595 Claims Adjudication Jobs - Page 9

Looking for a motivated AR Associate to join our team in Bangalore. The ideal candidate will have 0-1 years of experience and be able to work effectively in a fast-paced environment. Roles and Responsibility Manage accounts receivable, including invoicing and payment follow-up. Analyze financial data to identify trends and areas for improvement. Develop and implement effective billing strategies to increase revenue. Collaborate with the sales team to resolve billing discrepancies. Maintain accurate records of customer interactions and payments. Identify and pursue opportunities to improve cash flow and reduce bad debts. Job Strong understanding of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work effectively in a team environment. Proficient in using CRM software and other relevant tools. Strong analytical and problem-solving skills. Ability to meet deadlines and achieve targets in a fast-paced environment. About Company Omega Healthcare Management Services Private Limited is a leading healthcare management services company committed to providing high-quality patient care and services to its clients. We are a dynamic and growing company with a strong presence in the healthcare industry.

Job Description Job Claims Processing Title Executive (CPE) Shift 6:30pm 3:30am (US Day Location Chennai, India shift) . Responsibilities: • Analyse and evaluate workers compensation claim payments using Enable Comps proprietary software, systems, and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker’s compensation fee schedule and/or PPO contract. • Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement. • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. • Prepare correct Worker s’ Comp initial bill packet or appeal letter using Enable Comp systems tools and submit with all necessary supporting documentation to insurance companies. • Other duties as required. Education: • Diploma / Bachelor’s Degree in any discipline. Experience: • Experience working for a US based BPO OR US healthcare insurance industry experience OR a similar experience recommended • Competent in MS Oce Suite and Windows applications. Skills and Prerequisites: • Strong verbal communication skills. • Fast and accurate typing skills while maintaining a conversation. • Multitasking of data entry while conversing with Client contacts and insurance companies. • Ability to professionally and condently communicate to outside parties via phone, email and fax. • Ability to handle large volumes of work while maintaining attention to detail. • Ability to work in a fast-paced environment. • Work under limited supervision, manage multiple tasks and prioritize assignments within limited time constraints. • Eectively communicate issues/problems and results that impact timelines for project completion. • Ability to interact professionally at multiple levels within the organization. • Timely and regular attendance.

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 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 model that can meet the unique needs of each market segment.Team prepares a case studyGroup disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Problem-solving skillsWritten and verbal communicationCollaboration and interpersonal skillsAbility to meet deadlinesProcess-orientation Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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 computer & typing skills Good communication Send your resume to: kishan.dwivedi@mediassist.in

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 requirement, and should be self-motivated Hands-on capabilities Room to Grow Bachelors degree in a related field or equivalent work experience Compensation: Fixed Salary + Incentive - 2 Rounds of interviews and joining would be immediately after the 2nd round of interviews. - Background check and verification is required. Shift - Night shift ( Canadian Timings ) 6 Days working - Sunday Off Location - Serene Building No.106, 4th Floor, 4th C Cross Rd, 5th block, Koramangala Industrial Layout, S.G. Palya, Bengaluru, Karnataka 560095 If Interested directly visit to our office location for F2F Interview Notes: If interested in auto claims then only Please apply - US/Canada process Open to freshers with strong English communication skills. Notes: If interested in auto claims then only Please apply If You have Auto claims experience, Apply Please

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 Wheelers / 4 Wheelers and Electric Buses). The team will work closely with the product planning, Underwriting, and marketing departments to develop an insurance product that meets the company requirements for cost, quality, and EV Strategy. Build relationships with stakeholders of the EV ecosystem, such as battery manufacturers, policymaking bodies, research institutions, vehicle manufacturers, technology service providers, and more, to develop an industry-leading claim handling mechanism for BEVs, HEVs and related technologies. Manage individual claims from start to resolution through investigation of internal and external facts, review of claim records and vehicle data, draft external correspondence regarding BAGICs insurance and legal position, and negotiate a resolution where proper at their level. Responsible for capturing EV-specific insights, including Competition info, Industry Trends, customer expectations etc. Responsible for standardization EV related operating procedures, Checklists etc. Responsible for handling Partner, Customer/Internal Escalations & its resolution (across BEV/HEV domains). Independently undertake research and projects on various aspects of EV traction battery recycling, powertrain repair and claim aspects. Contribute to various aspects of EV-related project delivery as needed, such as regulatory interfacing, partner management, people engagement, project documentation, etc. Qualifications we look for: Diploma / B-Tech / BE or Higher qualification in Electrical / Electronics / Mechanical / Automobile Engineering Minimum 5-8-years of overall industry experience of handling Motor claims adjudication in an insurance company / Supervising an automobile body shop / BEV or HEV Repair or Manufacturing experience Strong quantitative and analytical skills, Techno-Economic analysis and Excel skills are needed for the position. Ability to receive and incorporate constructive feedback effectively, think critically and strategically Excellent writing and speaking skills in English to coherently convey complex information to a technical and policy audience. Should have experience in writing reports, briefs, and critical emails Responsible and initiative-taking that a person who can work independently or in a team Insurance knowledge and understanding of IRDA guidelines and compliance are desirable. Hands-on experience in Electric vehicles, Traction Batteries, Powertrains and Power electronics is desirable. Roles and Responsibilities 2

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: Monitoring patients for any changes in condition or behavior and reporting observations to the nursing staff Patient Comfort: Ensuring patients are comfortable and assisting with pain management Bedside Care: Changing bed linens, making beds, and maintaining a clean and organized patient environment Qualification: Diploma Nursing, ANM

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 Financial Accountant for updating and maintaining the month end reporting pack To ensure accurate recording of debtors invoices and payments. To ensure timely recording and depositing of cheques and receipts. Review and reconciliation of all debtor accounts at periodic intervals. To ensure accurate and appropriate recording of entries in books of accounts. To assist in working of TDS and Service Tax and filling timely challans that will act as an input for UBM. To assist in statutory and various other audits. Should have experience to manage overall all finance activities. Professional Skills Required - essential: Extensive experience in finance and tax Relevant Finance degree & CA Proven skills in financial accounting and reporting Good experience and expertise over Tax Return filing and record maintenance. Highly competent in English Written and oral Self-starter and good team player. Candidate must be prepared to engage in a wide spectrum of duties ranging from posting journals through to communicating results to FC and CFO Excellent communication and interpersonal skills required to work with the other accountants, business managers and external parties Strong analytical and numerical skills Ability to use Excel (intermediate to advanced) with a high level of numerical accuracy.

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 nature of problem or issue. Maintain and enhance performance of all new and existing software and applications across the organization. Perform hands-on fixes at the desktop level, including installing and upgrading software, installing hardware, implementing file backups, and configuring systems and applications. Test fixes and perform post-resolution follow-ups to ensure problems have been adequately resolved. Manage the resolution of a trouble ticket from start to finish. Escalate to third level support as required. Perform preventative maintenance, including the installation of service packs, patches, hot fixes, anti-virus software, and so on. Participate in the development and deployment of desktop management standards. Knowledge & Experience: Knowledge of multiple operating systems, Microsoft Office applications and web browser tools. Understanding of LAN & WAN network topologies and practices. Familiarity with Macintosh. Qualifications : University/college degree or equivalent industry training in a related area. Hands-on system administration experience in an enterprise environment. Personal Attributes: Strong customer service orientation. Experience working in a team-oriented, collaborative environment Highly self-motivated and directed. Ability to balance and shift priorities and deadlines in a fast-paced, demanding environment. Strong written and oral communication skills. Strong interpersonal skills. Ability to present ideas in user-friendly language. Work Environment: Participate in on-call/standby rotation as required. Carry a company mobile phone as required.

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 (preferred). Monitor team performance and provide regular coaching, feedback, and performance reviews. Prepare and maintain internal and client reports accurately and on time. Coordinate and conduct training sessions for new and existing team members. Act as a liaison between the team and upper management, ensuring seamless communication. Handle team escalations and resolve operational issues efficiently. Ensure adherence to quality, compliance, and productivity standards. Mandatory Skills: Proven Team Lead experience (on paper). Strong knowledge of the US Healthcare system . Hands-on experience in Member Enrollment processes. Willingness to work night shifts Preferred Skills: Exposure to Medicare processes and guidelines. Familiarity with CMS compliance standards. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi@firstsource.com email addresses.

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 needed. Meet monthly/quarterly admission/enrollment targets.

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. Age between 18-30 years. 6 months contract period. 6 days working (week off between Monday to Thursday, any day). Open for male candidates. If you are enthusiastic, dedicated, and meet the above requirements, we encourage you to apply for this exciting opportunity in the retail industry. Must Have - Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. --- Note: The original job description did not specify any additional requirements. If there are specific requirements, please provide them for inclusion. Benefits Salary- 10600 NTH + Incentives

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 the patients who under the ESI cover

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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

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 and meet deadlines. Proficient in using computer software applications, particularly CRM systems. Strong analytical and problem-solving skills. Ability to maintain confidentiality and handle sensitive information. Experience working in a BPO or IT-enabled services company is preferred.

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. Adhering to all departmental Standard Operating Procedures at all times. Providing a high standard of ROI reporting to add value to our products. Key Result Areas: 1 . Distribution: Output clients copy in timely fashion Ensure accurate distribution to correct circuit at specified time Monitor and chase return of requested translations for onward distribution Ensure that all information uploaded to us for Journalists is uploaded with relevant industry, subject and geography coding Upload graphics and linked documents onto us for Journalists, and the PR Newswire websites 2. Editorial: Ensure accuracy, attribution and acceptability of clients copy Ensure regulatory headline and content accuracy of clients copy Assist with formatting or document conversion queries 3. Client Relations Promote a client-focused culture at all times Instigate initiatives and processes to build, develop and maintain excellent business relationships Understand clients needs and objectives Attend meetings and social evenings with clients where necessary Act as initial contact and take responsibility for all client queries and complaints. Follow standard escalation procedures at all times Maintain an excellent knowledge of all our products and services. Liaise with Secondary Information Providers (SIPs) to ensure accurate and expedient transmission Liase with regulatory bodies Provide consultative service - advise clients on available and appropriate circuits Provide editorial advice to maximise potential pick-up of press release copy Maintain and develop relations with internal clients to achieve excellent service delivery 4.Quality and Administration: Ensure all jobs are assigned, distributed and fulfilled correctly Ensure all jobs and related correspondence/activities are accurately logged in the workflow management system Focus on quality standards and timelines to achieve team targets and objectives, and to maintain high visibility for the team within the company Maintain company websites ensuring incoming service feeds are accurately mapped 5 Client/Affiliate Liaison Liaise between translation agencies and client to ensure customer satisfaction with translation service Advise on distribution receipt and clear times Look for any up-selling opportunities Liaise with affiliates to ensure accurate and expedient transmission Provide consultative service - advise clients on available and appropriate circuits Maintain and develop relations with internal clients to achieve excellent service delivery 6.Competencies, Attributes, Knowledge: Experience in an editorial/proof-reading role Excellent inter-personal skills with all levels of company personnel and clients Ability to closely follow all policies and procedures Good team player. Self-motivated, disciplined and able to remain corporately focused Have the energy and drive to work under pressure to hit tight targets Excellent organisation and time-management skills with a high attention to detail Flexibility around team shift patterns An excellent standard of spoken, written and reading English At least one other Indian language written and oral other than Hindi, is also considered highly desirable Well presented and businesslike High level of ability on communicating verbally with clients

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 the key decision makers within the organisation Develop and sustain relationships with potential and existing clients Creating customer call-backs and following up on referrals Advise clients on all products to educate and generate leads Pass on any Domestic leads to the relevant BDM Candidate Profile 1-4 years of prior experience in sales phone based environment Ability to cross-sell, up-sell and identify international opportunities Target driven and ability to work under sales pressure environment Highly developed communications skills to work directly with customers, employees and management. Excellent English Communication Oral and Written. Additionally sound knowledge of Hindi. Excellent listening Skills Strong negotiation and influencing skills If interested, please share your updated profile