3155 Claims Processing Jobs - Page 11

Dear Candidates Are you looking for opportunities ? If yes, read below to know more about an opportunity in Redserv (Redington Group), one of the leading Supply Chain Management organizations! Role hiring for :Marketing claims Work Location : Perungalathur Experience : 1-3 Years Mode : Work from office(Mandatory) Notice : Immediate - 15 days Education : BA or B.Sc is must Description Invoice and debit note raising to vendor Vendor Receivables follow-up Checking vendor portal for payment details and claim status Uploading claims in vendor portal Checking claim status in vendor portal. If interested please share your resume to vino.mugunthan@redingtongroup.com Regards Team HR

Preferred candidate profile Hiring for SME and TL Role Kochi location- walkin interviews Minimum experience of 4+ years into claims adjudication in US Healthcare Facets exposure is added advantage Budget upto 6.4 LPA for SME and 8.5 LPA for team lead Team lead on papers experience is mandatory with good team management skills US Shifts For more details, contact on below Aslam Khan 88909 36366. aslam@manningconsulting.in Chhavi Bhatt 8955611211 Chhavi.bhatt@manningconsulting.in

Fortis Hospital Mohali is hiring Head TPA, Interested candidates can contact at 7015298971 for more details or share resume at baljinder.singh@fortishealthcare.com

Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS). Liaising with Claim handlers onshore, brokers, and underwriters. Manage all administration aspects of the claim Attention to detail you will need to make sure that all conditions of a claim are met to make sure that the claim can be processed and validated. Performing quality checks on tasks performed by colleagues. Constantly elaborating existing processes and looking for improvement opportunities. Getting involved in testing and sharing results. Looking to engage in projects and opportuniti...

Role & responsibilities Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc. in Legacy as well as a new environment called Global Claim System (GCS). Liaising with Claim handlers onshore, brokers, and underwriters. Manage all administration aspects of the claim Preferred candidate profile Graduate / Postgraduate with relevant years of experience within Insurance/Reinsurance industry. Positive, innovative, and make it better mindset to bring operational efficiencies. Experience in MS Excel and PowerPoint is required support segment KPI and management reporting.

Greetings From Scorelabs Inc ! Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Qua - BAMS , BHMS & MBBS Freshers Are also Welcome ( If they Interested in Claims) Required Candidate profile Handle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and insurance officers for clarification or denials. Hr Mounika - 8688334476

Cognizant Walk-in drive for Freshers -US healthcare Process at Kochi location. Interview Date : 1st Nov 2025 (Saturday) Interview Time : 10:00 AM to 1:00 PM Venue - Cognizant, Infopark Phase 2, Kakkanad, Kochi, Kerala 682303 Building Details: 12th floor MPH POC:Raguvaran Preferred candidates Profile: Eligible --Arts Graduates B.Com/B.Sc/BBA/BA/BCA/B.Arch (2023/2024/2025 passed out only) Not Eligible -- BE/B.Tech/MBA/MCA Shift : US Night shift (5:30 PM IST 3:30 AM IST) Work Mode: only Work from Office (Kochi location) US Healthcare Non-Voice BPO process Candidates must have good communication. Interested candidates can walk-in to the Venue with the following documents : 1. Updated resume (2 h...

Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, which encompasses ...

We are looking for a highly motivated and enthusiastic individual to join our team as a Guest Service Associate in the F&B service department. This role is suitable for candidates with 0-2 years of experience, providing an excellent opportunity to learn and grow with our company. Roles and Responsibility Provide exceptional customer service to guests, ensuring their needs are met and concerns addressed promptly. Manage front-of-house operations, including reception, concierge, and bell captain duties. Coordinate with other departments to ensure seamless guest experiences. Maintain high standards of cleanliness and hygiene in all areas. Develop and implement effective communication strategies...

Cognizant Walk-in drive for US Healthcare -Claims Process at Kochi location. Interview Date : 1st Nov 2025 (Saturday) Interview Time : 10:00 AM to 1:00 PM Venue - Cognizant, Infopark Phase 2, Kakkanad, Kochi, Kerala 682303 Building Details: 12th floor MPH POC: Raguvaran Preferred candidates Profile: Experience range required - 2 to 4 years Minimum 2 to 4 Years of experience in US Healthcare Claims adjudication Notice Period : Immediate to 30 days Preferred Education: Graduation is Must Must have good communication skills Should be ready to work in Night shift (US Shift) Mode of Work : Complete Work from Office Interested candidates can walkin to the Venue with the following documents : 1. Up...

Position - AR Callers Experience - Min 1 year of experience in AR Calling A previous company's relieving letter is not mandatory Salary Slab max- 40K Immediate joiners or 15 days max Hospital Billing needed Suvetha: 9043426511

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficiencies BE Automobile Graduate/Diploma with or without Automotive experience BE Mechanical Graduate/Diploma with Automotive experience Experience in ...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Immeadiate joiners preferred AR caller Experience - 1- 4years location - Chennai, Trichy salary - 20000 - 40000 per month contact - 7904990032 *4- 8 months of gaps accepted

About The Role Skill required: Record To Report - Balance Sheet Account Reconciliations Designation: Record to Report Ops Senior Analyst Qualifications: BCom/CA Inter/Post Graduate Diploma in Finance Years of Experience: 5 to 8 years What would you do? You will be aligned with our Finance Operations vertical and will be helping us in determining financial outcomes by collecting operational data/reports, whilst conducting analysis and reconciling transactions. Daily claims review with 100% accuracy and maintain TAT and Quality as per Accenture standards. Administer treaty and Facultative reinsurance contracts. Knowledge of reinsurance contracts, including treaty administration, claims process...

Accurately code medical records using relevant codes and guidelines.Ensure compliance with regulatory requirements and industry standards.Collaborate with healthcare professionals to clarify coding discrepancies. Required Candidate profile Strong knowledge of medical terminology and coding principles. Experience with electronic health records (EHR) systems. Familiarity with coding software and tools.

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medi...

Conduct thorough analysis of clinical trial data to identify potential safety risks and trends.Develop and implement effective safety protocols and procedures to mitigate identified risks.Monitor and report adverse events Required Candidate profile Strong understanding of clinical safety principles, regulations, and standards (e.g., GCP). Experience working with medical devices or pharmaceuticals is preferred.

Develop high-quality medical documents, including reports, notes, and correspondence.Review and edit medical records for accuracy, completeness, and compliance.Provide training and support to junior staff members on document writing Required Candidate profile Minimum 3 years of experience in medical document writing or review, preferably in an employment firm or recruitment services firm. Strong knowledge of medical terminology, regulations,

Develop and maintain detailed documentation of business processes and procedures. Work closely with stakeholders to understand their needs and provide training and support. Required Candidate profile Identify areas for process improvement and implement changes to increase efficiency. Develop and maintain relationships with key stakeholders and vendors.

Enter, update, and verify data in company databases or systems Maintain accuracy and completeness of information at all times Review and correct data errors before entry Retrieve data as requested by authorized personnel Shift timing; 2 PM-11 PM Required Candidate profile Good communication in English and good behavior Hiring Freshers Basic computer knowledge Strong attention to detail and organizational skills. Ability to work independently and as part of a team. Perks and benefits Hiring Freshers Only Salary: 20k to 25k

Conduct thorough analysis of clinical trial data to identify potential safety risks. Develop and implement effective safety protocols to mitigate adverse events. Collaborate with cross-functional teams. Required Candidate profile Strong knowledge of clinical trials, medical devices, and regulatory requirements. Excellent analytical and problem-solving skills. Ability to work effectively in a fast-paced environment.