4480 Claims Jobs - Page 16

Dear Candidate Greetings from Technogen !!! We thank you for taking time about your competencies and skills, while allowing us an opportunity to explain about us and our Technogen, we understand that your experience and expertise are relevant the current open with our clients. About Technogen : https://technogenindia.com/ Technogen India Pvt. Ltd. is a boutique Talent & IT Solutions company, founded in 2008, has been serving global customers for over last 2 decades,. Talent Solutions: We assist several GCCs, Global MNCs and IT majors on their critical and unique IT talent needs through our services around Recruitment Process Outsourcing (RPO), contract staffing, permanent hiring, Hire-Train-...

Designation: Assistant Manager RCM Department: Revenue Cycle Management (RCM) Reports To: Jonathan Lasrado Employment Type: Full-Time (9:00PM Shift) Key Responsibilities: Supervise and manage a team of medical billing executives. Monitor billing processes to ensure accuracy, timeliness, and compliance with payer requirements. Review and resolve escalated issues related to claims, denials, and rejections. Ensure adherence to HIPAA and other regulatory standards. Prepare and present performance reports, KPIs, and productivity metrics. Assist in training and mentoring new team members. Support client onboarding and relationship management. Identify process improvement opportunities and implemen...

We are seeking a passionate and experienced Subject Matter Expert with strong hands-on expertise in one or more of the following areas Claims prepayment review Payment Integrity Clinical Coding Analyst Data mining Medical Coding Denials Management

Mediclaim Policy (Addition, Deletion & Claims) Life Insurance (Addition & Deletion) Couriers (Domestic & International) Travel & Hotel Bookings Housekeeping Monitoring Stationary Management Repair & Maintenance of Office

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim

Cognizant Walk-in drive for Senior Claim Adjudicator - US Healthcare in Coimbatore location Interview Date : 13th Sep 2025 (Saturday) Interview Time : 10:00 AM 12:30 PM Venue : Cognizant, CCC Campus, CHIL SEZ Campus, CHIL SEZ IT Park, Saravanampatti, Keernatham Village, Coimbatore-641035 Building Details : Food court 2 nd floor South End Contact Person : Govindaraj S / Raguvaran R Preferred candidates Profile: Must Be a graduate. Minimum 1 to 4 Years of experience in US Healthcare Claims adjudication process (Payer side) Must have experience into End to End claims processing (Candidates with only denial claims experience are not eligible) Experience in AMISYS tool is an added advantage Must ...

Responsible for Review of Tenders including preparation of PTP, PTR and Risk Assessment. Preparation/Providing of POA, Board Resolution, various Undertakings, EMD etc. PQ Documents for Bidding. Required Candidate profile Responsible for smooth closure of Contract including Final bills, Warantees, Handing Over Documentation, obtaining Virtual Completion Certificate etc.

The incumbent will be responsible for assessing the overall trade flow plan including commercial terms, operational terms, payment terms and legal obligations of sale and purchase transactions concluded by the company. The incumbent will then draft or review the underlying commercial contracts keeping in mind Trafigura’s interests and business strategy and will also highlight all potential risks for consultation with other key departments such as Trading, Cargo Operations, Trade Finance, Claims, Legal etc. Knowledge, Skills and Abilities Graduation in law studies completed by an operational experience, or an experience in commodities trading contracts or commodities trading completed by a co...

Profile Summary- Looking for Customer Care Executives. She/he will handle customer service in Travel Industry experience inquiries and problems associated with the servicing of companys client base. Answer all basic and routine customer contacts as well as more complex customer problems and/or complaints. Utilize computer applications to provide professional service Resolve the passenger query in damaged baggage, delayed baggage, missing baggage items, and damaged baggage items. Settle the claim as per the Montreal Convention. Resolve the passenger's query for delayed and cancelled flights on direct flights. For payment queries, pend the query with a refund teams. Knows how to read the PNR i...

Position Overview: We are looking for a highly skilled and detail-oriented Fraud Analyst to join our client's team in the banking industry. In this role, you will be responsible for identifying and preventing fraudulent activity within the banks operations and systems. You will play a crucial part in ensuring the safety and integrity of financial transactions, while complying with industry regulations. Key Responsibilities: Investigate suspected fraudulent activity using a variety of tools and investigative techniques. Analyze transaction data, account activity, and trends to identify suspicious patterns that could indicate fraud. Collaborate with internal departments, law enforcement agenci...

International Insurance voice Process UK shift 12:30 pm -9:30pm Off :Sat sun Salary: 28k to 30kTH Minimum 1yr Max up to 3yrs in international voice Cab : 2 Way Free (25 Km) 5,500 variable pay based on performance Contact Hr Lizzie 960678837

Position Overview: We are looking for a highly skilled and detail-oriented Fraud Analyst to join our client's team in the banking industry. In this role, you will be responsible for identifying and preventing fraudulent activity within the banks operations and systems. You will play a crucial part in ensuring the safety and integrity of financial transactions, while complying with industry regulations. Key Responsibilities: Investigate suspected fraudulent activity using a variety of tools and investigative techniques. Analyze transaction data, account activity, and trends to identify suspicious patterns that could indicate fraud. Collaborate with internal departments, law enforcement agenci...

Role Responsibilities Audit AR callers work for accuracy, resolution quality, and call handling Provide feedback and support remedial training through collaboration with the training team Monitor documentation and reports related to denials, aging, and A/R trends Maintain compliance with internal processes and uphold ethical standards Key Deliverables Accurate and consistent quality audits of RCM activities Improvement in AR team performance through actionable feedback Enhanced documentation standards and call quality metrics Support process improvements aligned with healthcare RCM standards

Role Responsibilities Audit AR callers work for accuracy, resolution quality, and call handling Provide feedback and support remedial training through collaboration with the training team Monitor documentation and reports related to denials, aging, and A/R trends Maintain compliance with internal processes and uphold ethical standards Key Deliverables Accurate and consistent quality audits of RCM activities Improvement in AR team performance through actionable feedback Enhanced documentation standards and call quality metrics Support process improvements aligned with healthcare RCM standards

Job Summary Distributor appointment / Management Primary billing , Collections and Damage management Sales promotions, Promoter management, Dealer / Distr. account redressal COB (Confirmation of balance) collection on quarterly basis account wise Sales Reporting on Tool, Claims on application, Visit reporting on Tool

Lead key strategic, cross-functional innovation projects - such as new product development, packaging changes, new product claims and key process improvements - to drive delivery of business goals. May lead broader organizational initiatives such as capability building, select governance forums portfolio support with guidance KEY RESPONSIBILITIES Scope of Role Proficiency in delivering innovation projects of varying complexity. For select markets, may be responsible for managing country-level launch details. Leadership Role model HALEON culture. Co-lead efforts to embed PM best practices as part of overall business capability building. Proficiency in driving resolution of team conflicts thro...

Clarivate Analytics is looking for a curious, creative, team worker and detail-oriented individual for the role of a Analyst. In this role, you will work with a team of data scientists to mine and make sense of three large, distinct datasets that focus on three different aspects of the US healthcare market: hospital purchasing, hospital claims and EHR (electronic health records). If you re interested in working directly with major MedTech competitors and enjoy working with complex and Real-world datasets, this is a great opportunity. About You - experience, education, skills, and accomplishments You are passionate about data and have at least 2 years of hands-on experience wrangling through ...

Clarivate Analytics is looking for a curious, creative, team worker and detail-oriented individual for the role of a Analyst. In this role, you will work with a team of data scientists to mine and make sense of three large, distinct datasets that focus on three different aspects of the US healthcare market: hospital purchasing, hospital claims and EHR (electronic health records). If you re interested in working directly with major MedTech competitors and enjoy working with complex and Real-world datasets, this is a great opportunity. About You - experience, education, skills, and accomplishments You are passionate about data and have at least 2 years of hands-on experience wrangling through ...

The Senior Accounts Receivable Analyst performs account review and claims follow-up on outstanding accounts. Analyst is responsible resubmitting claims, contacting insurance companies, analyzing remittances and taking appropriate action on rejections and denials. Operational Responsibilities: Review patient ledgers with outstanding charges and take next best action for follow up to collect balances. Verify insurance eligibility and update patient accounts based on client-specific SOPs Investigate claims status and next best action for open accounts via available insurance websites. Call insurance companies to investigate claims status, identify appeals action and next best action to resolve ...

Need 0 to 5 years of experience into US Insurance/Claims. The work is non-financial in nature, e.g., beneficiary changes, address change, name correction, etc. Candidates must possess good communication skills. Open to work in Night Shift.

About The Role Skill required: NA - Business Transformation Designation: Business Transformation Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? In this role, you will be expected to develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Also, translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth.Develop transformation vision, assess vision feasibility and capability gaps, plan journey management. Translate economic trends into industry competitive advantage, transform a business to enable profitable & sustainable growth. What...

About The Role Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Duck Creek Claims Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various teams to ensure project milestones are met, addressing any challenges that arise, and providing guidance to team members to foster a productive work environment....

WNS Gurgaon Hiring Associates for Healthcare -Claims and Medical Billing Skills - Good communication, experience in healthcare domain, claims processing Claim Review and Processing: Reviewing claims for accuracy, completeness, and adherence to insurance policies and regulations. Verification and Eligibility: Verifying patient eligibility and insurance coverage. Education : Minimum Graduate in any field. Experience : Prior experience in healthcare claims processing, medical billing, or a related field (2 years to 3 years). RCM Mandatory Knowledge : Familiarity with medical terminology. Process : Non-Voice Location- Gurgaon Shifts-US shifts(Rotational)

remote typeOn-site locationsGurugram, HR time typeFull time posted onPosted Today job requisition idREQ428107 Overview of the role: The Senior Quantity Surveyor is required to provide commercial support to the project team, maintaining commercial information and ensuring compliance with contractual requirements. He will liaise with customer representatives and other third parties on commercial issues including agreement of variations, claims and any additional payments. What you will do: Technical Reporting Ensure robust, accurate and timely cost and value reporting at both project and business unit level Ensure accurate cash flow reporting takes place Carry out cost management including for...

remote typeOn-site locationsGurugram, HR time typeFull time posted onPosted Today job requisition idREQ428107 Overview of the role: The Senior Quantity Surveyor is required to provide commercial support to the project team, maintaining commercial information and ensuring compliance with contractual requirements. He will liaise with customer representatives and other third parties on commercial issues including agreement of variations, claims and any additional payments. What you will do: Technical Reporting Ensure robust, accurate and timely cost and value reporting at both project and business unit level Ensure accurate cash flow reporting takes place Carry out cost management including for...