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2028 Claims Processing Jobs - Page 17

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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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5.0 - 10.0 years

10 - 20 Lacs

bengaluru

Remote

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Description Job Title : Guidewire Integration Developer Qualification : BE / B.Tech / Engineering Relevant Experience : 5+ Years Must Have Skills : Position No. of Position Experience GW CC Integration Developer 8 5yrs+ GW PC Integration Developer 5 5yrs+ GW PC Config Lead Developer 5 5yrs+ GW PC Config Lead Developer 3 10yrs+ GW BC Lead Developer - ACE Certified 3 7yrs+ GW BC Developer 2 5yrs+ GW PC Rating Developer 2 5yrs+ Good to Have Skills : Certification Location : Bangalore/Hyderabad/Chennai/Pune/Kolkata/Remote CTC Range : As per market standards Notice period : Immediate Shift Timing : General Shift Mode of Interview : Virtual Mode of Hire : Contract to Hire Mode of Work : Hybrid Bhuvaneshwari S Senior Specialist Black and White outsourcing Pvt Ltd Bangalore, Karnataka,INDIA. bhuvaneshwari@blackwhite.in | www.blackwhite.in

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0.0 - 3.0 years

2 - 3 Lacs

bengaluru

Work from Office

Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : BAMS, BHMS and MBBS(with indian registration Work from Office only Interested candidates can share there profiles to disha.raman@mediassist.in or WhatsApp to 8904968911.

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18.0 - 25.0 years

40 - 65 Lacs

bengaluru

Work from Office

Designation - Assistant Vice President Job Location - Bangalore Skill - Claims Operations Leading Service Delivery Practitioner who can help design and articulate the Claims Operations to the Gold Standard. Ideal candidature would be 18-20+ YEARS OVERALL EXPERIENCE WITH MIN 10- 12 YEARS IN US HEALTHCARE CLAIMS OPERATIONS in a Senior Service Delivery Leadership Role. 18-20+ Years experience in healthcare BPO/BPM organisation Team Management with preferable span of control of 800+ FTE ( multi location) Experience & Competencies expected from the Role: 18-20+ years of overall experience as a Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his prospects, clients, global operations, and pursuit teams alike - establishing winning strategies, and exerting influence both internally and externally to win new business. 10-12+ years experience in U.S healthcare BPO operations/solutions and preferably from the Payor operations background. Possess commercial acumen, drive commercial impact (sales, cost reduction projects) Acts as a Subject Matter Expert for the sales and client services teams, attends sales calls, demonstrates the products, helps to answer deep questions about the product and works to convince the client we have the best solution. Lead and front-end projects (internal with Ops/IT/BE, external selling and supporting sales) and lead work through influence to manage stakeholders (internal matrix, client, partner) Strong communicator who can take complex ideas and communicate them effectively internally, externally and using Project Management tools Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his peers, clients, global operations, and pursuit teams alike - establishing winning strategies, and exerting influence both internally and externally to win new business. Innovative team player with the energy, creativity, and an entrepreneurial spirit to achieve success. A professional who earns respect for his/her leadership, intelligence, and expertise.

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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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5.0 - 9.0 years

0 Lacs

chennai, tamil nadu

On-site

At EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. Working as part of the Consulting team, you will take part in engagements related to a wide range of topics. Some examples of domains in which you will support our clients include the following: - Proficient in Individual and Group Life Insurance concepts, different types of Annuity products, etc. - Proficient in different insurance plans - Qualified/Non-Qualified Plans, IRA, Roth IRA, CRA, SEP - Solid knowledge of the Policy Life cycle including Illustrations/Quote/Rating, New Business & Underwriting, Policy Servicing and Administration, Claims Processing, and Disbursement (Systematic withdrawals, RMD, Surrenders) - Understanding of Regulatory Changes & Taxation and demonstrated ability in Insurance Company Operations - Experience in creating business process maps, WBS for conversion strategy, and conducting Due-Diligence and Assessment projects - Proficiency in requirements gathering, writing BRDs and FSDs, conducting JAD sessions, and defining optimal future state operational processes - Proficient in technology solution architecture, data migration, data analytics, and data governance principles - Collaborative team player with the ability to work closely with stakeholders and technical teams Industry certifications (AAPA/LOMA) will be an added advantage. Experience with COTS products such as FAST, ALIP, OIPA, and wmA is preferable. We expect you to work effectively as a team member, build good relationships with clients, and collaborate frequently with other EY professionals. EY exists to build a better working world, helping to create long-term value for clients, people, and society while building trust in the capital markets. EY teams in over 150 countries provide trust through assurance and help clients grow, transform, and operate across various domains.,

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0.0 - 4.0 years

0 Lacs

kozhikode, kerala

On-site

You will be responsible for supporting the warranty claims process and customer service operations. Your key responsibilities will include managing warranty claims, providing customer support, handling documentation and record keeping, processing claims, conducting follow-ups, and preparing reports. The ideal candidate should have a Degree/Diploma in Automobile or equivalent. Freshers are encouraged to apply, but previous experience in customer service, warranty administration, or a related field would be a plus. This is a full-time, permanent position with a day shift schedule. You may be eligible for performance bonuses and yearly bonuses based on your performance. The work location is in person. If you are detail-oriented, efficient, and eager to support warranty operations and customer service, we would like to hear from you. Apply now to be considered for this exciting opportunity.,

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2.0 - 6.0 years

7 - 10 Lacs

bengaluru

Work from Office

AM/DM - Claims - Commercial Lines - Non-Motor - 2-6 Years - Bangalore Location - Bangalore & Mumbai An exciting opportunity for professionals with 26 years of experience in Non-Motor Claims (Property, Fire, Engineering, Miscellaneous, Workmen Compensation). This role demands strong analytical, communication, and customer service skills to handle claims effectively, detect fraud, and ensure timely resolution. Your Future Employer - A leading and one of Indias fastest-growing digital-first general insurance companies , revolutionizing the insurance industry through technology, customer-first service, and innovative products. Responsibilities - Handle and process Non-Motor claims (Property, Fire, Engineering, Misc., WC). Identify claim type, establish first contact with insured/claimant, and prepare requirement lists. Conduct video surveys and analyze the cause and extent of loss. Coordinate with surveyors, investigators, and network teams based on complexity. Ensure accurate MIS, documentation, and claim records. Assess loss as per policy wordings, terms, and conditions . Draft claim notes, settlement recommendations, and repudiation letters. Manage escalations, detect fraudulent claims, and ensure closure within TAT. Collaborate with underwriting, operations, and network teams to resolve issues. Requirements - 26 years of experience in Non-Motor Claims handling . Strong knowledge of policy wordings for Property, Fire, Misc., Engineering, WC. Proficiency in MS Office and claims management tools. Strong analytical, negotiation, and problem-solving skills. Excellent soft & assertive communication skills. Multilingual proficiency (34 languages) is an advantage. Proactive and team-oriented, with ability to work in fast-paced environments. What is in it for you - Be part of a high-growth, digital-first insurance company . Exposure to diverse and complex claims across commercial lines. Career advancement opportunities and cross-functional collaboration. Employee-friendly culture with competitive salary and benefits. Reach us: If you think this role is aligned with your career, kindly share your updated CV with us at nandini.narula@crescendogroup.in for a confidential discussion. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging and memorable hiring experience. We do not discriminate based on race, religion, gender, age, or any protected characteristic. Note: Due to a high volume of applications, if you dont hear from us within 1 week, please consider your profile not shortlisted for this role. Fraud Alert: Scammers may misuse Crescendo Globals name for fake job offers. We never ask for money or system upgrades. Verify all opportunities at www.crescendo-global.com and report suspicious activity immediately. Profile Keywords - Claims Manager Jobs, Non-Motor Claims Jobs, Property Claims Jobs, Fire Claims Jobs, Engineering Claims Jobs, Workmen Compensation Claims Jobs, Insurance Jobs in Bangalore, Insurance Jobs in Mumbai, General Insurance Claims Jobs, Crescendo Global Jobs.

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1.0 - 6.0 years

2 - 3 Lacs

navi mumbai

Work from Office

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity. Maintain accurate records of all interactions with policyholders, agents, and other stakeholders throughout the claims process. Identify areas for improvement in processes and implement changes to increase efficiency.

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1.0 - 14.0 years

5 - 6 Lacs

chennai

Work from Office

Job Tile : Claims processing Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required Medical Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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0.0 - 2.0 years

2 - 4 Lacs

ahmedabad

Work from Office

Location: Ahmedabad Profile: -US Voice Process Skills: Excellent English communication required Shift: 5.30PM to 2.30 AM Salary for Freshers : 20,000 CTC Experienced : Upto40,000CTC Benefits: one way cab facility Working Days: 5 days

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2.0 - 6.0 years

6 - 10 Lacs

pune

Work from Office

Join Barclays as a Infrastructure Engineer role, where you are responsible for enhancing existing processes, reporting and controls whilst ensuring the flawless execution of BAU Driving through efficiencies and process improvements standardising processes across SBUs where possible At Barclays, we don't just anticipate the future we're creating it, To be successful in this role, you should have below skills: Strong knowledge and support experience of Active Directory services on Windows 2012/2016/2019, scripting skills in PowerShell, Able to manage own workload effectively & prioritize tasks during times of changing priorities/schedules, Is good at presenting technical / business information to peers, colleagues, and senior stakeholders in clear unambiguous language, Some Other Highly Valued Skills May Include Below Minimum few plus years of experiencing supporting Active Directory Services in Engineering and/or Operations, Exceptional knowledge of major Windows component technologies and competent in discussing these in detail with other Subject Matter Experts, Good Leadership skills to encourage/motivate team members to achieve the desired outcome, Contributes to the development and implementation of standards and procedures, Understands the Availability & Continuity services offered by own technical function, MCSE or MCITP qualified Quest Toolset configuration and troubleshooting Desired state configuration through CHEF, You may be assessed on the key critical skills relevant for success in role, such as risk and controls, change and transformation, business acumen strategic thinking and digital and technology, as well as job-specific technical skills, This role is based in our Pune office, Purpose of the role To build and maintain infrastructure platforms and products that support applications and data systems, using hardware, software, networks, and cloud computing platforms as required with the aim of ensuring that the infrastructure is reliable, scalable, and secure Ensure the reliability, availability, and scalability of the systems, platforms, and technology through the application of software engineering techniques, automation, and best practices in incident response, Accountabilities Build Engineering: Development, delivery, and maintenance of high-quality infrastructure solutions to fulfil business requirements ensuring measurable reliability, performance, availability, and ease of use Including the identification of the appropriate technologies and solutions to meet business, optimisation, and resourcing requirements, Incident Management: Monitoring of IT infrastructure and system performance to measure, identify, address, and resolve any potential issues, vulnerabilities, or outages Use of data to drive down mean time to resolution, Automation: Development and implementation of automated tasks and processes to improve efficiency and reduce manual intervention, utilising software scripting/coding disciplines, Security: Implementation of a secure configuration and measures to protect infrastructure against cyber-attacks, vulnerabilities, and other security threats, including protection of hardware, software, and data from unauthorised access, Teamwork: Cross-functional collaboration with product managers, architects, and other engineers to define IT Infrastructure requirements, devise solutions, and ensure seamless integration and alignment with business objectives via a data driven approach, Learning: Stay informed of industry technology trends and innovations, and actively contribute to the organization's technology communities to foster a culture of technical excellence and growth, Analyst Expectations To perform prescribed activities in a timely manner and to a high standard consistently driving continuous improvement, Requires in-depth technical knowledge and experience in their assigned area of expertise Thorough understanding of the underlying principles and concepts within the area of expertise They lead and supervise a team, guiding and supporting professional development, allocating work requirements and coordinating team resources, If the position has leadership responsibilities, People Leaders are expected to demonstrate a clear set of leadership behaviours to create an environment for colleagues to thrive and deliver to a consistently excellent standard The four LEAD behaviours are: L Listen and be authentic, E Energise and inspire, A Align across the enterprise, D Develop others, OR for an individual contributor, they develop technical expertise in work area, acting as an advisor where appropriate, Will have an impact on the work of related teams within the area, Partner with other functions and business areas, Takes responsibility for end results of a teams operational processing and activities, Escalate breaches of policies / procedure appropriately, Take responsibility for embedding new policies/ procedures adopted due to risk mitigation, Advise and influence decision making within own area of expertise, Take ownership for managing risk and strengthening controls in relation to the work you own or contribute to Deliver your work and areas of responsibility in line with relevant rules, regulation and codes of conduct, Maintain and continually build an understanding of how own sub-function integrates with function, alongside knowledge of the organisations products, services and processes within the function, Demonstrate understanding of how areas coordinate and contribute to the achievement of the objectives of the organisation sub-function, Make evaluative judgements based on the analysis of factual information, paying attention to detail, Resolve problems by identifying and selecting solutions through the application of acquired technical experience and will be guided by precedents, Guide and persuade team members and communicate complex / sensitive information, Act as contact point for stakeholders outside of the immediate function, while building a network of contacts outside team and external to the organisation, All colleagues will be expected to demonstrate the Barclays Values of Respect, Integrity, Service, Excellence and Stewardship our moral compass, helping us do what we believe is right They will also be expected to demonstrate the Barclays Mindset to Empower, Challenge and Drive the operating manual for how we behave,

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0.0 - 5.0 years

2 - 3 Lacs

ahmedabad

Work from Office

The role involves retrieving medical records, coordinating with external entities, verifying accuracy, maintaining an organized database, collaborating with internal teams, and conducting quality checks. Required Candidate profile Salary : up to 35 ctc + Other Benefits. Shift :6:30 pm to 3:30 am ( Night Shift ). Experience : 0.6 Month to 5 Year.

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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 sarika.pallap@mediassist.in CV on 8792840500

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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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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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0.0 - 3.0 years

0 - 2 Lacs

chennai

Work from Office

Kindly Mention "Thrisha HR" on top of your resume Role & Responsibilities: Claims Specialists are responsible for accurately reviewing and processing claims for Flexible Spending Accounts and Health Reimbursement Arrangements in accordance with IRS regulations and specific employer plan rules. Claims Specialists spend their entire day working through the automatically fed claims queues within OnBase in the designated order to ensure turnaround times are met for our clients. Preferred Candidate Profile A candidate with claims adjudication experience is preferred. Freshers are also encouraged to apply. (Should have provisional / Consolidated certificate) The candidate should be flexible with working in 24-hour rotational shifts. "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com" Regards, Thrisha

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3.0 - 7.0 years

10 - 14 Lacs

gurugram

Work from Office

About The Role TBD Qualification TBD

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3.0 - 7.0 years

3 - 7 Lacs

gurugram

Work from Office

About The Role TBD Qualification TBD

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1.0 - 3.0 years

2 - 6 Lacs

bengaluru

Work from Office

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate 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? Payment AnalyticsPayment Processing OperationsProblem-solving skillsCommitment to qualityAccount Management Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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1.0 - 3.0 years

1 - 3 Lacs

udaipur, ajmer, jaipur

Work from Office

Work From Office NON-VOICE PROCESS Location: Jaipur Min 6 Months Experience Mandatory in US Medical Billing Rotational Shifts Salary up to 26k CTC Incentives HR Manish (7062933674) HR Jatin (9672625299) Required Candidate profile Min 6 Months needed in US Healthcare or Medical Billing

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1.0 - 3.0 years

2 - 5 Lacs

navi mumbai

Work from Office

About The Role Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations Associate Qualifications: BCom Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate 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 Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relationsCoordinate the essential documentation and resources required for the filing of global applications. Understand, manage & process electronic submissions that include original application filings, Life Cycle Management submissions such as CMC, Ad-promos, amendments, annual reports, SPL submissions, etc. What are we looking for? Looking for a resource with Medicare Enrollment processing experience. Ready to work in US shift time. Ready to work under stringent case timelines Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification BCom

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0.0 - 5.0 years

0 - 3 Lacs

thane, navi mumbai, mumbai (all areas)

Work from Office

Opening for Us HealthCare Process 24/7 RO 2 RO Wkoff Location- Thane, Navi Mumbai, Mumbai HSC-Graduate fresher and Exp both will do Salary :-21k to 38k Interested Candidates Email- sujata@careerguideline.com and WhatsApp/Call:7738115585/9136620160

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0.0 - 1.0 years

0 Lacs

bengaluru

Work from Office

Criteria: > Shift Timings: Night Shifts form 5:00PM to 3:00 AM /Work from the office & hybrid Good and fluent in Communication Skill [No Mother tongue influence] Transportation: Two-way company-provided transportation for all shifts Looking for Immediate joiners only MBA and B. Tech Graduates are not eligible (ONLY BA/BCOM/BBA/BBM/BSC Graduates Can Apply) Position Requirements & Key Details: • Contract Duration: 6-month contract with potential for conversion to a permanent role based on performance Training Comprehensive 3-week training covering domain knowledge and essential Excel skills Job Description: Analyze insurance claims in accordance with standard operating procedures Resolve routine issues by following established guidelines and precedents Collaborate primarily with your team and direct supervisor; all tasks will come with clear instructions Understand and apply process documents provided by the client Navigate and work across multiple client applications to capture and process required information Consistently meet targets related to productivity, schedule adherence, and quality Comply with all company policies and procedures Eligibility

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2.0 - 3.0 years

1 - 4 Lacs

mumbai, vashi

Work from Office

The ideal candidate ( Male / Female ) should be a commerce graduate / post graduate having 2-3 years of experience in the similar industry. Should be well versed in Excel and SAP Required Candidate profile Should have age of around 26 -30 Yrs Should have prior experience in 1. Debtors Management 2. Account Receivable 3. Claims Processing 4. Account Reconciliation

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