19 Claims Analysis Jobs

Hiring Channel Partners for AR Denials management in US medical billing. Analysis of denied claims, Identifying issues Coordinating with insurance providers for timely resolution and reimbursement. Team of 5-10 members

Hiring Channel Partners for AR Denials management in US medical billing. Analysis of denied claims, Identifying issues Coordinating with insurance providers for timely resolution and reimbursement. Team of 5-10 members

Hiring Vendors for AR Denials management in US medical billing. Analysis of denied claims, Identifying issues Coordinating with insurance providers for timely resolution and reimbursement. Team of 3-10 members

Medical Risk Assessment & Underwriting Specialist Role Overview: This position is responsible for evaluating health insurance proposals and medical claims, assessing risk, and ensuring decisions are made in accordance with policy guidelines and regulatory compliance. The candidate should combine sound clinical judgment with strong underwriting acumen and innovative approaches to case evaluation. Key Responsibilities Review and process medical documentation and insurance claims to ensure accuracy, completeness, and compliance. Analyze patient information, laboratory findings, and treatment histories for risk assessment and decision-making. Determine coverage eligibility, exclusions, and appro...

Role & responsibilities We are looking for an accomplished Doctors with significant ICU experience and a strong ability to manage both clinical and non-clinical responsibilities. The ideal candidate will excel in patient care, clinical documentation, and possess in-depth knowledge of medical documentation essential for insurance claims processing. Key Responsibilities: Patient Documentation: Manage patient medical history and progress notes with precision. Claims Processing: Handle preauthorization and reimbursement claims, including validation and processing. Clinical Records: Maintain accurate clinical documentation in compliance with healthcare standards. Collaboration: Work closely with ...

Role: Patient Relationship Officer Hospital Services Job Title: Patient Relationship Officer Hospital Services Location: On-site at Partner Hospitals (Bangalore North) Department: Customer Operations Job Summary: As a Patient Relationship Officer, you will be the face of our company, acting as a compassionate and knowledgeable guide for patients and their families. Your primary role is to ensure a seamless and stress-free experience related to insurance claims, billing, and financial counseling, all while upholding the highest standards of hospitality and customer service. Key Responsibilities: Patient Counseling: Proactively engage with patients and their attendants to explain pre- and post...

We are looking for a diligent and detail-oriented Royalty Operations & Accounting Administrator to join our team. Your primary responsibility will be to provide support and assistance during Royalty Audits for various authors. You will need to collaborate with other departments, work with large data sets, perform analyses, and conduct research to ensure accurate audit proceedings. Your key responsibilities will include assisting in preparing author/auditor inquiry support, collating and analyzing spreadsheet data, researching various aspects of the audit, maintaining Fieldwork Tracking reports, and managing data extraction, storage, transformation, and processing through data analytics. You ...

You will be responsible for institutionalizing the Broker - Insured Partnership in order to build customer loyalty, penetrate markets, expand accounts, and protect them by minimizing risks and saving costs. Your key responsibilities will include: - Demonstrating expert level of Domain Knowledge on Property, Projects, and Marine Insurance. - Procuring quotes from insurers, preparing RFQs, and conducting quote comparison reports. - Managing client relationships through servicing and retention of existing clients. - Maintaining periodic and targeted communications with clients. - Analyzing losses/claims and engaging with Insurance managers effectively. - Creating value for clients by evaluating...

The position available offers Remote, Hybrid, and In-Office options and is seeking senior professionals with 15+ years of experience to support clients and their legal counsel on intricate construction matters. Responsibilities include analyzing baseline and schedule updates to identify critical path delays, evaluating construction costs, conducting field inspections, and developing client deliverables. The ideal candidate should have experience in managing a team of consultants, handling multiple projects simultaneously, and possess strong communication skills. Delta emphasizes a diverse, rapid-learning environment conducive to growth and advancement. The location for this position is flexi...

Role & responsibilities Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. Freshers are not eligible B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Dis...

Key Responsibilities: Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Disclaimer: Firstsource follows...

The Medical Claims Analyst plays a crucial role in the organization by handling collections, account follow-up, billing, and allowance posting for assigned accounts. Your responsibilities include meeting daily productivity/quality standards, adhering to established policies and procedures, analyzing claims issues to reduce denials, communicating identified trends to management, initiating appeals when necessary, correcting billing errors, and sending accurate appeals with supporting documentation. You will also assist with special A/R projects, demonstrate analytical skills, maintain confidentiality, and act professionally in all interactions. To qualify for this role, you should have comple...

We are looking for a skilled Accounts Receivable Analyst with hands-on experience in US healthcare revenue cycle management. The ideal candidate will be responsible for reducing AR days, addressing claim denials, and ensuring timely collections through effective communication and follow-ups with payers. Job Responsibilities Actively follow up with insurance carriers to resolve outstanding claims and minimize AR backlogs. Investigate denied claims, identify causes, and take corrective action including appeals and resubmissions. Liaise professionally with insurance representatives and healthcare providers to resolve claim issues. Work AR aging reports regularly to prioritize high-value or agin...

The role involves identifying and understanding risks, preparing RFQs and comparatives, negotiating pricing with insurers, and designing insurer benefits for corporate clients regarding Employee Benefits (EB) products. Sales support is also a key aspect of the role. You will be responsible for: - Preparing RFQs and proposals for EB products such as GPA and GMC, and obtaining competitive quotes from insurers. - Conducting in-depth analysis of claims MIS and terms and conditions to assess risks and present them to insurance companies. - Negotiating pricing with insurers and understanding factors that contribute to cost-saving discounts. - Creating QCRs, placement slips, and presenting quotes t...

Role: Data Scientist / Senior Data Scientist Reports to: Principal Advanced Analytics Profession: Data Science Office Location: Bangalore Job Description This position requires strong Coding Knowledge along with Data handling and Wrangling experience with either SQL/Python. Candidate will work hands-on projects in areas such as advanced analytics, creating reports and metrics out of large complex datasets, solution workbench etc. Individual should possess aptitude to understand business context, create insights from data and willingness to learn application of data handling tools and techniques suitable for the project assigned. Familiarity or Ability to learn and work on healthcare domain a...

Own enterprise account management, build CXO relationships, manage renewals, drive cross-sell of insurance & wellness solutions, lead QBRs/MBRs, collaborate with internal teams for smooth delivery, and ensure high client satisfaction & account health Required Candidate profile 8–15 years in employee benefits broking or group health insurance. Skilled in CXO relationship management, claims analysis, policy benchmarking, renewals, cross-sell, and benefits plan design.

Current Role and Responsibilities: Portfolio Analysis for various Parameters and Key Indicators like Claims Analysis Retention Steering Portfolio into right direction Industry Benchmarking Trend Analysis Cost Saving Analysis Prediction Models for Claims Database management Work with All Stakeholders to streamline data sources for business use and analysis Pull and integrate data from diversified sources; evaluate and pre-process raw information Help in improvement of record keeping systems with procedures, checks and balances Collaborate with management and internal teams to implement and evaluate improvements Required Skills Experience in data analysis and visualization methods Experience: ...

Your potential, unleashed. Indias impact on the global economy has increased at an exponential rate and Deloitte presents an opportunity to unleash and realize your potential amongst cutting edge leaders, and organizations shaping the future of the region, and indeed, the world beyond. At Deloitte, your whole self to work, every day. Combine that with our drive to propel with purpose and you have the perfect playground to collaborate, innovate, grow, and make an impact that matters. Work you’ll do The Accounts Executive will be responsible for managing out-of-pocket expenses , ensuring compliance with company policies, and maintaining accurate financial records. This role requires strong ana...

This Opportunity is with a leading Insurance Broking company for their office in Mumbai location Role: Claims Analyst - Marine Claims Experience: 3 - 9 Years Job Description: Roles & Responsibilities: Investigate the circumstances surrounding marine incidents, such as collisions, groundings, or cargo damage. Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. Ens...