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2.0 - 6.0 years
0 Lacs
pune, maharashtra
On-site
You will be responsible for creating structured datasets from already-processed claims for internal use. The data extracted will be utilized to train AI models and enhance the automation of claims adjustment. The types of claims you will be working on include physical damage (e.g., truck, property) and bodily injury. The datasets you generate will provide insights such as whether the incident occurred within the policy period and what is covered. Your work will be internal and non-customer-facing, focusing on the manual review of claims documents such as policy PDFs and claim notes. Your tasks will involve extracting insights from the documents, identifying missing data, and formatting the i...
Posted 1 month ago
1.0 - 3.0 years
0 - 0 Lacs
mangalore
On-site
Claims Adjudicator US Healthcare (NSA Project) | 1+ Years | Mangalore | 3.5 LPA | Immediate Joiners Job Description Claims Adjudicator (US Healthcare NSA Project) We are seeking a detail-oriented and experienced Claims Adjudicator to join our No Surprises Act (NSA) project team . The ideal candidate will have a strong background in US healthcare claims adjudication with proven expertise in claims adjustments . Prior experience working on NSA-related initiatives will be a strong advantage. Key Responsibilities: Review, analyze, and adjudicate healthcare claims in line with US healthcare regulations and payer policies . Manage complex claim adjustments , ensuring accuracy and compliance with r...
Posted 1 month ago
3.0 - 8.0 years
4 - 10 Lacs
pune, maharashtra, india
On-site
Description We are seeking a skilled Claims Adjustment professional with experience in Property Casualty, Motor, Airline, and Marine claims. The ideal candidate will have a strong background in evaluating and processing insurance claims, ensuring accurate and fair settlements. Responsibilities Evaluate and process claims related to Property Casualty, Motor, Airline, and Marine sectors. Investigate and assess the validity of claims by gathering relevant information and documentation. Communicate with clients, insurance agents, and other stakeholders to resolve claim issues. Negotiate settlements with claimants and ensure compliance with company policies and regulations. Prepare detailed repor...
Posted 1 month ago
1.0 - 4.0 years
2 - 3 Lacs
chennai
Work from Office
Greetings from Firstsource !!! HR Spoc - Madhubala Looking for US Healthcare Professionals !! Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication!! US Healthcare experience. Work location : Navalur Chennai Required : Minimum 1year Experience in US Healthcare BPO. Claims Adjudication!! Education - Any Graduates and Diploma(10+3)can apply. Immediate Joiners preferred!! Willing to work in Night Shift. Interested folks can directly Walk-in to Location: 5th floor, 4th block, Sandhiya Infocity(Bayline Infocity), OMR Rajiv Gandhi Salai, Navalur, near to AGS Bus Stop, Chennai, Tamil Nadu 603103. Walk - in time: 11:00 Am - 2:00 Pm Walk - in date: Monday to Friday Note: Bring you...
Posted 1 month ago
1.0 - 5.0 years
1 - 3 Lacs
chennai
Work from Office
We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the cl...
Posted 2 months ago
1.0 - 4.0 years
3 - 4 Lacs
Chennai
Work from Office
We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the cl...
Posted 3 months ago
1.0 - 3.0 years
2 - 3 Lacs
Chennai
Work from Office
We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the cl...
Posted 4 months ago
1.0 - 4.0 years
2 - 4 Lacs
Chennai
Work from Office
Greetings from Firstsource !!! HR Spoc - Madhubala Looking for US Healthcare Professionals !! Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication & Claims Adjuster!! US Healthcare experience. Work location : Navalur Chennai Required : Experience in International Healthcare BPO Education - Any Graduates and Diploma(10+3)can apply. Willing to work in Night Shift/rotational shifts. If interested , Share your resumes to Madhubala.suresh@firstsource.com Interested folks can directly Walk-in to Location: 5th floor, 4th block, Sandhiya Infocity(Bayline Infocity), OMR Rajiv Gandhi Salai, Navalur, near to AGS Bus Stop, Chennai, Tamil Nadu 603103. Walk - in time: 11:00 Am - 2:00 ...
Posted 5 months ago
1.0 - 3.0 years
2 - 3 Lacs
Chennai
Work from Office
We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the cl...
Posted 5 months ago
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