4480 Claims Jobs - Page 10

Roles: Perform follow-up with US insurance companies on outstanding claims. Handle denials, rejections, underpayments, and appeals effectively. Understand EOBs, ERAs, and AR aging reports. Send resume to careers@osprosys.com contact : 9845701484

Key Responsibilities: Lead and manage non-customer service healthcare operations including medical coding, claims processing, billing, data management, and healthcare analytics. Oversee day-to-day team activities ensuring adherence to service levels, quality standards, and compliance requirements. Implement process improvements and optimize workflows to increase efficiency and reduce errors. Monitor key performance indicators (KPIs) and generate reports to track operational performance. Ensure compliance with healthcare regulations such as HIPAA, ICD coding standards, and payer-specific guidelines. Collaborate with internal teams, clients, and external vendors to resolve issues and improve p...

Greetings from TCS BPS!! Dear Candidates, TCS BPS is hiring for any International Insurance professionals at TCS Pune. Job Summary: Process: International Insurance/Insurance Operations (Life, Pensions, Annuities) Work Location: Pune (Sahyadri Park) 1 +Years of experience in any International Insurance and Good Communication skills Position Summary: Associates will be responsible for handling and undertaking rule-based transactions with a small element of decision making, preset performance criteria and ensure data entry & information processing in accordance with process documents, procedures manuals and /or as per the agreement and compliance requirements. Associates may be engaged in emai...

We are looking for a highly motivated and enthusiastic individual to join our team as a Helper in the hospitality industry. The ideal candidate should have 0-1 years of experience. Roles and Responsibility Assist with daily tasks and operations to ensure smooth service delivery. Provide exceptional customer service, responding promptly to guests' needs and resolving issues professionally. Maintain high standards of cleanliness and hygiene in all areas. Collaborate with colleagues to achieve common goals and objectives. Participate in ongoing training and development to enhance skills and knowledge. Contribute to the overall success of the organization through positive attitude and teamwork. ...

Vertical - Insurance/Claims Education - Only Graduates Experience - Min 2 Years experience into Claims/Insurance or Health Care Boundary Limits - 20Kms from Office location - Kundalahalli Process - Blended Shifts - Rotational Shifts with Rotational Weekoffs 2 Way Transport will be provided for all shifts Salary - 4.5LPA - 5LPA

Qualifications - 1 . Masters degree in business administration . 2. Proven experience as a Business Analyst in the insurance or financial services industry, with expertise in broking placement processes. 3. Strong analytical skills with the ability to interpret complex data and make strategic recommendations. 4. Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse teams. 5. Proficiency in business analysis tools, project management software, and Microsoft Office Suite. 6. Knowledge of industry standards, regulations, and best practices related to broking and claims processes. Responsibilities: 1 . Business Process Analysis: o Conduct comp...

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custome...

Immediate Hiring | US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 2.4 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately and follow up when needed Sugge...

Preparation of payment runs for vendors Sending remittance advice to vendors. Liaising with the Treasury team agency with regards to amendments for BACS payment files, ensuring any anomaly on the payment selections are reported to Treasury team agency to resolve within the agreed timescale. Maintain accurate and up-to-date filing. Assist with Internal and External Client Audits. Maintain the level of accuracy and meet the deadlines for manual payments - Daily. Checking payment runs in line with the agreed signature Matrix. Provide holiday and sick cover as necessary. As a holiday sick cover able to take handle below tasks: Ensure all expense paperwork is date stamped on day of receipt. To pr...

You will be working as an Analyst in Pune, responsible for data analysis, market research, and reporting to support business decisions. Your tasks will include collecting and analyzing data, working on PO and sales orders, solving stakeholder queries, interpreting trends, preparing reports, and assisting with data-driven strategy development. Collaboration with team members to provide insights and recommendations for enhancing business performance is crucial. Key Responsibilities: - Collect and analyze data for business decision-making - Work on purchase orders and sales orders - Solve stakeholder queries - Interpret trends and prepare reports - Assist in developing data-driven strategies Qu...

Role Overview: You will be the Tech Lead responsible for overseeing the architecture and technical solutioning for GenAI-powered use cases in the insurance industry. Your role will involve collaborating with business teams, designing end-to-end systems, ensuring technical delivery, and serving as the technical face to the client. Key Responsibilities: - Lead the architecture and technical solutioning for GenAI-powered use cases in the insurance industry. - Collaborate with business teams to ideate, assess, and create use cases demonstrating tangible value. - Design end-to-end systems integrating GenAI components, APIs, and cloud infrastructure. - Drive technical delivery to ensure scalabilit...

Handle Provider Chat queries and meet client SLA 5*10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

Handle Provider Chat queries and meet client SLA 5*10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

Act as a strategic advisor to the executive team on IT-related challenges and opportunities Provide insights into emerging trends such as cloud computing, cybersecurity, and AI-driven solutions Help shape the companys long-term technology roadmap Candidates should have experience in IT leadership roles within Fortune 500 companies or high-growth startups Ability to mentor CTOs and tech teams is an added advantage Mandatory Key Skills cybersecurity,Artificial intelligence,strategic advisor,strategy management,cloud computing*

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement ser...

About The Role Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:Life and Pensions- Digital ContactJob Role :Customer ServicePrimary Skills :Chat support What are we looking for? Skillset:Education:Bachelors degree in Communications, Business Administration, or a related field is preferred.Experience:Previous experience in customer service, digital support, or a similar role is desirable.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ab...

This position is responsible for the retention, growth and account management of Property & Casualty accounts allocated to him/her S/he is required as a Team Leader to nurture, manage and make inroads into the domestic clients (existing & new) This includes strategic initiatives to generate additional revenue through cross-sell and up-sell in existing clients Proactively develop pipeline of new client relationships Deliver on organizational revenue goals through focused and measurable outcomes Manage a team of relationship managers/account executives, while taking complete ownership of the portfolio of clients Qualifications Must be a team player with strong leadership skills, excellent comm...

Assisting with the preparation of operating budgets, financial statements, and reports. Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll adminis...

At Loop, companies take pride in offering exceptional employee benefits, and Enterprise Servicing Executives (ESMs) are the heroes who ensure that benefits delivery is smooth, seamless, and hassle-free for both HR teams and employees. As an ESM, you will be the day-to-day partner for HR leaders, ensuring they have everything they need to champion Loop s benefits within their organizations. Your success is measured by the success of your HR partners making their lives easier and ensuring employees experience world-class benefits. You will work closely with Enterprise Account Managers (EAMs) to ensure 100% logo retention and 150% Net Revenue Retention (NRR) for your assigned accounts. Addition...

As an ESM, you will be the day-to-day partner for HR leaders, ensuring they have everything they need to champion Loop s benefits within their organizations. Your success is measured by the success of your HR partners making their lives easier and ensuring employees experience world-class benefits. You will work closely with Enterprise Account Managers (EAMs) to ensure 100% logo retention and 150% Net Revenue Retention (NRR) for your assigned accounts. Additionally, you will collaborate with Dedicated Claims Handlers and Operations Agents on enterprise accounts with a premium of 1Cr+ to provide white-glove service. This role is a launchpad for career growth, with a clear path toward becoming...

HVDC is looking for a Category Specialist to support the global sourcing initiatives, under collaboration with global category manager. Handle activities that require agility to transform category strategies into actions. Work collaboratively with Project team and other internal stakeholders, to ensure optimal business outcomes. Ensure that procurement activities are in accordance with the HVDC Business Strategies and with corporate purchasing policies and procedures. Category Specialists are expected to engage in projects and execute strategies defined during the Tendering phase. You are welcome into a growing team where you have a great opportunity to develop your own role in the company. ...

The SBO Operations team at Navi is the engine that powers our internal execution. By managing and optimizing key processes across functions, the team ensures that every part of the business runs smoothly and efficiently. Their work forms the backbone of Navi s ability to consistently deliver high-quality products and services at scale enabling speed, accuracy, and reliability across customer journeys and internal workflows. About the Role As we continue to grow, we are looking for a Team Leader to join our Business Operation teams overseeing Litigation charter and play a pivotal role in managing complex legal matters and ensuring operational excellence. As the Team Leader for Insurance Opera...

Product and Service Quality Gain deep understanding of data that impact service and product quality. Understand the problem, visit GEMBA if needed, perform first level analysis, identify the nature of issue (related to design, Supplier or Mfg process etc ) Work with Cross-Functional teams to address and solve key quality issues and inquiries, based on data and reported issues, including the ones affecting the Serviceability of Vertiv products, collaborating in the implementation of corrective actions with Service, Manufacturing, Engineering or any other function that can be involved. Ensure Service issues are addressed quickly and drive the actions with respective teams Work with business le...

Aster DM HealthCare Global Centre is looking for Senior Associate.Revenue Cycle Management.Aster Global Centre - India to join our dynamic team and embark on a rewarding career journey As a Senior Associate in Revenue Cycle Management, you will be responsible for ensuring the efficient and effective functioning of the revenue cycle processes within a healthcare organization You will oversee various aspects of revenue cycle operations, including patient registration, charge capture, coding, billing, claims processing, denial management, and accounts receivable follow-up Your primary goal will be to optimize revenue generation, maximize collections, and minimize denials to ensure the financial...