually appealing...

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a Senior Product Manager you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the In...

Educational Requirements Bachelor of Engineering,BCA,BSc,MTech,MCA,MSc Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define...

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...

Job Track Description: Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Rece...

Graduate from recognized universities. (B Tech CSE/IT not eligible). Freshers and experienced candidates from 1-4 years are eligible Preferred candidates with Claims/Claims Adjudication Experience with BPO sector/ domain are preferrable Possess strong Problem solving skills, analytical knowledge and communication skills- both written and verbal. Collaborative, high-energy and diligent work ethics to be displayed at all times. Strong ability to multi-task and support different functions based on business requirements. Complete tasks according to the established standards with limited instruction and supervision. Should possess team-based working style coupled with the zeal to expand the learn...

Job Track Description: Performs business support or technical work, using data organizing and coordination skills. Performs tasks based on established procedures. In some areas, requires vocational training, certifications, licensures, or equivalent experience. General Profile Ability to perform in an analytical and operational process. Entry-level position with limited requirements for licenses, training, and certifications. Applies experience and skills to complete assigned work. Works within established procedures and practices. Works with a close degree of supervision. Functional Knowledge Basic skillset in a range of processes, procedures, and systems. Business Expertise Supports in the...

Graduate from recognized universities. (B Tech CSE/IT not eligible). Freshers and experienced candidates from 2.5 to 4 years are eligible Preferred candidates with Claims/Claims Adjudication Experience with BPO sector/ domain are preferrable Possess strong Problem solving skills, analytical knowledge and communication skills- both written and verbal. Collaborative, high-energy and diligent work ethics to be displayed at all times. Strong ability to multi-task and support different functions based on business requirements. Complete tasks according to the established standards with limited instruction and supervision. Should possess team-based working style coupled with the zeal to expand the ...

Job Description: Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy. Handle escalations, customer queries and responding to mails accordingly Effectively manage the team so that the targets are met while reducing the no. of IRs raised. Ensure that the claims are approved or denied as per the terms and conditions within the TAT. Provide supportive and positive experience to the new joiners and train them. Gather inputs from various sources and keep up-to-date on the new policies or changes in existing policies and intimate the Configuration team and the CRM team Manage a group of claim processors, guide and coach them...

HELLO JOB SEEKERS!! GREETINGS FROM SHININGSTARS!! ONLY GRADUATE FRESHERS AND GRADUATE EXPERIENCED CAN APPLY IMMEDIATE JOINERS ONLY. Are you ready to kickstart an exciting career with a dynamic multinational BPO in BANGALORE ? ShiningStars is on the lookout for enthusiastic individuals to join our team, and it could be YOU! PROFILE- CLAIMS ASSOCIATE PROCESS- BLENDED PROCESS LOCATION- BANGALORE ( KUNDANHALLI ). ROLES AND RESPONSIBILITIES- ELIGIBILITY- *Graduate Freshers / Experienced can only apply. *Minimum 2 years of experience is mandatory in Claims. *Freshers Must be from Commerce background. *Experience in voice or blended process is mandatory. *Communication Skills: Brilliant presentatio...

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...

As a Process Analyst– Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communica...

Processing life and annuity insurance claims involves investigating, processing, and disbursing payments, including validating documents, determining claim actions, and calculating benefit amounts for beneficiaries. Work well with Onshore /Offshore customers encouragingly and professionally via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Facilitate team huddles and teach-back sessions as scheduled. Complete certification on the identified process and developmental training. Participate in ...

Job description: Position: Field Exec. Salary: Up to 20,000 Locations with vacancy: 1. Topsia-1 2. Saltlake-1 3. Dumdum-1 4. Arambagh-1 5. Goghat-1 6. Gurap-1 7. Dhaniakhali-1 8. Chanpadanda-1 9. Pursurah- 1 Requirements: 1. Own bike for travelling

Hello Folks, Greetings From ShiningStars ITPL!! * MEGA JOB OPENINGS * WORK FROM OFFICE * FREE JOBS * NO TARGET * BPO HIRING * * VOICE PROCESS * Are you a highly motivated individual with a passion for providing exceptional customer service? We are hiring dedicated Customer Care Executives for both Domestic and International voice process. We welcome applications from both Freshers eager to start their career and Experienced Professionals looking for growth and challenging roles. IMMEDIATE JOINERS PREFERRED || ONLY WALK-IN INTERVIEW PLEASE READ THE JOB DESCRIPTION CAREFULLY BEFORE APPLYING Age Limit - Max. 30 Locations we're hiring for: - Bengaluru - Shivaji Nagar, Kudlu Gate, Nagavara and Ku...

Greetings from NTT DATA, Clients business problem to resolve : At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.Clients Business problem to solve?Our Client is one of Leading Health Plan in US providing services in Florida state , NTT are getting into contract with Client to manage End to End Claims Administration services. O...

Mysore Shift: US Shift / Night Shift-Work from Office CTC: Up to 4 LPA Notice Period: 0–15 Days Min. 1 year in US Healthcare Claims B.Sc. (Science) background preferred Based in or willing to relocate to *Mysore* sravani.asarla@liveconnections.in

The Admissions Manager is responsible for driving the admissions process, working closely with the Head of Admissions to implement data-driven strategies that enhance student enrollment. This role focuses on analyzing application trends, improving conversion rates, and fostering relationships with prospective students and their families. Closely working with HOD to deliver best. Strong leadership, creativity, and analytical skills are essential for success in this dynamic position. Key Responsibilities: Analyze and interpret admissions data to identify trends and opportunities for improvement. Collaborate with the Head of Admissions to develop and execute effective recruitment strategies. Co...

Job Summary: We are seeking a qualified and experienced medical professional with a strong background in health insurance claim settlement and customer service . The ideal candidate will leverage their clinical knowledge to evaluate and process health insurance claims efficiently while ensuring a high level of customer satisfaction. This hybrid role bridges the gap between medical accuracy , regulatory compliance , and empathetic customer support . Key Responsibilities: Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Co...

Immediate joiners Calling insurance Company on behalf of healthcare providers for AR Caller and denial management, Physician billing. Salary & Quarterly Appraisal - Best in Industry Contact Lekha - 8884322624

Health Claims, Mass Claims & Provider Management, tpa Experience in HCP