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5.0 - 8.0 years

4 - 8 Lacs

bengaluru

Work from Office

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(Domestic) - Advanced About Accenture 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 worlds 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 than 120 countries. Visit us at www.accenture.com 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 model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Claims ProcessingClaims AnalysisClaims AdministrationPayer Claims ProcessingStrong analytical skillsWritten and verbal communicationResults orientationDetail orientationAbility to perform under pressure Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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5.0 - 8.0 years

10 - 14 Lacs

bengaluru

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We are looking for a skilled professional with 5-8 years of experience to lead our delivery team in Bangalore. The ideal candidate will have a strong background in healthcare management services and excellent leadership skills. Roles and Responsibility Lead the delivery team to ensure successful project execution and client satisfaction. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and prioritize project requirements. Provide guidance and mentorship to team members to enhance their skills and performance. Monitor and report on project progress, identifying areas for improvement and implementing changes as needed. Ensure compliance with company policies, procedures, and industry standards. Job Requirements Minimum 5 years of experience in healthcare management services or a related field. Strong knowledge of healthcare operations, including medical billing, claims processing, and patient care coordination. Excellent leadership, communication, and problem-solving skills. Ability to work in a fast-paced environment and adapt to changing priorities. Strong analytical and decision-making skills with attention to detail. Experience with CRM/IT enabled services/BPO is an added advantage.

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0.0 - 1.0 years

1 - 3 Lacs

mumbai

Work from Office

Key Responsibilities MIS & Reporting Policy Renewals Quotations & Proposals Market Research Client Support Cross-Team Collaboration Qualifications: Graduate in Insurance or related field. Freshers are preferred or maximum 1 year experience Provident fund

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1.0 - 6.0 years

4 - 4 Lacs

mohali

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Department: Insurance Reports To: Team Lead/Manager Job Summary: The Process Associate Insurance will be responsible for handling insurance-related processing tasks, including policy issuance, renewals, endorsements , and basic client coordination. The role primarily involves working with insurance documentation, maintaining compliance timelines, and ensuring accurate data entry across systems. Key Responsibilities: Insurance Operations & Processing: Process new insurance business , renewals , and endorsements . Work across key insurance categories such as: Home and Contents Private Motor Business Insurance Commercial Property Issue Certificates of Currency (COC) and other relevant policy documents. Follow up via email for pending documentation or clarifications. Maintain pre-renewal timelines and ensure accurate processing through insurance platforms. Compliance & Documentation: Ensure documentation is in line with internal compliance policies. Assist in collecting and organizing basic compliance documents such as COC and LOA. Update records and trackers as per internal workflow requirements. Software & Tools Exposure: Zoho CRM policy and contact management Insight for quoting and policy processing Outlook professional email communication SharePoint document access and storage Familiarity with Sunrise and SCTP platforms is a plus Required Skills: Basic understanding of general insurance processes Good communication and email etiquette Attention to detail and ability to follow standard procedures Ability to manage time effectively and meet deadlines Willingness to learn and adapt in a team environment Work Schedule: Full-time role as per company shift timings Adherence to company policies and task deadlines Schedule: Day shift Application Question(s): Do you have experience in handling insurance processes for the Australia and New Zealand markets? Education: Bachelor's (Required) Experience: Insurance processing: 1 year (Required)

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1.0 - 4.0 years

6 - 12 Lacs

bengaluru

Work from Office

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview International insurance claims processing for Member claims. Job Description* Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - Medical, Paramedical, Pharmacy or Nursing. Experience Range* : Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills- Expertise in international insurance claims processing Work Timings*: 7:30 am- 16:30 pm IST Job Location*: Bengaluru (Bangalore) About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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0.0 - 1.0 years

1 - 1 Lacs

nagpur

Work from Office

We're Hiring for Healthcare Domain Designation - Executive Profile - Data Processing Eligibility: Diploma in Pharmacy,DMLT,BMLT/Graduate in Healthcare domain, Bsc Science (PCB, Biotechnology, Microbiology) Job Description: •Medical Terminology • Excellent typing skills. Example: Ability to type a minimum of 22 words per minute with few grammatical errors. • Brief knowledge about insurance claims • Decision maker, logical thinking should be strong • Solves routine problems effectively, gathering the information necessary from the customer • Applies systematic approach to solving problems Skills: Excellent English Communication Skills, Good knowledge of Medical Terms >Free Transportation >Shift Timings: Night Shifts (US, UK shift) >Interview Rounds: HR Round, Ops Round. Job location - Mihan SEZ, Khapri, Nagpur, Maharashtra For interviews, please visit our office from Monday to Friday from 11:00 AM to 1:00 PM

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3.0 - 6.0 years

8 - 12 Lacs

hyderabad

Work from Office

About The Role Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) 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. About The Role - Grade Specific Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) 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.

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3.0 - 6.0 years

8 - 12 Lacs

kolkata

Work from Office

About The Role 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. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. Mandatory Skill 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 Skills (competencies) Verbal Communication JavaScript API integration Policy Development Critical Thinking

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1.0 - 3.0 years

3 - 7 Lacs

gurugram

Work from Office

About The Role Why This Role Is Valuable You have a solid risk and insurance background and at least 2- 3 years experience in claims administering or claims settlement or have worked in a claims role in an insurance firm. You are willing and looking to consolidate and grow your skills and talents in the long term with a company that works in a strong team and results-based environment. Reports to Manager- Insurance and Alternative Solutions How You Add Value Review and process property insurance claims, including analyzing policies, assessing damage, and determining coverage and settlements. Work with insurance adjusters, clients, and third-party vendors to gather necessary information and documentation for claims processing. Collation of data and information of claims for reporting purposes Investigate and evaluate claims to ensure accuracy and completeness. Prepare and present reports and recommendations to management regarding claims status, trends, and outcomes. Involvement in subrogation requests and required follow-ups. Communicate with clients and stakeholders regarding claims status and resolution. Provide support to other departments and teams as needed. What You Bring To The Role Bachelor's degree in business, finance, or related field. At least 3 years of experience in property insurance claims analysis. Strong analytical and problem-solving skills. Excellent verbal and written communication skills. Detail-oriented with the ability to manage multiple tasks simultaneously. Proficient in Microsoft Office Suite and other relevant software programs. Knowledge of property insurance policies, procedures, and regulations. Other skills: Ability to work independently as well as be a team player. Able to take direction and ask questions. Strong organizational skills. Eye for detail. Resourcefulness. Excellent communication skills Mandatory Skills: Institutional_Finance_Buy_Side_Others . Experience1-3 Years . Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention. Come to Wipro. Realize your ambitions. Applications from people with disabilities are explicitly welcome.

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members 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 deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to abhilasha.dutta@mediassist.in CV on 8050700698

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1.0 - 5.0 years

2 - 4 Lacs

chandigarh, hyderabad, bengaluru

Work from Office

Follow up with payers to obtain claim status updates Identify reasons for denials and work towards resolution Must have Voice Experience Work on billing scrubbers and make necessary edits Handle contractual WhatsApp cv 7696517849 Required Candidate profile AR Caller With Experience for Hyderabad, Bangalore Night Shifts Cab Yes Excellent English Speaking WhatsApp cv 7696517849 Register For Call Back https://callcenterjobs.anejabusinessgroup.com/ Perks and benefits https://callcenterjobs.anejabusinessgroup.com/

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members 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 deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to abhilasha.dutta@mediassist.in CV on 8050700698

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1.0 - 6.0 years

4 - 6 Lacs

gurugram

Work from Office

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

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0.0 - 3.0 years

1 - 3 Lacs

hyderabad

Work from Office

General Insurance Claims processors / Associates Processing Non Motor Insurance Claims Locations - Hyderabad People experienced in Non Motor Insurance Surveyor Industry and holding IRDAI license in Non Motor Departments are preferable. Health insurance Provident fund

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1.0 - 4.0 years

1 - 3 Lacs

thane

Work from Office

Claims specialists provide a vital administrative and customer support role related to the accurate and timely processing of insurance claims, mainly Health insurance claim. They are involved in all phases of the process, from the initial intake of a claim through the final payout to the individual and/or service provider. In this capacity. Claims specialists often function as a liaison, facilitating communications between the insured party and the insurer, service provider or other parties that may be involved. The regular duties performed by insurance claim specialists include Communicating with clients (the insured), insurers, service providers or other parties. Examining insurance claims to uncover evidence of fraud. Researching the cost of medical treatments. Verbal and written communication Claims specialists should be effective communicators, in both written and verbal formats. This is essential when providing courteous and articulate customer service with policyholders or negotiating with attorneys and colleagues. Written communications skills are useful to ensure clarity when documenting the details of an insurance claim. Critical thinking and problem-solving Because claims specialists are called upon to assess the validity of insurance claims, its important for them to have the ability to analyze situations and make judgements using facts and logic. Problem-solving skills allow claims specialists to identify and solve problems effectively and enable them to resolve claims quickly and efficiently. Organization To provide the best possible customer service and ensure accuracy, claims specialists need the ability to keep customer information, insurance information and any related documentation in a well-organized manner. Time management Strong time management skills are another form of organization that enable claims specialists to organize their schedules in a way that uses time as efficiently as possible. This is crucial, considering the high volume of claims they are typically required to handle. Attention to detail This is another crucial skill that includes the ability to call out errors in documentation that may affect the handling or accuracy of a claim or hinder a claim-related investigation or negotiation.

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0.0 - 1.0 years

0 - 1 Lacs

bengaluru, karnataka, india

On-site

Job Summary The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports

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1.0 - 2.0 years

3 - 5 Lacs

visakhapatnam, andhra pradesh, india

On-site

Experience Required:4+ years (Property and Casualty domain is mandatory) Notice Period:Immediate to 30 days Shift Timings:6:30 PM to 3:30 AM IST (US Shifts) Role Overview: We are looking for an experienced Property and Casualty ClaimsAdjuster to support claims processing and management in the US insurance process. The candidate will focus on evaluating and processing claims while ensuring compliance with industry standards. Key Responsibilities: Review and process insurance claims and related documentation. Conduct claims assessments, ensuring accuracy and completeness. Coordinate with brokers and carriers to gather necessary information. Prepare claims reports and ensure timely follow-up on pending claims. Maintain accurate records in claims management systems. Ensure compliance with industry regulations and internal guidelines. Collaborate with team members to resolve claim issues and provide necessary support. Qualifications: Bachelor's degree in any field. 5+ years of experience in Property and Casualty claims processing, with exposure to the US insurance market. Strong analytical, organizational, and problem-solving skills. Excellent communication and customer service skills. Proficiency in claims management software and tools.

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2.0 - 6.0 years

0 Lacs

ahmedabad, gujarat

On-site

The key responsibilities for this role include performing regular audits of the medical billing process to ensure accuracy, completeness, and compliance with standards. You will be responsible for working on authorization and referrals, ensuring adherence to guidelines, and effectively documenting audit findings. Additionally, you will utilize data to produce and submit claims to insurance companies, verifying referrals for procedures to be performed. Reviewing patient bills for accuracy and completeness, obtaining any missing information as needed, and analyzing and updating status reports based on findings are also part of your responsibilities. Moreover, you will be required to communicate with clients professionally via phone and email, as well as conduct patient encounter and provider audits to maintain compliance and efficiency. This is a full-time position with a night shift schedule and the work location is in person. The expected start date for this role is 19/02/2025.,

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2.0 - 7.0 years

2 - 7 Lacs

hyderabad

Work from Office

::Role & responsibilities Accept payments and process billing statements Post payments (electronic and manual payments) to the billing software program or practice management software. Prepare payment batches. Maintain accurate medical billing records, and document revenue from patient payments and insurance reimbursements. Keep track of payment deposits from patients and insurance reconciling details. Assess and evaluate explanation of benefits (EOBs) from insurance companies. Keep accurate billing records and report discrepancies. Preferred candidate profile Minimum of 2 years of medical billing experience. Knowledge of EOBs. Data entry and typing skills. Good written communication skills. Ability to process a high volume of work while keeping attention to detail and accuracy. Good computer skills to work with billing software, practice management system, and Microsoft Office. Perks and benefits Insurance Two-way cab Incentives Overtime Allowance Retention Bonus up to 100,000/- (One Lakh) Other Details Night Shift CTC - Good at Industry Mode of InterviewVirtual Interview and Face-to-Face Round of Interview. Office Location: Madhapur, Hyderabad Contact @ 91548 40954 Email CV to jobs@onqindia.com

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0.0 - 2.0 years

3 - 4 Lacs

mumbai

Work from Office

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members 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 deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to varsha.kumari@mediassist.in

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4.0 - 9.0 years

3 - 5 Lacs

chennai

Work from Office

Location - Coimbatore Work Model - Work From Office Shift - Hong Kong Shift timings(Will reconfirm on the same) Level - PE/SPE/SME/TL/TM

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0.0 - 5.0 years

2 - 4 Lacs

ahmedabad

Work from Office

International Voice Process Location: Ahmedabad [Makarba] Salary: Depends on your interview US FIXED NIGHT SHIFT - 5 DAYS WORKING Fixed Sat-Sun Off FRESHERS AND EXPERIENCED BOTH CAN APPLY

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0.0 - 5.0 years

1 - 3 Lacs

mumbai suburban, navi mumbai, mumbai (all areas)

Work from Office

Roles and Responsibilities Review and process claims adjudication, ensuring accuracy and efficiency. Verify claim details, including policy number, member ID, and provider information. Determine eligible benefits based on policy terms and conditions. Calculate benefit amounts according to established guidelines.

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3.0 - 5.0 years

2 - 6 Lacs

noida

Work from Office

*Please share your resume before coming to the walk-in on 6th Saturday 11:00am - 4:30pm Role: Claims Adjudicators/Sr. Claims Adjudicators Location: Noida Key Skills: Knowledge of US Health Insurance domain, Claims Adjudication, Providers and Members Enrolment, MS Office and good keyboard skills. Experience: 3 + years in Claims Adjudication or in relevant field (Fresher dont apply) Job Description: We are seeking a detail-oriented and analytical Claims Adjudicator to review, evaluate, and process insurance claims in accordance with policy guidelines and regulatory standards. The ideal candidate will have a strong understanding of claims procedures, excellent decision-making skills, and a commitment to accuracy and compliance. Prior experience in claims processing or adjudication preferred. Familiarity with insurance policies and regulatory requirements. Strong attention to detail and organizational skills. Proficiency in claims management systems and MS Office. Candidate should be ready to work night shift (US Shift). Interested candidates may share their resumes @madhulika.sharma@4aisoft.com and Gargi.gupta@4aisoft.com

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0.0 - 10.0 years

2 - 12 Lacs

noida

Work from Office

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives. Maintaining a clean, tidy business, ensuring that signage and displays are attractive. Generating reports and presenting information to upper-level managers or other parties. Ensuring staff members follow company policies and procedures. Other duties to ensure the overall health and success of the business.

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