1627 Claims Adjudication Jobs - Page 50

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolut...

Job Summary Join our dynamic team as a Claims Specialist focusing on insurance claims adjudication. Utilize your expertise in MS Excel to analyze and process claims efficiently. Work from our office during night shifts contributing to the accuracy and timeliness of claim resolutions. Your role will directly impact customer satisfaction and operational excellence. Responsibilities Analyze insurance claims using MS Excel to ensure accurate adjudication and processing. Collaborate with team members to review and verify claim information for completeness and accuracy. Provide detailed reports on claim status and discrepancies to management for further action. Communicate effectively with stakeho...

Job Summary We are seeking a skilled Claims Adjudication Specialist with 1 to 3 years of experience to join our team. The role involves working from the office during night shifts focusing on claims adjudication processes. The ideal candidate will have a strong understanding of claims and payer domains contributing to efficient and accurate claims processing enhancing our service delivery. Responsibilities Process claims efficiently and accurately to ensure timely adjudication and resolution. Collaborate with team members to identify and resolve discrepancies in claims processing. Analyze claims data to identify trends and areas for improvement in adjudication processes. Maintain up-to-date ...

Job Summary Google ChromeBook management Google Workspace Administration Enroll and manage ChromeOS devices using the Google Admin Console. Configure and enforce device policies (e.g. user restrictions app management kiosk mode). Monitor and troubleshoot Chromebook hardware and software issues. Coordinate with vendors for device procurement licensing and warranty claims. Responsibilities Enroll and manage ChromeOS devices using the Google Admin Console. Configure and enforce device policies (e.g. user restrictions app management kiosk mode). Monitor and troubleshoot Chromebook hardware and software issues. Coordinate with vendors for device procurement licensing and warranty claims. Ensure d...

Role: QNXT Configuration and SI Mandatory Skill: QNXT, Config, SQL Responsibilities To analyze and understand requirements, design, develop, unit test and document test results for Facets/FACETS interfaces development tasks. Exposure to QNXT / QNXT data model, QNXT core batches & SQL & .Net skills required. Hands on experience in QNXT claims & Enrolment QNXT system implementation role to analyze and understand requirements, design, develop, unit test and document test results for QNXT interfaces and reports development tasks Exposure and basic understanding of core QNXT functions such as claims, membership, and provider would be desired along with working knowledge on underlying data models....

Hurry up Authentic Healthcare is hiring Medical officers Non clinical job AT Noida, HYD , Bangalore Location Role/Position: Permanent Experience: 1 to 2 yrs in TPA or clinical Education: BPT, MPT,BDS, BAMS, BHMS Shifts: Day shift work from office

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...

Dear Candidate, Greeting from ProArch! Title: Senior Product Owner Location: Complete Remote Type: Contract Define and communicate the product vision aligned with business and healthcare objectives. Ensure the product meets regulatory, compliance (HIPAA, GDPR, etc.), and security requirements. Identify market trends, user needs, and technological advancements in healthcare. Collaborate with internal stakeholders (executives, clinicians, IT teams, compliance officers). Engage with external stakeholders (patients, healthcare providers, regulatory bodies, insurers). Act as a bridge between business teams and development teams to translate needs into product features. Prioritize and manage the p...

Hi Hope you are doing good We have an immediate requirement Product Owner Position : Contract Location: Remote Job Description: Experience: 15+ Years Must haves: US Healthcare Claims Adjudication, Prior Authorization, Payer systems FHIR, HL7 implementation exposure and expert in various resources in FHIR Be able to understand and write the CMS regulatory requirements on interoperability Be able to come up with functional solution on interoperability (FHIR) Be able to write epics, stories from the requirements Please mention the below details Name Total Experience Experience in US Healthcare Experience in Claims Adjudication Experience in FHIR Experience in HL7 Experience in Prior Authorizati...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determinin...

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment...

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach....

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach....

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment...

Role Name :North America - Finex Claims Shift Time : 6.30 pm to 3.30 am - evening shift Work mode: Hybrid Work Location: Vikhroli Experience required: 1 - 4 years Qualification: Graduation Interview Venue: WTW iTHINK Techno Campus, 7th Floor, A&B Wing, Off Pokhran Road No. 2, Close to Eastern Express Highway, Thane (West) 400 607. India (Candidate's Address should fall withing WTW's transport boundary).

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the teamQR & Soundbox is one of Paytm‘s business tools to help merchants grow and manage their business through simplicity and data driven technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Mem...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Member Sales Team handled before 5. Must understand concepts of distribution, expansion, metrics 6. Must have experience in getting team earn Lucrative Incentiv...

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytms mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the teamQR & Soundbox is one of Paytms business tools to help merchants grow and manage their business through simplicity and data driven technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Membe...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytms mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Member Sales Team handled before 5. Must understand concepts of distribution, expansion, metrics 6. Must have experience in getting team earn Lucrative Incentive...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the teamQR & Soundbox is one of Paytm‘s business tools to help merchants grow and manage their business through simplicity and data driven technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Mem...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the teamQR & Soundbox is one of Paytm‘s business tools to help merchants grow and manage their business through simplicity and data driven technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Mem...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the teamQR & Soundbox is one of Paytm‘s business tools to help merchants grow and manage their business through simplicity and data driven technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Mem...

: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. Expectations/ 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Member Sales Team handled before 5. Must understand concepts of distribution, expansion, metrics 6. Must have experience in getting team earn Lucrative Incentiv...

s- 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 Category leads from qualification to closure