1508 Claims Adjudication Jobs - Page 7

Job description : Interested candidates can call to the mentioned number - 7569452008 Freshers with commerce background can apply We are seeking graduates or qualified legal professionals to join our UK motor claims support team. This role involves assisting UK insurer clients with the technical handling and legal processing of motor insurance claims, particularly around liability resolution, litigation prep, and document review. Training in UK motor insurance law and procedural frameworks (e.g., RTA, OIC, MOJ Portal, Credit Hire Portal) will be provided Role & Responsibilities : Review motor accident claim files to assist in liability determination Draft and review case summaries, driver st...

Payroll Company: Teamlease Digital Role & responsibilities: Accurately enter insurance data into the database Maintain Insurance Company database Maintain quality score Perform other duties as assigned Observe professional standards of conduct, including attendance, professional behaviour, and dress code. Required Candidate Profile: - Adaptable and flexible -Knowledge of excel basics - Ability to perform under pressure - Problem-solving skills - Detail orientation - Ability to establish strong client relationship -Comfortable with Night Shifts -Good Communication Skills -Stability Shifts- Night Shifts Mode of work- Work from Office Perks and benefits: -5 days working. -Apart from development...

Responsibilities: * At least one year of medical billing experience is required. * Experience with AR follow up is required. * Candidates must have proven track record and hands-on working experience with CPT and ICD-10 codes, as well as modifiers. * Ability to constructively communicate and problem solve with Medicare and commercial insurance companies. * This includes the use of the respective insurance portals, as well as verbal and written communication. Medical billing certification is a plus. * Biller will have full responsibility for all billing aspects (posting charges, posting payments, insurance billing, appeals, insurance follow up, patient and practice communication, etc.) of sev...

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-:2yrs- 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 determini...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(Domestic) - Advanced 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 d...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced 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 yo...

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 Communic...

Our hospital is empanelled under the Ayushman Bharat (PM-JAY) scheme. We are looking for competent and sincere professionals to strengthen our Ayushman Bharat Claim Processing Unit. 1 Position: Ayushman Claim Executive Salary: 25,000 35,000 per month Key Responsibilities: Manage patient registration and claim submission on the Ayushman Bharat TMS portal. Verify patient eligibility, Ayushman card, and Aadhaar-based authentication. Upload required documents such as discharge summary, reports, and photographs. Track and update claim status; maintain physical and digital records. Coordinate with district Ayushman officers, insurance partners, and internal departments for timely approvals. Qualif...

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? "Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costs. Manage learning solutions, including activities such as registration, vendor management, product support, learning management system. Talent Development processRespond to incoming mail in the Scheduling mailbox and respond within the timeframes stated in agreement and processes.Provide leadership and guidance to junior scheduling analysts and administrative staff.Assist in maintenance of r...

About The Role Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: BCom/B.B.M 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 ratin...

- Bangalore Were hiring experienced professionals in US Healthcare! : •4+ yrs. US Healthcare claims experience for Non Voice (Claims adjudication/claim processing) • 4+ yrs. of experience in International contact Centre (Inbound Voice) Claims adjudication in US Healthcare or Internation contact center experience is mandatory. Should have good communication skills Speak , read and written . Open : • Operations -Team Leader / AM/DM/M/SM •Quality Specialist & TL Quality •Subject Matter Expert (SME) •Process Trainers. •WFM- RTA/ Cap Planning/ Forecasting & Scheduling (Specialist, AMs and DMS ) ? •Leading US Healthcare brand •Fast-track growth & leadership opportunities •Attractive benefits & rew...

Job Title: CLAIMS HANDLER Location: Bangalore Job Type: Full-time Experience Required: 0 to 3 Years/ fresher can also apply Education: Any grad Process 1st round HR Round 2nd round SHL Test 3rd round SD(OPS Round) Qualification/Experience grad Location Sutherland Global services. Unit no 202, 2nd floor, campus D, Centennial Business park Kundan Halli main road, EPIP Area, Bangalore, Karnataka 560066. Transport 2-way cab Salary 4.5 lpa Note Work from office 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 c...

JOB DESCRIPTION Designation/ Role: Trainee Department : Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: Good verbal and written communication Skills. Able to build rapport over the phone. Strong analytical and problem-solving skills. Be a team player with positive approach. Good keyboard skills and well versed with MS-Office. Able to work under pressure and deliver expected daily productivity targets. Ability to work with speed and accuracy. Medical billing AR or Claims adjudication experience will be an added advantage. Experience 01-year experience US calling process will be an added advantage. Job Description The jo...

Responsibilities AreaGreet and welcome all walk-in customers, directing them to the clinic to promote free eye check-ups. Participate in stocktakes, maintain sales floor standards, and handle daily tasks to ensure an exceptional shopping experience for customers.Familiarize with the POS system to ensure smooth and accurate transaction processing.Commit to customer satisfaction by addressing and resolving any customer concerns.Focus on customer needs, driving overall satisfaction. Personal Attributes & Competencies:Minimum qualification: Diploma or Bachelor's degree in Optometry Freshers are welcome to apply no prior work experience required Strong ability to build rapport and foster trusting...

Conduct eye examinations using specialized equipment. Evaluate patients for the presence of vision problems and other eye disorders. Prescribe eyeglasses, contact lenses, and other visual aids. Provide advice to patients on eye care and recommend treatment options. Degree in Optometry or related field. Valid license to practice as an Optometrist. Strong knowledge of optometry practices and procedures. Excellent communication and interpersonal skills. Are you a passionate Optometrist looking for an opportunity to showcase your skills in West Bengal? We at xxxxx are seeking a skilled professional to join our team. As an Optometrist, your responsibilities will include conducting eye examination...

SUMMARY P&C Insurance Team Lead ========================== Summary ----------- We are seeking an experienced P&C Insurance Team Lead to manage a team and oversee all relevant technical/operational processing activities. The successful candidate will provide direct assistance to underwriting teams as needed, while also handling people management, performance appraisals, and client interaction. Responsibilities - - - - - - - - - - - - - - - - - - - Monitor the performance of a team of Claims adjusters and provide timely feedback Conduct employee performance reviews and assist with professional development Set objectives and manage the team's progression Coordinate with internal customers and m...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). Analyze the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Provides basic-level of support on programs, projects, reporting, filing (electronic and hard-copy), confidential materials handling, and issue resolution. Scope of work is routine and decision ma...

Minimum of 5+ years of experience Data file analysis and problem resolution of inbound files. Data analysis using Excel, SQL, or other ODBC toolsets with Oracle RDBMS. Document preparation (Functional Requirements FRD). SDLC lifecycle adherence and management of change control process and approvals QA support of requirements and testing Maintain team documentation of data inventory, mapping document and flow diagrams Assists in managing large scale projects, leads appropriate resources, and determines project requirements and deliverables, to ensure successful implementations to meet customer stakeholder user needs. Assists in ensuring successful project conclusions and large-scale projects ...

Role Responsibilities : In-depth knowledge and experience in the US healthcare (Non Voice) Provider Data Validation and Provider Data management. Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. Ensures day-day transactions are processed per standard operating procedures. Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. Knowledge in Amisys and Cenprov application are preferred. Product knowledge in checking affiliation for Medicaid, Medicare and Exchange. Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc. Ability...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). Analyze the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Provides basic-level of support on programs, projects, reporting, filing (electronic and hard-copy), confidential materials handling, and issue resolution. Scope of work is routine and decision ma...

Roles and Responsibilities : Review and process claims in accordance with established guidelines, regulations, and company policies. Conduct thorough reviews of medical records, diagnoses, treatments, and procedures to determine coverage eligibility. Identify potential denials and take proactive steps to resolve issues before submitting claims to payers. Collaborate with internal stakeholders to ensure accurate coding, billing, and reimbursement processes. Job Requirements : 4-8 years of experience in claims adjudication or related field (e.g., HCPCS). Strong understanding of ICD-10-CM/PCS, CPT, HCPCS codes; ability to apply knowledge effectively. Proficiency in claims processing software ap...

Job description Greetings!! Openings for " Immediate Openings-Claims Adjudication-Quality Analyst " - Bangalore Required Skills: Subject matter expert in Claims process. Able to perform Quality Audits. Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills. Proficiency with the necessary technology, including computers, software applications, phone systems, etc. Ability to improve and/or transform teams processes across functions within the organization. Ability to understand basic data and take appropriate action. Ability to drive individual and team efficiency and productivity through effective and efficient metric man...

4+ Years of Experience in US Healthcare Claims Adjudication Open Positions : Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Hari - 7618776218 Shiny -7022976218

HURRY UP !!! Urgent Hiring for US Healthcare Claims Adjudications. OPEN REQURIMENTS Team Leader Operations. Quality Specialist. Subject Matter Expert (SME). Process Trainer. International voice exp with 4+yrs Contact HR Maya 9880516218

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing ...