3155 Claims Processing Jobs - Page 13

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. Salary upto 49k in hand Min - 1 year of work experience is required. Deepali - 9650092537

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Noida Sector 3 Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : 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 ...

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description This job involved leading a team whose primary role involved in supporting the data entry updates/ gathering required information / documents to support claim finalization. As part of the role the teams review images and documentation received with regards on...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more tha...

Key Responsibilities: Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure accuracy in claims decision-making. Customer Interaction & Support: Communicate with policyholders, hospitals, and third-party administrators (TPAs) to explain claim decisions in a clear and professional manner. Handle escalated or complex customer service issues involving medical claims. Offer support and guidance on claim submission processes and documentation requirements. Compliance & Documentation:...

Job Title: Customer Success Specialist - Non Voice Process (Excellent Communication Required- Both Verbal and Written) Location: Chennai Contract: Permanent Grade: 1 Teleperformance is recruiting Customer Success Specialist for an International Process based in USA. Who we are: Teleperformance is a French MNC that offer Customer experience management services in more than 80+ countries, with more than 410,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment. Remuneration: (30% Hike from the Last Take Home) Up to 3.5 Lakhs Annual CTC. Based on the ...

Responsibilities: Client onboarding on our tech platform . Ensure compliance with regulatory requirements. Collaborate with stakeholders on risk mitigation strategies. Provide proactive client support Conduct data entry and analysis

Responsibilities: * Manage AR calls, denials & RCM processes * Ensure timely payment posting & claim submission * Handle medical billing tasks with accuracy * Adhere to HIPAA compliance standards

Hiring AR Caller in Pune Should have min 1 year experience as AR Caller Should have excellent knowledge in RCM Candidate should have good communication skills in English Wekeends off, Cabs Also hiring for Prior Auth, EVBV Call Husain at 7990477483

Hiring AR Caller in Pune Should have min 1 year experience as AR Caller Should have excellent knowledge in RCM Candidate should have good communication skills in English Wekeends off, Cabs Also hiring for Prior Auth, EVBV Call Husain at 7990477483

Key Responsibilities Counsel students through inbound and outbound calls, emails, or in-person meetings. Understand student requirements and suggest suitable academic or professional courses. Provide detailed information on course structures, eligibility criteria, admission procedures, and career outcomes. Follow up with potential leads to convert inquiries into enrollments. Maintain student databases and track communication history. Assist students with application forms, documentation, visa procedures (if applicable), and scholarship guidance. Coordinate with internal departments (faculty, marketing, admin) for smooth onboarding. Participate in seminars, open houses, and education fairs as...

manages insurance claims, prepares bills for patients and TPAs, and ensures smooth reimbursement processes for healthcare services. Key duties include handling TPA portals, coordinating with hospital staff and patients, processing claims.

Rolesh & Responsiblity Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT Note : Work from office.. Thanks Hariprasad

Walk-In Drive on 30th October 2025 at Cotiviti -Pune for US Healthcare Audit Walk-In Date: 10-October-2025 (Thursday) Time: 10:00 Am 1:00 Pm Venue: Cotiviti India Pvt Ltd Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune- 411006. We are hiring for the US Healthcare Data Audit process at Cotiviti. Please refer to the information below and required skill set for the same. POSITION SUMMARY: Specialist Payment Accuracy position is an Entry level position responsible for auditing client data and validating claims accuracy. A Specialist communicates audit recommendations and outcomes to supervisory auditor for evaluation, verification and continuous learning. POSIT...

COMPANY PROFILE Bain & Company is one of the top management consulting firms in the world that helps the worlds most ambitious change makers define the future, Across 65 cities in 40 countries, we work alongside our clients as one team with a shared ambition to achieve extraordinary results, outperform the competition, and redefine industries We complement our tailored, integrated expertise with a vibrant ecosystem of digital innovators to deliver better, faster, and more enduring outcomes, The firm established several functions in the Indian market early 2000s and its remit across functions has expanded over time Since 2019, these functions have become part of Global Business Services (GBS)...

Role Overview: You will be a part of our claims and risk management team in the logistics and transportation sector as an Insurance Adjuster. This role is suitable for recent graduates or early-career professionals who are detail-oriented and motivated to grow in a dynamic industry. Your primary responsibility will be to assist in processing insurance claims related to cargo, freight, and fleet incidents under the supervision of experienced professionals. Key Responsibilities: - Assist in the intake, documentation, and investigation of insurance claims including cargo loss/damage, auto incidents, and general liability. - Review and collect relevant documents such as bills of lading, delivery...

Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the stand...

Good Computer navigation skills, keyboarding skillsShould be familiar with MS OfficeTyping speed must be between 30-35 wpm with 95% accuracy Possesses necessary knowledge of business concepts to effectively perform the jobMakes decisions in a timely manner shows good judgment about when to make decisions independently and when to collect more information or involve others Commits to achieving specific objectives and takes ownership for accomplishing them Responsible for handling high volumes of transactions Effectively balances quality, timeliness and productivity standardsWebchat/Digital knowledge Self disciplineResult and Customer oriented Adaptability and Flexibility CEF scores of B2 on b...

Job Summary: We are seeking a skilled Specialist to design, develop, configure, and test Pricing Configuration. This role encompasses areas such as Practitioner, Provider, Fee Component, Fee Schedule, and Service Category for Supplier Contracts (Hospital/Physician/Ancillary). Responsibilities include testing Institutional, Professional, and Dental claims to ensure the configuration approach aligns with these contracts, as well as ensuring timely maintenance and updates of configurations. Strong analytical skills, attention to detail, and effective communication with both technical and non-technical audiences are essential for this role. Key Responsibilities: Expertise in provider configurati...

Must knowledge of the UK insurance industryGathering and updating the data into the client systemsEvaluate incoming applications, interpret necessary information for completing assigned tasksIndexing and filing of documents electronically on Provided SystemsContact relevant parties to obtain missing information (as necessary)

Preferred knowledge of the UK London market Insurance and Claims domainGathering and updating the data into the client systemsEvaluate incoming applications, interpret necessary information for completing assigned tasksIndexing and filing of documents electronically on Provided SystemsContact relevant parties to obtain missing information (as necessary)

Job Title : Reporting Analyst Location: Kochi Terms: Full Time Requirement : Need to work in nightshift and Weekend if applicable About the Role : Medical Underwriting is the process wherein underwriter decides whether or not to insure risks for which request has been submitted Underwriter s task is to evaluate a risk on the basis of his/her medical history by referring medical guidelines Responsibilities : Assign tasks need to finish within deadline Maintain the quality in each task Need to be flexible to work on Saturday during high volume

Desirable SkillsAbility to read and comprehend English language in clear and precise mannerReasoning SkillsProblem SolvingEye for detailTechnical SkillsGood computer navigation skillsTyping speed of 25 Words per Minute with 95% Accuracy Basic knowledge of Microsoft Office, Outlook and ExcelProcess Specific SkillsCandidate should preferably have knowledge of US Life and Annuity InsuranceKnowledge of processing claims transactionsAbility to navigate multiple systems and applications Ability to produce high quality outcomes in a highly productive environmentSoft skillsAbility to work independentlyAbility to understand and question established process guidelines for possible process improvements...

Job Description_ Contingency _Data Mining Job Name: Senior Executive - Datamining Position Title: Senior Executive Band: A2 ERP Full Position ID: Reporting to: Assistant Manager Location/Site: EXL India Overview Candidates should have minimum 3+ years of experience and must have knowledge in claims adjudication process and its processing methods. Qualifications: Graduation is Mandatory Claims adjudication experience is Mandatory Prefer candidates with experience in Post adjudication/overpayment projects (Not mandatory) Experience: Claims Adjudication experience: Minimum 3 years Overpayment experience (Optional) Communication: Strong written (documentation) and oral communication skills Worki...

The Claims assistant will be responsible for managing a high volume of claims, ensuring timely resolution, accurate documentation, and strong customer/carrier satisfaction. This role involves reviewing claim submissions, validating documentation, escalating complex cases, and maintaining clear communication with stakeholders. The advisor will also support reporting, data tracking, and claims prevention by identifying trends and recommending process improvements. Bachelor s Degree or equivalent work experience. Prior Logistics or Transportation experience preferred Prior experience managing claims Review, process, and resolve claims efficiently and accurately. Maintain complete and accurate c...