3155 Claims Processing Jobs - Page 18

We are seeking a skilled COBOL Developer to join our team, focusing on life insurance projects. The ideal candidate will be responsible for developing code, performing unit testing, and ensuring alignment with assigned tasks. Develop and maintain COBOL code for life insurance applications. Perform unit testing to ensure code quality and functionality. Collaborate with cross-functional teams to align development tasks with project requirements. Enhance and support the Ingenium product used in life insurance projects. Work on various areas such as new business, rate setup, underwriting, and claims processing. Utilize batch processing and API processing to improve system efficiency. Document co...

-Fraud Disputes is a blend set-up for India market in an extremely professional, responsive, and competent manner. -Handle incoming and outgoing calls related to claims processing, providing excellent customer service and support. -Review and analyze claims to ensure accuracy and compliance with company policies and regulations. -Process claims efficiently and accurately within the designated time frames. -Resolve claim issues and discrepancies by conducting thorough investigations -Analyze and decide on accepting or rejecting a fraud claim. -Claim Processing -Prior experience in phone/ email servicing required. -Handle complaints from Card members and Business Partners on email. -Identify g...

Retail Claims - Automation & ProjectsKey Responsibilities1 Automate Claims Processes- Design anddevelop automated workflows and business rules to streamline claims processing Integrate with Existing Systems- Integrateautomated claims processing solutions with existing systems and technologies Testing and UAT - Test and validateautomated claims processing solutions to ensure accuracy and efficiency Daily production issue - Troubleshootissues and resolve problems related any day-to-day production issues across allclaim systems for death and health claims5 Collaborate with IT stakeholders, claim team and other requiredstakeholders to understand requirements and implement solutions6 Strong techn...

Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentia...

Hiring For US Healthcare Voice Any graduate 3+ Yrs exp in CTC: Upto 10 LPA Location: Pune. (hybrid) NP: 0-30 Days 9049866622 | shweta@talentams.com Required Candidate profile 3 + yrs exp in healthcare voice P&C Voice EXCELLENT COMMUNICATIONS ONLY Perks and benefits Both way cabs Hybrid after 6 months Joining.

Job Description: Claims Executive Location: On-site Working Days: Monday to Friday Working Hours: 9:00 AM 5:30 PM Probation Period: 6 months (No paid leave during probation) Experience Required: 12 years Company Overview BimaGuru is a trusted name in insurance advisory, offering tailored insurance solutions backed by expert guidance. We help clients secure their future with a wide range of reliable insurance products designed to meet diverse needs. Position Summary We are hiring a Claims Executive to support and manage our claims operations. The role involves end-to-end claim registration, maintaining accurate records, tracking documentation, and generating timely reports. The ideal candidat...

Greetings from Sagility . Sagility has huge openings for BDS/ MDS graduates in US healthcare organization Job Description: Interpret all types of Medical records Must have worked in Health care TPA/ must have worked a medical officer in any recognized TPA CPT & ICD 9 & 10 Coding Interpret medical necessity in contrast to clinical policies / guidelines Interpret medical data and provide accurate clinical review Identify Cost Savings within Medical Claims Itemized bill review (IBR) for Institutional claims Qualification & Skills: BDS/ MDS Graduation with Internship Interested Candidates can share the CV's to Yuva Indira. K @ 7200012804/ Share their CV's through mail yuvaindira.k@sagilityhealth...

Responsible for preparing Variation Instruction, Variation Order, Recommendation to the Employer for approval / rejection of Variations. Responsible for assessment of Contractor s/Employer s Claims for Agreement/Determination also providing notification to the Employer and Contractor of any Claim Agreement. Assessment and determination of the Employer s Claims/ Counterclaims, taking into account the actual work done, related events encountered in the project & confirming to the Contract provisions. Evaluation and submission of Interim Claims (Cost), under the relevant Contract norms attributable to the Employer. Checking for submitting Price Adjustment/ Variations Bills, in terms of Contract...

Role Description GTI Transformation is responsible for the ongoing management, development and execution of Deutsche Banks hybrid cloud strategy. The position will be based in Pune. This significant role covers two main areas of responsibility. Governance and oversight of the scope and pipeline of applications migrating to Public and Private Cloud What well offer you As part of our flexible scheme, here are just some of the benefits that you'll enjoy Your key responsibilities Maintain application golden source and ensure application readiness for the initiation of the application migration Ensuring that scope and requirements for new and ongoing IT projects are understood both from a high-le...

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, Tre...

To handle client claims with respect to commercial claims (non-health) & (non-motors) for clients of the Kolkata location , to ensure the highest standards of client satisfaction towards making Salasar the preferred insurance broking house for clients. Job Responsibilities: Financial Contribute to renewal portfolio expansion through relationship building with the insurance companies and surveyors to ensure optimum claim settlement in minimum time During processing of claim analyze the following and communicate to underwriters: adequacy of coverage wrt. location specifications e.g. Earthquake /flood etc. adequacy of sum insured anomalies in the policy scope of additional policies other relate...

Job Track Description: Requires relevant expertise through formal education in a professional, sales, or technical area. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results. Able to complete work self-guided. College or university degree required or equivalent work experience. General Profile Performs routine assignments. Exposure to fundamental theories and concepts. Develops skills by performing structured work assignments. Uses existing procedures to solve routine or standard problems. Rece...

Job Description: Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy. Handle escalations, customer queries and responding to mails accordingly Effectively manage the team so that the targets are met while reducing the no. of IRs raised. Ensure that the claims are approved or denied as per the terms and conditions within the TAT. Provide supportive and positive experience to the new joiners and train them. Gather inputs from various sources and keep up-to-date on the new policies or changes in existing policies and intimate the Configuration team and the CRM team Manage a group of claim processors, guide and coach them...

HELLO JOB SEEKERS!! GREETINGS FROM SHININGSTARS!! ONLY GRADUATE FRESHERS AND GRADUATE EXPERIENCED CAN APPLY IMMEDIATE JOINERS ONLY. Are you ready to kickstart an exciting career with a dynamic multinational BPO in BANGALORE ? ShiningStars is on the lookout for enthusiastic individuals to join our team, and it could be YOU! PROFILE- CLAIMS ASSOCIATE PROCESS- BLENDED PROCESS LOCATION- BANGALORE ( KUNDANHALLI ). ROLES AND RESPONSIBILITIES- ELIGIBILITY- *Graduate Freshers / Experienced can only apply. *Minimum 2 years of experience is mandatory in Claims. *Freshers Must be from Commerce background. *Experience in voice or blended process is mandatory. *Communication Skills: Brilliant presentatio...

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that...

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 mod...

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that...

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that...

As a Process Analyst– Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communica...

Processing life and annuity insurance claims involves investigating, processing, and disbursing payments, including validating documents, determining claim actions, and calculating benefit amounts for beneficiaries. Work well with Onshore /Offshore customers encouragingly and professionally via email and on calls. Meet productivity and quality targets on a daily, weekly, and monthly basis. Render overtime whenever requested by the Supervisor including rest day. Use expertise to evaluate the work of others and assist in process calibration. Facilitate team huddles and teach-back sessions as scheduled. Complete certification on the identified process and developmental training. Participate in ...

Job description: Position: Field Exec. Salary: Up to 20,000 Locations with vacancy: 1. Topsia-1 2. Saltlake-1 3. Dumdum-1 4. Arambagh-1 5. Goghat-1 6. Gurap-1 7. Dhaniakhali-1 8. Chanpadanda-1 9. Pursurah- 1 Requirements: 1. Own bike for travelling

Role: AR cum analyst Exp: 1+years of exp in Ar Analyst and Handling a denials management Salary: Maxi up 3.6LPA Location: Chennai shift: Night Shift immediate joiners Any graduation Regards stefi 7826055629

Hello Folks, Greetings From ShiningStars ITPL!! * MEGA JOB OPENINGS * WORK FROM OFFICE * FREE JOBS * NO TARGET * BPO HIRING * * VOICE PROCESS * Are you a highly motivated individual with a passion for providing exceptional customer service? We are hiring dedicated Customer Care Executives for both Domestic and International voice process. We welcome applications from both Freshers eager to start their career and Experienced Professionals looking for growth and challenging roles. IMMEDIATE JOINERS PREFERRED || ONLY WALK-IN INTERVIEW PLEASE READ THE JOB DESCRIPTION CAREFULLY BEFORE APPLYING Age Limit - Max. 30 Locations we're hiring for: - Bengaluru - Shivaji Nagar, Kudlu Gate, Nagavara and Ku...

As an Assistant Manager, Auto Claims at Genpact, your role involves managing and coaching a team of claims adjusters to ensure efficient processing of claims in compliance with policies and procedures. You will be responsible for setting goals, providing feedback, improving claims handling processes, and fostering strong relationships with stakeholders. - Managing and coaching a team of claims adjusters, setting goals, providing feedback, and conducting performance evaluations. - Ensuring timely and efficient processing of all claims while adhering to relevant policies and procedures. - Developing and implementing processes to enhance claims handling and improve customer satisfaction. - Moni...