7640 Claims Jobs

Retail Claims - Automation & Projects Key Responsibilities 1. Automate Claims Processes- Design and develop automated workflows and business rules to streamline claims processing. 2. Integrate with Existing Systems- Integrate automated claims processing solutions with existing systems and technologies. 3. Testing and UAT - Test and validate automated claims processing solutions to ensure accuracy and efficiency. 4. Daily production issue - Troubleshoot issues and resolve problems related any day-to-day production issues across all claim systems for death and health claims 5. Collaborate with IT stakeholders, claim team and other required stakeholders to understand requirements and implement ...

Hurry up Authentic Healthcare is hiring Medical officers Non clinical job in insurance sector AT Indore, Kolkata and Hyderabad Location Role/Position: Permanent Experience: 1 - 2 yrs in TPA Education: BAMS, BHMS , MBBS Shifts: work from office

Role Purpose Statement: The Order to Cash (OTC) Associate Team lead will be the owner of the process e.g. Credit Compliance, Insurance policy renewal and claims settlements, Bank Guarantees, Weekly daily Reports, . Main Accountabilities: Perform credit assessment and counterparty risk review, prepare score card for credit assessment. Liaise with other departments and to seek approvals on counterparty credit risk assessments. Conduct due diligence on counterparties. Credit assessment and grading for all counterparties. Ongoing Review of counterparties in adherence to Credit policy Database Management - Updating of summary sheet and saving all the approvals for approved counterparties. Annual ...

Role & responsibilities Enrolls providers (individually or in groups) with Medicare, Medicaid, and all major private insurance payers. Should have exposure in handling PECOS and NPPES systems - Strong knowledge in CAQH application and Facilitate provider re-attestations of CAQH data as required by CAQH. Verifies completeness and accuracy of application documents, coordinates with onshore team and payer support to obtain all necessary information. Promptly submits applications to ensure maximum reimbursement for all providers. Performs electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment for all providers, for all applicable payers. Compiles and maintains a list o...

Job Description Entering and validating customer orders on EOS and syteline systems. Verify order details for accuracy, including product selection, pricing, and delivery details. Respond to inquiries regarding order status, delivery timelines, and product availability. Handle order changes, cancellations, and special requests. Manage contracts and services in accordance with company policies. Analyze the contract details and process it accurately. Process and manage warranty claims. Analyzing the claim data and determining validity and eligibility. Able to complete reports on time. Able to complete order & contract management within the turnaround time. Create and maintain SOP. Skills and r...

The Candidate will be responsible for understanding of the product and target market and create your account management strategy to retain and grow shippers and win business volume from them. Additionally, the incumbent will be responsible for maintaining positive shipper relations by managing critical input levers. Deliver positive experience to assigned shipper accounts and win volume (#Shipments and Revenue) and hygiene parameters Develop individual account management strategy at a shipper-level Understanding and reinforcing the value proposition and creating joint business plans with shippers Action proactive and reactive measures on key business parameters like operations, claims, and r...

As an AR Analyst at iSource, you will be responsible for identifying specific issues with claims and gathering necessary information from clients by asking targeted questions. Your role involves documenting all actions and notes in the client's revenue cycle platform, following client-specific standards. Additionally, you will conduct aging analysis to understand the days in Accounts Receivable (A/R) and identify top reasons for claim denials. Providing detailed reports to clients to help them address denial trends is also a key aspect of your responsibilities. It is crucial to maintain high ethical standards in all activities, ensuring actions are in the best interest of the client and the ...

Customer Support Executive Job Name: Customer Support Executive Job Role: Customer Support Industry:BPO/ KPO/ SoftwareProcess:Non-Voice - Voice Job Location:Udaipur (Rajasthan) Experience:Fresher - 8 yearSkills:Customer Support, Client Handling Salary:Best In the industry Education:Any Graduate Job Summary: Understand the basic professional standards and established procedures, policies before taking action and making decisions. Processing claims/developing projects/handling calls, as per the process guidelines. Handling inbound communication via various means in a professional manner. Resolving customer inquiries and requests and ensuring strong customer satisfaction. About The Role :: iden...

The Deductions Snr Exec B2B Order to Cash (O2C) reports directly to the Deductions AM, within the O2C thread in Global Shared Services. The Deductions Snr Exec is responsible for identifying and processing the KBNA Deductions high volume, high value portfolio. The Deductions Snr Exec will collaborate with the Deductions AM and other team members to: Identify, code and process the deductions portfolio that they have been set with mindset of the end-to-end processes, customer centricity, suggesting improved processes where appropriate. Achieve service delivery goals Interact and build business relationships with key business stakeholders, involved in the deductions processing, i.e.: Customer S...

Responsibilities: * Manage claims from receipt to settlement * Ensure timely claim payment & investigation * Collaborate with stakeholders on claim resolution * Adjudicate health & property claims accurately

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...

Guidewire Developer and play a key role in transforming the insurance technology landscape. Key Responsibilities: Participate in business and functional requirements review meetings to design and formulate technical specifications for Guidewire implementations. Analyze requirements to determine the best approach using Guidewires Out-of-the-Box features or custom solutions. Estimate development efforts for both Configuration and Integration tasks. Design, develop, and unit test Guidewire configurations and customizations using GOSU . Implement Guidewire integration plugins to enable seamless data exchange with vendor partners and internal systems. Perform defect triage and fixes during System...

About Company Founded in 2011, ReNew, is one of the largest renewable energy companies globally, with a leadership position in India. Listed on Nasdaq under the ticker RNW, ReNew develops, builds, owns, and operates utility-scale wind energy projects, utility-scale solar energy projects, utility-scale firm power projects, and distributed solar energy projects. In addition to being a major independent power producer in India, ReNew is evolving to become an end-to-end decarbonization partner providing solutions in a just and inclusive manner in the areas of clean energy, green hydrogen, value-added energy offerings through digitalisation, storage, and carbon markets that increasingly are integ...

We are looking for a skilled professional with 3 to 8 years of experience to join our team as a Sr Analyst Claim Adjuster. The ideal candidate will have a strong background in claim adjusting and excellent analytical skills. Roles and Responsibility Analyze complex claims data to identify trends and patterns, providing insights to stakeholders. Develop and implement effective claim adjustment strategies to optimize business outcomes. Collaborate with cross-functional teams to resolve claims-related issues and improve processes. Conduct thorough analysis of claims data to ensure accuracy and compliance with regulations. Identify areas for process improvement and implement changes to increase ...

We are looking for a highly skilled and experienced professional to join our team at Angel & Genie. The ideal candidate will have a strong background in the industry and excellent skills. Roles and Responsibility Manage and oversee daily operations of the company. Develop and implement strategies to achieve business goals. Collaborate with cross-functional teams to drive growth and improvement. Analyze market trends and competitor activity to identify opportunities. Build and maintain relationships with key stakeholders and clients. Ensure compliance with regulatory requirements and industry standards. Disclaimer: This job description has been sourced from a public domain and may have been m...

We are looking for a highly skilled and experienced Branch Clinic Manager to lead our team in Banaswadi. The ideal candidate will have a strong background in managing clinics and mentoring teams, with excellent communication and leadership skills. Roles and Responsibility Manage daily operations of the clinic, ensuring efficient workflow and high-quality patient care. Lead and motivate a team of healthcare professionals, providing guidance and support to achieve goals. Develop and implement strategies to improve patient satisfaction and loyalty. Collaborate with other departments to ensure seamless service delivery. Maintain accurate records and reports, ensuring compliance with regulatory r...

We are looking for a highly skilled and experienced Area Sales Executive to join our team in Bangalore. The ideal candidate will have a strong background in sales and mentoring, with excellent communication and leadership skills. Roles and Responsibility Develop and implement effective sales strategies to achieve business objectives. Build and maintain strong relationships with clients and stakeholders. Provide guidance and mentorship to junior sales team members. Analyze market trends and competitor activity to identify new business opportunities. Collaborate with cross-functional teams to drive sales growth. Identify and pursue new business leads and opportunities. Disclaimer: This job des...

We are looking for a highly skilled and experienced Sales Officer to join our team in Bodh Gaya, Bihar. The ideal candidate will have a strong background in sales and mentoring. Roles and Responsibility Develop and implement effective sales strategies to achieve business objectives. Build and maintain strong relationships with clients and customers. Conduct market research and analyze sales trends to identify new business opportunities. Collaborate with cross-functional teams to drive sales growth. Provide excellent customer service and support to ensure high levels of customer satisfaction. Identify and pursue new business leads and opportunities. Disclaimer: This job description has been s...

We are looking for a highly skilled and experienced Sales Specialist to join our team, focusing on Amazon Shipping. The ideal candidate will have a strong background in sales and mentoring, with expertise in the field of Amazon Shipping. Roles and Responsibility Develop and implement effective sales strategies to drive business growth. Build and maintain strong relationships with clients and stakeholders. Provide expert guidance and mentorship to junior team members. Analyze market trends and competitor activity to identify opportunities. Collaborate with cross-functional teams to achieve business objectives. Identify and pursue new business opportunities to expand the customer base. Disclai...

We are looking for a highly skilled and experienced Medical Receptionist to join our team. The ideal candidate will have excellent communication skills and be able to provide top-notch patient care. Roles and Responsibility Manage front office operations, including answering phone calls and responding to emails. Greet patients warmly and welcome them to the office. Schedule appointments and manage patient records. Coordinate with other departments to ensure smooth workflow. Maintain accurate and up-to-date patient information. Provide exceptional customer service to patients and visitors. Disclaimer: This job description has been sourced from a public domain and may have been modified by Nau...

Mandatory: 2-5 years experience in Accounts Payable and Accounts Receivable. Previously worked in a shared services environment Batchelor of Commerce degree or related Process vendor invoices accurately and in a timely manner. Prepare payment runs and ensure they comply with company policies. Respond to vendor queries and maintain strong supplier relationships. Generate and issue customer invoices. Record incoming payments and allocate correctly. Monitor outstanding receivables and follow up on overdue accounts. Assist with credit control and customer reconciliations. Post daily bank transactions and reconcile bank statements. Maintain accurate cash flow records and report variances. Support...

Previous admin experience Excellent IT skills including excel and inputting data accurately and efficiently Good communication skills Organisational skills with the ability to manage own workload Ability to prioritise tasks and work to deadlines Excellent attention to detail A team player Excellent client care and customer service skills We will start to build your skill set with the vision that you increase in competence across all activities in your role day to day but also broaden capacity across all administration areas. Accurately input new claims within set time frames Support with CRU and NHS post and tasks Provide admin support to a team of claims handlers and to other departments wh...

Review and reporting on process updates and team metrics with the reporting manager Provide mentorship, coaching and training to the team members. Maintain compliance in process with HIPAA and adhere to company policies Daily Auditing Team Production Conducting audit feedback meetings every fortnight Providing team assistance on need basis Providing monthly quality reports to team Updating Quality Dashboard daily Auditing of Payment Tracking, Documenting Outstanding Payment, Mailing regular reports and Analysis, Payment Reconciliation, Payment Refunds and Provider Data Updates. Reducing the 90+ aged inventory by getting payments from Insurance. Requirements Candidate must have minimum 5 year...

Maintaining and tracking day to day HR operations (Display of notices, issuing out pass related to ER and Admin) Ensuring effective completion of day 1 activities of new joiner. Ensuring smooth collaboration with Unit FA team for bill related purposes (Processing of bill through NFA and SRN) Ensure and monitor the timely execution of Confirmation/ Transfer/ Separation formalities of Management, LMS, personnel for enhanced employee experience. Mapping of Oracle attendance with Leave Transaction Report of Poornata. Smooth execution of events along with HR team. Day to day maintaining Seamex tickets and Incidents. Record keeping and maintaining of files related to contractor and contract workme...

The incumbent will report to the Territory Manager. The incumbent will have to work as part of a multi-functional team and this involves collaboration with the internal team and external stakeholders. Job Responsibilities: Sales & collection Achieving sales targets & collection targets. Keep a close watch on outstanding and implement strict credit policy within 30 days time. Market relations Building up good distribution network and ensure team work Providing market infrastructure and being in regular touch with the market/customer. Distributor appointment and their staff training SWOT analysis of Market and distributor. Updating product knowledge and constant learning. Motivating the distri...