16 Claims Investigation Jobs

As a Claims Investigator, your primary responsibility is to assist in conducting thorough investigations of claims cases by gathering relevant evidence and documentation. You will play a crucial role in analyzing and evaluating information to identify discrepancies and inconsistencies in claims submissions. Collaborating with senior investigators, you will compile comprehensive reports on findings and recommendations. - Assist in conducting thorough investigations of claims cases - Gather relevant evidence and documentation - Analyze and evaluate information to identify discrepancies and inconsistencies in claims submissions - Collaborate with senior investigators to compile comprehensive re...

Role & responsibilities - Acts as an interface between the TPA, Insurance Company and the hospital. - Responsible for investigation of suspicious claims on calls & Emails. - Effective usage of Fraud control measures. - Act as a backend support to the TPA. - Responsible for data mining and analytics related to Fraud and Investigation (IFD) Preferred candidate profile Qualification - B Pharmacy / M Pharmacy Experience - 6 Months to 2 Years.

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day & Night Location: VeperyVelachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day & Night Location: VeperyVelachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day & Night Location: VeperyVelachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Excellent opportunity for AR analyst (Velachery/Vepery) in Chennai!!! Basic Requirements: Experience: 1 Years to 5 Years Salary: Best in Industry Work Mode: WFO Location: VeperyVelachery Notice Period: Immediate Joiners Shift: Day/Night Responsibilities: Clear the rejections. Check whether the response is received in a timely manner. Check process dashboard on time; if any rejection found. Resolve the global issues working with the process and inform the client. Check process dashboard on a weekly basis. Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Work on the denial bucke...

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Excellent opportunity for AR analyst (Velachery/Vepery) in Chennai!!! Basic Requirements: Experience: 1 Years to 5 Years Salary: Best in Industry Work Mode: WFO Location: VeperyVelachery Notice Period: Immediate Joiners Shift: Day/Night Responsibilities: Clear the rejections. Check whether the response is received in a timely manner. Check process dashboard on time; if any rejection found. Resolve the global issues working with the process and inform the client. Check process dashboard on a weekly basis. Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Work on the denial bucke...

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! Excellent opportunity for AR analyst (Velachery/Vepery) in Chennai!!! Basic Requirements: Experience: 1 Years to 5 Years Salary: Best in Industry Work Mode: WFO Location: VeperyVelachery Notice Period: Immediate Joiners Shift: Day/Night Responsibilities: Clear the rejections. Check whether the response is received in a timely manner. Check process dashboard on time; if any rejection found. Resolve the global issues working with the process and inform the client. Check process dashboard on a weekly basis. Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Work on the denial bucke...

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day & Night Location: VeperyVelachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day & Night Location: VeperyVelachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions

Title: Assistant Vice President Grade: L6 Location: Goregaon East Sub Department: Claims Department Operations Job Description: 1.Claims Investigation management for all category of Claims - Death, Health and Critical illness/Health 2.Analysis and assessment of Investigation report , documents and information received from Investigator and move quality closure within stipulated timelines 3.Responsible for accurate claim assessment and speedy decision 4.Vendor management- maintain good numbers of quality investigator as per requirement , fresh on-boarding, elimination/dis-empanelment of poor performer, monitor timely payment to all vendors (Investigation billing) 5.Monthly Investigator perfor...

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. For over 90 years, our innovative drive has kept us a step ahead of our customers" evolving needs. We have advocated for various safety measures like seat belts, airbags, and graduated driving laws. We are industry leaders in pricing sophistication, telematics, and more recently, device and identity protection. In the role of Analyst III, you will provide a superior level of customer service and attention to customers requiring vehicle repairs. Your responsibilities will include inspecting vehicle damage, writing damage repair estimates, negotiating settlements w...

About Business Unit: Spartan Technology Services and Solutions Private Limited, a subsidiary of IBM, operates globally across 170 countries. It's a crucial part of IBM Business Process Operations, offering end-to-end services for policy renewal and query resolution in the insurance industry, with a strong commitment to data security and quality. Your Role and Responsibilities As a Process Associate - 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 amo...

JOB DESCRIPTION : HOSPITAL RELATIONS MANAGER Department: Hospital Relations Location: Hyderabad,Warangal,Nizamabad,Vijaywada,Visakhapatnam Job Type: Full-Time Job Summary: The Hospital Relations Manager will be responsible for managing and optimizing the relationship between the organization and hospital partners. This role involves overseeing pricing strategies, negotiating claims, resolving pending issues, and ensuring smooth coordination with internal stakeholders. The position also requires meticulous documentation related to training, meetings with internal and external stakeholders and updates to facilitate effective communication and decision-making. Key Responsibilities: 1. Hospital ...

JOB DESCRIPTION HOSPITAL RELATIONS MANAGER Job Title: Chief Manager Department: Hospital Relations Location: Pune, Pimpri, Nagpur, Nashik, Kolhapur, Solapur, Aurangabad Job Type: Full-Time Job Summary: The Hospital Relations Manager will be responsible for managing and optimizing the relationship between the organization and hospital partners. This role involves overseeing pricing strategies, negotiating claims, resolving pending issues, and ensuring smooth coordination with internal stakeholders. The position also requires meticulous documentation related to training, meetings with internal and external stakeholders and updates to facilitate effective communication and decision-making. Key ...

Introduction A career in IBM Consulting embraces long-term relationships and close collaboration with clients across the globe. In this role, you will work for IBM BPO, part of Consulting that, accelerates digital transformation using agile methodologies, process mining, and AI-powered workflows. Youll work with visionaries across multiple industries to improve the hybrid cloud and AI journey for the most innovative and valuable companies in the world. Your ability to accelerate impact and make meaningful change for your clients is enabled by our strategic partner ecosystem and our robust technology platforms across the IBM portfolio, including IBM Software and Red Hat. Curiosity and a const...