3155 Claims Processing Jobs - Page 17

Job description Job purpose To manage the end-to-end claims reimbursement process efficiently and accuratelyensuring timely claim submission, verification, adjudication, and resolutionwhile maintaining compliance, improving customer satisfaction, and contributing to the organization’s operational excellence. Duties and responsibilities 1. Claim Submission Initiation: The insured individual or the service provider submits a claim to the insurance company for reimbursement. Required Documentation: Policy details (policy number, coverage specifics). Proof of service or expense (invoices, bills, or receipts). Supporting documents (e.g., medical reports, repair estimates, or loss reports). Submis...

Call Insurance companies on behalf of physicians and carry out a further examination on outstanding Accounts Receivables Prioritize unpaid claims for calling according to the length of time it has been outstanding Call insurance companies directly and convince them to pay the outstanding claims Check the relevance of insurance info offered by the patient Evaluate unpaid insurance claims Call insurance companies and check on the status of claims Transfer the outstanding balance to the patient if he/she doesn't have adequate insurance coverage If the claim has already been paid, ask the insurance company for an Explanation of the Benefits Make corrections to the claim based on inputs from the ...

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Hiring for MNC's Banglore Job Requirement Aircover Vertical - Insurance/Claims Education - Only Graduates Experience - Min 2 Years experience into International Claims/Insurance or Health Care Location - Brookfield,Banglore Boundary Limits - 20Kms from Office location - Kundalahalli Process - Blended Shifts - Rotational Shifts with Rotational Weekoffs 2 Way Transport will be provided for all shifts Salary - 4.5LPA - 5LPA Interview mode -Virtual For more info Call Sharanya - 8143987111 Shireesha - 8143876111 Nikitha - 8977261411 or drop your cv to pushpa.sabari@mrtinfotech.com

Prior Authorization Specialist (Procedures) About Us At NextDimension AI, our mission is to simplify healthcare. We are a technology company building the next generation of AI-powered systems to automate complex workflows and create a more responsive, patient-centric experience. We have bold ambitions to reimagine healthcare, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans the Front Office, Clinical Operations, and Revenue Cycle Management. Website: www.nextdim.io Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcar...

As an Insurance Adjuster in our logistics and transportation domain, you will have the opportunity to support our claims and risk management team. Your main responsibilities will include: - Assisting in the intake, documentation, and investigation of insurance claims such as cargo loss/damage, auto incidents, and general liability - Collecting and reviewing relevant documents like bills of lading, delivery receipts, incident reports, and photographs - Working closely with senior adjusters and internal teams (operations, safety, legal) to understand claim processes - Maintaining and updating claims in the management system with accuracy and completeness - Communicating with clients, vendors, ...

As a Customer Service Representative, you will be responsible for handling inbound calls from US-based members regarding healthcare insurance, claims, policy details, and coverage. Your main duties will include resolving customer queries promptly with a customer-first approach and escalating complex issues to appropriate departments when needed. Qualifications Required: - Excellent communication skills - Ability to multitask and prioritize effectively - Strong problem-solving skills About Company: We are a leading hiring and technology firm with expertise in understanding clients" manpower and technical requirements. Matching them with the right candidates and technology solutions has been o...

You will be working as a Claims Manager at SKD Health Allied Services, a reputed organization specializing in claims investigations across south India and Maharashtra. Your main responsibility will be handling insurance claims for investigation on the ground and collaborating closely with the ground team to ensure prompt delivery with high quality and proper documentation. **Key Responsibilities:** - Handle insurance claims for investigation on the ground. - Collaborate with the ground team for effective coordination. - Ensure quick delivery with utmost quality and proper documentation. - Maintain sensitivity towards Turn Around Time and Quality. - Exhibit passion towards claims investigatio...

As an Executive/ Sr. Executive Operations in the Insurance department, your role will involve overseeing day-to-day insurance operations. This includes managing policy issuance, endorsements, claims processing, customer service, and coordinating with underwriters and third-party service providers. Your strong understanding of insurance operations and regulatory compliance will be crucial for success in this role. Key Responsibilities: - Manage end-to-end policy administration including issuance, endorsements, renewals, and cancellations. - Coordinate with internal departments such as underwriting, claims, finance, and compliance. - Collaborate with different insurance SPOCs for servicing. - ...

As a Claims Manager at SKD Health Allied Services, you will play a crucial role in overseeing the insurance claims investigation process. Your responsibilities will include: - Handling insurance claims for investigation on the ground. - Working in coordination with the ground team to ensure effective communication. - Ensuring quick delivery with utmost quality and documentation. - Showing sensitivity towards Turn Around Time and Quality. - Demonstrating passion towards claims investigation. To qualify for this role, you should have a Medical degree or relevant experience in healthcare. Experience in claims management is preferred. Additionally, you should possess the following skills: - Stro...

Who we are looking for This position in Collateral management / Exchange Traded Derivatives / CCP is responsible for managing and overseeing the positions / margins are in line with exchange and collateral movements are settled on time to mitigate the financial risk. This role involves settling margin movements & collateral movements and ensuring compliance with documentation and regulatory requirements. Experience in interacting with client and counterparties while working on margin call, making sure cash & securities settled on time. This position also included identifying opportunities for process improvement to enhance operational efficiency. Understanding of Cost & Budgeting is importan...

Hiring for leading insurance company for US Claims process Graduate with min 3 years End to end Claims experience is mandate US shift SAT-SUN OFF Package upto 8 LPA Viman Nagar, Pune CALL US 9226639337 / 8983678989

If Only Suitable then share your Resume to ganreddy@astoncarter.com Contact: 7760406375 (Ganesh Reddy) Role: Voice Program Specialist - Benefit Verification US Healthcare Tenure: 6 Months Fixed Contract Extendable based on Performance (No Bond) Client: Top Clinical Research & Development Company Shift: 6PM-3AM Cabs: 2 Ways Provided Location: Manyata Tech Park Bengaluru Work Model: 5 Days Work From Office Graduation is Mandatory Minimum Overall 1.5 Years Experience in Voice or Semi-Voice Process out of which 1yr relevant into US Healthcare mandatory. Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process. HIPAA Compliance Knowledge Preferred Walk-in Locati...

As an Insurance Specialist at Transject Cargo Pvt. Ltd. in Noida, you will play a crucial role in managing and supporting insurance processes related to US-based policies such as home, auto, medical, and pet insurance. Your responsibilities will include assisting with policy issuance, renewals, endorsements, and cancellations, handling claims processing and documentation, ensuring compliance with US insurance regulations, and effectively communicating with clients, brokers, and insurance carriers. Additionally, you will be responsible for accurate data management, staying updated with US insurance industry trends, and collaborating with internal teams for smooth process delivery. **Key Respo...

Role Overview: You will be responsible for applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. It is essential to understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Additionally, you will be processing claims as per regulatory guidelines, adhering to the TATs in processing, conducting quality reviews of processed files, handling grievance redressal and escalations, and identifying fraudulent claims. This is a work-from-office role on a roster basis. Key Responsibilities: - Apply medical knowledge in evaluating medical claim files - Understand policy wordings including Terms & conditions -...

Medcare Hospitals Medical Centres is looking for Senior Associate Insurance to join our dynamic team and embark on a rewarding career journey As a Senior Associate in the insurance industry, you would hold a mid-level position with responsibilities that revolve around providing support and expertise in various areas of insurance operations Here are some key responsibilities and activities typically associated with this role:Underwriting Support: Assisting with the underwriting process by gathering and analyzing data, reviewing insurance applications, and conducting risk assessments Collaborating with underwriters to evaluate risks, determine appropriate coverage, and assist in making underwr...

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the company€™s culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the e...

About Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as many as 600mn Indians will likely have to depend on employer-sponsored insurance. Plum is on a mission to provide the highest quality insurance and healthcare to 10 million lives by FY2030, through companies that care. Plum is backed by Tiger Global and Peak XV Partners. About the Role The primary job purpose of an Executive Reimburseme...

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Quality Auditor - Charge Posting - Near Madhavaram Location preferred - Immediate Joiners needed. Candidates who are willing to work in Day shifts - 11AM to 8 PM (Mon to Sat) Need on papers QA for Charge Entry Role. Experience & Requirements: Minimum 4+ years of experience in US Medical Billing. Candidates who worked in QA in charge entry process for at least 1 year are eligible. Good verbal and written communication skills. Charge Posting & auditing candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidate...

SUMMARY Retail Staff Opportunity for Freshers ===================================== Summary ----------- We are seeking enthusiastic and motivated individuals to join our retail team as Retail Staff. As a Retail Staff member, you will play a vital role in ensuring the smooth operation of our retail stores, providing excellent customer service, and maintaining a visually appealing store environment. This is an excellent opportunity for freshers to gain hands-on experience in the retail industry and develop valuable skills. Responsibilities - - - - - - - - - - - - - - - - - - - Folding and stacking merchandise at the basic table Timely display of received stocks to maintain a visually appealing...

Medical Billing Executive (AR Caller) Location: Mohali Salary: Up to 23,000 CTC + 5,000–7,000 Incentives (Performance based) Shift Timing: 5:30 PM – 2:30 AM (Fixed Shift) Working Days: Monday to Friday Week Offs: Saturday & Sunday Fixed Off Required Candidate profile *Qualification* 12th Pass with Minimum 6 Months of Experience or Graduate Good Communication Skills (English) Required Perks and benefits Cabs Provided 1 time Meal

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MCA,MTech Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a Senior Product Manager you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the In...

Educational Requirements Bachelor of Engineering,BCA,BSc,MTech,MCA,MSc Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define...