3155 Claims Processing Jobs - Page 15

Urgent Hiring | Reinsurance Lead Specialist Mumbai (Relocation Required) Industry: Insurance, Risk Management & Consulting Division: Operations Location: Mumbai We are hiring a Lead Specialist Reinsurance (FAC Process) to support the operational excellence and client servicing for India business. The role focuses on ensuring compliance, accuracy, and efficiency in reinsurance placement and claims management as per IRDAI guidelines. Key Responsibilities: Manage FAC (Facultative Reinsurance) operations including placement, endorsements, renewals, and claims. Handle end-to-end client servicing of accounts from new business to renewals and mid-term adjustments. Ensure compliance with IRDAI regul...

We are hiring FRESHERS for "NON-VOICE / CLAIM BENEFITS PROCESS" for one of the MNC. Carries good analytical skills. Salary : 15k to 16K (In hand) Working Days : 5 Days Shift : Day Shift (9am to 6pm) ONLY GRADUATES CAN APPLY Work from office Required Candidate profile Claims processing/Verify Handle claim Denials and acceptance Create excel reports Handle clients call for new updates and quality feed backs Good comm skills and 25 WPM typing speed Call - 9643583769

Walk-In Interview Alert! Join us at WTW Vikhroli Office for an exciting opportunity with our Global Certification Centre ! Date: Monday, 3 November 2025 Time: 1:30 PM 3:00 PM Location: WTW, Vikhroli Job Title : Advisor / Sr Advisor Job Shift Timing : US Evening shift Experience - 2 - 7 Years Note: Candidate who have worked in Evening shift or Night Shift are eligible for this role Role Role & responsibilities Deliver as per the KPIs defined for the role. To always maintain set SLA Accuracy/quality, TAT standards prescribed by the Business Unit. Manage volumes and delivery expectations as per business requirement Being apt in managing time sensitive work with high level of eye for detail and ...

Company Profile At Edify Insurance Brokers Pvt Ltd, our Client Service team is the engine that drives our customer satisfaction and query solutions. We are seeking a qualified Client service - manager to help our clients in claims and any other query solution through their own skills. Our ideal CS manager has to have indepth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Objective of this Role One stop solution for all client queries and requirements Represent our company, wi...

Billing & Claims Processing: Generate and verify patient bills for ECHS beneficiaries as per CGHS/ECHS rate lists. Ensure proper documentation (OPD/IPD case papers, prescriptions, lab/radiology reports, etc.) is attached with each bill. Required Candidate profile Bachelor’s degree in Commerce, Business Administration, or a related field. Knowledge of ECHS/CGHS billing procedures is preferred. Prior experience in hospital billing.

Responsibilities: * Manage medical billing process from start to finish * Ensure accurate coding and compliance with HIPAA * Identify denials, appeal disputes, and optimize payments Provident fund

Work from Office - US Healthcare RCM | AR Executive/ Payment Posting/ Billing/Authorization/Registration/QA Ops - Bangalore & Trichy (RCM) Experienced Healthcare RCM professional with hands-on expertise across multiple functions of the Revenue Cycle process, including Authorization, Payment Posting, Accounts Receivable (AR), Registration, and Quality Analysis . Skilled in managing end-to-end RCM operations for US healthcare clients, ensuring accuracy, compliance, and timely reimbursements. Role & Responsibilities: Billing: Review and process medical claims accurately as per payer requirements; ensure timely submission and reduce claim rejections. Authorization: Verify insurance eligibility, ...

Greetings from NTT DATA, Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes perfor...

Company Description BolsterBiz is a leading provider of offshoring and outsourcing services based in New Delhi. We specialize in driving business growth, optimizing operational efficiency, and ensuring long-term success. With over 2,000 completed projects and more than 100 clients in the USA, we offer cost-effective solutions with access to expert professionals to deliver high-quality services. Position Summary: BolsterBiz is looking for a Carrier Claim Specialist who will handle all claims related to lost, damaged, or late delivery orders shipped through our Client's carriers. This role requires attention to detail, strong communication skills, and the ability to manage claims from start to...

Aster Medcity is looking for Senior Associate.Insurance.Aster RV Hospital to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Legal Claims to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes

Role & responsibilities Review incoming healthcare claims for accuracy and completeness, ensuring all necessary information is provided for adjudication. Analyze claims data against payer policies and industry regulations to determine eligibility for payment or denial. Communicate effectively with healthcare providers, policyholders, and internal teams to resolve discrepancies or gather additional information. Utilize claims processing systems and software to enter, update, and retrieve claims information accurately. Identify and report any trends or patterns in claims submissions that may indicate potential fraud or abuse. Ensure timely processing of claims to meet internal and external dea...

Overview Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment wi...

Attend full time company office / client offices. Candidate Requirement: Candidate should have strong communication skills. Candidate should be expert in MS Excel & MS Word Ability to respond effectively to the needs of the organization. Willingness to travel to client locations, Govt. offices, etc.Willingness to travel to client locations, Govt. offices, etc. Detailed Profile: Documentation related to Imports & Exports, Processing of documents, Processing claims / applications online & offline, Submissions in Government offices, Verification of documents with government authorities, client interactions, etc. Qualification: BBA IB / B.Com / M.Com / MBA IB Location:

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 belie...

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 belie...

Location: Nagpur Shifts: US shifts Education: Graduate Domain: US Healthcare Roles & Responsibilities: Strong understanding of US Healthcare RCM lifecycle especially Claims Adjudication and Denial Management. Strong analytical, reporting, and problem-solving skills. Hands-on experience with RCM tools / payer portals / claim adjudication systems (e.g., Facets, QNXT, EZ-CAP, or similar). Excellent communication and stakeholder management skills. Proficiency in MS Excel and dashboard preparation. Ability to manage performance in a high-volume, SLA-driven environment. Leadership qualities coaching, motivation, conflict resolution, and team development. Experience in client handling and people ma...

Hands-on experience in Revenue Cycle Management (RCM) Proven experience in Denial Management and Claim Adjudication Experience in Claim Processing and overall Claim Management lifecycle Prior exposure to US Healthcare domain (Payer or Provider environment) Contact - 9561724254, Rajpreetb@hexaware.com

Location: Ghansoli (Navi Mumbai) Education: Graduate Shifts: US evening shifts Designation : Sr TL or TL Roles and Responsibilities Manage a team of Enrollment Specialists to achieve daily targets for Eligibility Verification, Insurance Verification, Payer Side Claims Processing, and EDI files processing. Collaborate with internal stakeholders to resolve issues related to enrollment, claims processing, and customer service. Throughout experience should be there in US Healthcare Should have strong experience in EDI files like 834,835,837 Aware about KRA's & KPI

Guidewire ClaimCenter and Integration, Guidewire Integration Gateway Job Location: Hyderabad/Pune/Coimbatore Mode of Work: Work From Office Experience: 4-8 Years About the job: Work as an SSE for GW ClaimCenter Configuration and GW Integrations. The candidate would work as an individual contributor as well as a lead for the team that analyzes requirements, analyze incident/ defects/ problems to identify root cause, work on new enhancements, projects. Responsibilities: Serve as a technical lead contributing to and directing the efforts of development teams, including internal and external team members. Design, develop, modify, implement, and support software components anywhere in the softwar...

Greetings from Vidal Health Insurance TPA Pvt Ltd.,Openings For Medical Officer!!! - Non Clinical RoleQualification -MBBS-MCI RegExperience - 0 to 1 YearJob Location - Bangalore(Whitefiled) Roles and Responsibilities Involved in analyzing medical reports and do medical Audit at the Hospitals. Should have medical knowledge. Providing quality services. Updating the new medical terms and conditions as per the policy. Should be good knowledge in Academics. Resolving Claims related queries and discrepancies, Following up and responding to queries of customers. Approving and Rejection of Payments to the Customers with all verification. Updating the Status of the Customers about the respective Clai...

We are looking for a skilled Surgery Coder to join our team, with 2.5-6 years of experience in the field. Roles and Responsibility Accurately code surgical procedures using various coding systems. Collaborate with healthcare professionals to ensure accurate coding compliance. Develop and implement efficient coding processes to enhance productivity. Analyze and resolve coding discrepancies and denials promptly. Stay updated with industry coding guidelines and regulations. Maintain confidentiality and adhere to HIPAA policies. Job Requirements Strong knowledge of medical terminology and anatomy. Experience with surgery coding software and systems. Excellent analytical and problem-solving skill...