7672 Claims Jobs - Page 50

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MCA,MTech Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a Senior Product Manager you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the In...

QA Lead- 8+ Description : Good Knowledge in JAVA Good test automation skill using Selenium. Good knowledge in file handling using JAVA (xml/.txt /json) Overall HC domain knowledge- Claims(Mandatory), provider, payer, health plans (HMO, PPO, Medicare, Medicaid). Hands on in SQL queries Good Agile skills should have participated in all Scrum ceremonies and Healthcare exp

Role & responsibilities Job summary The Account Manager for Provider Data Management is the primary contact for healthcare provider clients, responsible for client satisfaction, retention, and account growth. This role requires expertise in provider data management and strong client relationship skills. Key responsibilities Client relationship management: Serve as the main liaison between the company and assigned provider accounts. Cultivate strong client relationships, understand their needs, and act as a trusted advisor on provider data management processes. Account growth and performance: Identify opportunities for expanding business within existing accounts. Monitor account performance m...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews

1 . We Are Hiring AR Callers || Up to 45 K take home Salary For Physician Billing ( PB ) - 40 K Take Home salary For Hospital Billing ( HB ) - 45 K Take Home salary || Cab Facility || Incentives || Immediate Joiners || Job Title - Senior AR Caller Eligibility :- Min 8 + Months of experience into AR Calling Package :- Up to 45 K + Incentives + 2 way Cab Facility For Physician Billing ( PB ) - 40 K Take Home salary For Hospital Billing ( HB ) - 45 K Take Home salary Location :- Hyderabad , Bangalore, Chennai, Navi Mumbai, Mohali Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to...

About the Role Were seeking a Senior Business Analyst with deep healthcare process expertise to drive end-to-end requirements, optimize operational workflows, and enable measurable outcomes across clinical and/or revenue cycle operations. You will partner with business, clinical, and technology teams to translate complex business problems into scalable solutions—balancing compliance, patient/member experience, and financial performance. Key Responsibilities Discovery & Requirements Lead discovery workshops, stakeholder interviews, and process reviews to elicit business and functional requirements. Translate business needs into BRDs, FRDs, user stories, acceptance criteria , and process docum...

Role & responsibilities 1. Claim File Review Conduct end-to-end review of closed claim files (cashless & reimbursement). Verify correctness of claim adjudication, coding, documentation, and decision rationale. Ensure all required documents (policy, KYC, bills, prescriptions, investigations) are present and valid. Check medical necessity, line of treatment, and adherence to standard treatment guidelines. 2. Compliance & Quality Checks Ensure claim decisions comply with IRDAI regulations and company SOPs. Identify any potential non-compliance, financial leakage, or process discrepancy. Validate adherence to TAT norms and communication standards. 3. Fraud, Waste & Abuse (FWA) Indicators Identif...

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. ...

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 programs to enhance skills and knowledge. Contribute to the overall success of the organization through positive attitude and t...

LTIMindtree hiring Finance Manager(FP& A). Exp-13 to 18 yrs. Notice period- Immediate to 30 days, Location- Noida Shift- Flexible to work in rotational shifts Mandatory skills: Finance Lead (10 to 12 years experience in managing the team ) if interested Share me these details along with CV-Richa.Srivastava@ltimindtree.com Total Experience in Finance Lead - Relevant exp.in P&L, reinsurance transactions - Current CTC- Expected CTC- Holding offers if any- Current Location- Preferred Location- Notice period- Current Company- Skills- Date of Birth- PAN No- Passport size photo-- Availability for interview- Job description We are seeking a highly skilled and experienced Finance Lead to oversee fina...

Role : Assistant Manager - Claims. Shift timing : 6 pm to 3 am or 3 pm to 12 am Location : Pune ******************************************************************************************* IMMEDIATE JOINERS ALERT! We're looking for candidates who can join immediately. If you're available, please send your CV via WhatsApp only to: 9076159575 Please note: No calls will be entertained. ******************************************************************************************* Job Description Position Summary Minimum 2 years of experience as Team Lead/Manager. Managed minimum span of control 15-20.The role requires strong financial accounting as well as insurance knowledge, claims processing expe...

Educational Requirements Bachelor of Engineering,Bachelor Of Technology,Bachelor Of Computer Science,Intergrated course BCA+MCA,Master Of Technology Service Line Application Development and Maintenance Responsibilities Masters Degree with Minimum 6 Years of Experience or Bachelors degree or foreign equivalent with Minimum 8 Years of experience required. Experience in the full System Development Life Cycle (SDLC) on a variety of technologies and platforms preferably in Property and Casualty and or Life Insurance At least 4-8 Years experience in one or more of the following skills in P&C / Life Insurance domain - Scrum/Agile experience in a PO role or similar on an Agile Team environment. Exce...

As a Process Analyst– 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 amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communica...

Processing life and annuity insurance claims involves investigating, processing, and disbursing payments, including validating documents, determining claim actions, and calculating benefit amounts for beneficiaries. Work well with Onshore /Offshore customers encouragingly and professionally via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Facilitate team huddles and teach-back sessions as scheduled. Complete certification on the identified process and developmental training. Participate in ...

Role: AR analyst Exp: 1+ years exp in ar analyst, denial management Dayshift Salary: 22K Takehome Immediate joiners Experience papers mandatory!!! Regards, Naren 7200395798

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Team Management Participate in recruitment process to identify the right talent within the function. Guide and direct the team in efficiently achieving their targets. Establish individual performance expectations and regularly review individual performance of the team. Identify and create development opportunities for team members to enhance functional knowledge. 2. Non Motor Claims and Network Management Implement Claims SOP within the team and service network and ensure adherence of the same. Claims forecasting and workload distribution within the team and service providers based on claims volume, seasonality and ASP skill sets Claim processing an monitoring day to day claims activities an...

Job description Team Executive - Payment Integrity Location : Chennai Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Claims Adjudication(Payment Integrity, PrePay audit, Postpay audit) . With over 1 year of experience as a Team leader Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and...

Job Description : Thorough knowledge of marine insurance and liability insurance, all general insurance with expertise in terms of policy terms, coverage, and risk management. Compile necessary data for the annual renewal process & during the year renewals of all corporate insurance, ensuring all required information is collected and reviewed with comparison report for current v/s required coverage Process payments for insurance premiums within stipulated timelines & maintaining a cash deposit ledger, ensuring detailed scrutiny of transactions for accuracy and compliance. Update and maintain an effective insurance Management Information System (MIS) Liaise with brokers and direct insurers to...

Job Description: Health Admin Services Representative The Claims Processor will play a key role in supporting the healthcare claims function by ensuring accurate and efficient processing of claims from start to finish. The position requires strong knowledge of claims operations, including receiving, reviewing, editing, pricing, adjudicating, and processing payments. The ideal candidate must be detail-oriented, analytical, and capable of working with established processes, guidelines, and systems to ensure timely and accurate claim outcomes. Key Responsibilities: Receive incoming healthcare claims and verify completeness of required information. Review and edit claim details to ensure accurac...

Preferred candidate profile Excellent verbal and written communication skills Ability to make outbound calls to U.S. health insurance companies, patients, and providers (as needed) Perform pre-call analysis and resolve AR claims through appropriate end-resolution actions Strong domain knowledge in Medical Billing and AR Denial Management Good understanding of various specialties, including DME Immediate joiners preferred Shift - Night Shift

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The administration of h...

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About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The administration of h...