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10.0 - 15.0 years

7 - 9 Lacs

Kolkata

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Looking after all insurance matters of Mfg. & EPC Cos of group . Profile includes –Record of all Ongoing Policy, Renewal, Dealing with insurance Co for new Coverage ,Premium Negotiations. Claims settlement, insurance of Group, Individual & family etc Required Candidate profile Profile includes – Record of all Ongoing Policy, Renewal, Dealing with insurance Co for new Coverage , Premium Negotiations. Claims settlement, insurance Management of Group, Individual & family etc

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10.0 - 15.0 years

15 - 20 Lacs

Pune

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Role & responsibilities As the Delivery Lead of Insurance Collections for Patient Financial Services, the role involves working in conjunction with Senior Leadership to identify unit, department, and business priorities to successfully deliver on Patient Financial Service accounts receivable metrics. Responsibilities include accounts receivable management, including recovery and reconciliation of denial, and no activity insurance claims. The individual will interact and collaborate with various departments, lead payer issue denial trending, research and recovery of payer issues, system updates, data analytics, strategic work plans, and execution of plans and directives. Preferred candidate profile Bachelors degree in business or accounting major is preferred. 10+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance

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3.0 - 5.0 years

5 - 7 Lacs

Mumbai, Pune, Bengaluru

Hybrid

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Role : Senior Analyst-Claims Adjusting Work Mode : Hybrid Experience : 3+ Yrs Location : Pune, Mumbai, Bangalore, Kochi ******************************************************************************************* *IMMEDIATE JOINERS ALERT!* We're looking for candidates who can *join immediately*. If you're available, please *send your CV via WhatsApp only* to: * 9152808909* Please note: *No calls* will be entertained. ******************************************************************************************* Must Have : End to End Marine Claims Position Summary: Our company is seeking to hire a Senior Analyst-Claims Adjusting for Claims vertical. As the Senior Analyst - Claims Adjusting, you will be responsible for handling and execute all allocated claims in accordance with the company's documented service standards. Your role will involve investigation, evaluation, processing, disposition and settlement of claims. You will be responsible for fostering a culture of collaboration, continuous improvement, and customer focus within the shared services team. You will be interacting with the team who are present in any of the onshore locations. Exposure to Insurance regulations and laws, claims handling procedures and Risk management principles is a definite plus. ESSENTIAL RESPONSIBILITIES: Importance Major Action and Support Actions Investigate the circumstances surrounding marine incidents, such as collisions, groundings , or cargo damage. Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. Mitigate organizational risk, maintaining compliance and reputation Competency Description Technical 1. Insurance regulations and laws 2. Claims handling procedures 3. Risk management principles 4. Industry standards 5. Maritime law and regulations Soft Skills 1.Communication (verbal and written) 2. Negotiation and conflict resolution 3. Analytical and problem-solving 4. Planning & Prioritizing 5. Customer service and relationship-building 6. Collaboration and teamwork 7. Adaptability and flexibility Behavioral 1. Integrity and ethics 2. Results-driven and accountable 3. Customer-focused and empathetic 4. Competitive 5. Patient 6. Innovative Collaboration 1. Collaborative mindset 2. Effective communication 3. Adaptability and flexibility 4. Constructive feedback and conflict resolution 5. Commitment to team success EDUCATION AND EXPERIENCE Minimum Required Degree: Bachelor Preferred Degree: Bachelors degree in insurance or related field Certificate(s)/Special Training: Insurance industry certifications AIC, AINS, Cert CII or any other relevant Insurance certification Experience ( Career Level Guide) Minimum 2-3 years of experience in insurance claims handling Proven track record of successful claim resolutions and customer satisfaction. Strong knowledge of insurance regulations, policies, and procedures. KNOWLEDGE, SKILLS AND ABILITY: Knowledge, Claims Handling Ability: Investigate and analyze claims documentation Determine coverage and liability Negotiate settlements and resolve disputes Communicate effectively with insureds, claimants, suppliers and brokers Apply industry-standard claims handling procedures. Skills Claims investigation and analysis Effective communication and interpersonal skills Time management and organization Customer service and relationship-building Collaboration and teamwork Remarks This position is in a temperature-controlled office environment. The noise level in the work environment is usually light to moderate. This position is to work in a Hybrid model and depending on the need must be flexible to work from office/home/shift timings as required to accomplish their role. This job description is not intended to be an exhaustive list of the duties and responsibilities of this position. Additional duties not included on this job description may be assigned by management at any time, based upon the business needs of the Company. Employees must perform all such duties assigned to them as a condition of employment. Likewise, this job description does not alter the at-will nature of employment at the Company. The Company may review and update this job description from time to time, as deemed necessary or appropriate in its sole discretion.

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3.0 - 5.0 years

5 - 7 Lacs

Mumbai, Pune, Bengaluru

Hybrid

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Role : Senior Analyst-Marine Claims Work Mode : Hybrid Experience : 3+ Yrs Location : Pune, Mumbai, Bangalore, Kochi ******************************************************************************************* *IMMEDIATE JOINERS ALERT!* We're looking for candidates who can *join immediately*. If you're available, please *send your CV via WhatsApp only* to: * 9152808909* Please note: *No calls* will be entertained. ******************************************************************************************* Must Have : End to End Marine Claims Position Summary: Our company is seeking to hire a Senior Analyst-Claims Adjusting for Claims vertical. As the Senior Analyst - Claims Adjusting, you will be responsible for handling and execute all allocated claims in accordance with the company's documented service standards. Your role will involve investigation, evaluation, processing, disposition and settlement of claims. You will be responsible for fostering a culture of collaboration, continuous improvement, and customer focus within the shared services team. You will be interacting with the team who are present in any of the onshore locations. Exposure to Insurance regulations and laws, claims handling procedures and Risk management principles is a definite plus. ESSENTIAL RESPONSIBILITIES: Importance Major Action and Support Actions Investigate the circumstances surrounding marine incidents, such as collisions, groundings , or cargo damage. Assess the extent of damage to vessels, cargo, or freight, and estimate the cost of repairs or replacement. Appropriately document information on claim file Maintain effective and ongoing communication with various internal and external contact. Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes. Ensure compliance with relevant maritime law and regulations Ensure adherence to regulatory requirements, industry standards, and company policies. Mitigate organizational risk, maintaining compliance and reputation Competency Description Technical 1. Insurance regulations and laws 2. Claims handling procedures 3. Risk management principles 4. Industry standards 5. Maritime law and regulations Soft Skills 1.Communication (verbal and written) 2. Negotiation and conflict resolution 3. Analytical and problem-solving 4. Planning & Prioritizing 5. Customer service and relationship-building 6. Collaboration and teamwork 7. Adaptability and flexibility Behavioral 1. Integrity and ethics 2. Results-driven and accountable 3. Customer-focused and empathetic 4. Competitive 5. Patient 6. Innovative Collaboration 1. Collaborative mindset 2. Effective communication 3. Adaptability and flexibility 4. Constructive feedback and conflict resolution 5. Commitment to team success EDUCATION AND EXPERIENCE Minimum Required Degree: Bachelor Preferred Degree: Bachelors degree in insurance or related field Certificate(s)/Special Training: Insurance industry certifications AIC, AINS, Cert CII or any other relevant Insurance certification Experience ( Career Level Guide) Minimum 3 years of experience in insurance claims handling Proven track record of successful claim resolutions and customer satisfaction. Strong knowledge of insurance regulations, policies, and procedures. KNOWLEDGE, SKILLS AND ABILITY: Knowledge, Claims Handling Ability: Investigate and analyze claims documentation Determine coverage and liability Negotiate settlements and resolve disputes Communicate effectively with insureds, claimants, suppliers and brokers Apply industry-standard claims handling procedures. Skills Claims investigation and analysis Effective communication and interpersonal skills Time management and organization Customer service and relationship-building Collaboration and teamwork Remarks This position is in a temperature-controlled office environment. The noise level in the work environment is usually light to moderate. This position is to work in a Hybrid model and depending on the need must be flexible to work from office/home/shift timings as required to accomplish their role. This job description is not intended to be an exhaustive list of the duties and responsibilities of this position. Additional duties not included on this job description may be assigned by management at any time, based upon the business needs of the Company. Employees must perform all such duties assigned to them as a condition of employment. Likewise, this job description does not alter the at-will nature of employment at the Company. The Company may review and update this job description from time to time, as deemed necessary or appropriate in its sole discretion.

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0.0 - 1.0 years

1 - 2 Lacs

Chennai

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Urgent requirement for BHMS/BAMS-Chennai(Annasalai) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd., Raheja towers, Unit 005, Delta wing no-177, Beside LIC building, Annasalai, Chennai-600002.

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3.0 - 7.0 years

0 Lacs

Chennai

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Hiring Payment Posting specialists with 3–6 yrs of exp in US healthcare RCM. Location: Perambur, Chennai. Immediate joiners only. Must have hands-on experience in ERA/EOB posting. Night shift. Join our dynamic team today!

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2.0 - 7.0 years

1 - 2 Lacs

Kolkata

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Responsibilities: * Manage health & motor claims from intake to settlement * Investigate claims, gather evidence & negotiate settlements * Ensure compliance with regulatory requirements

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2.0 - 7.0 years

4 - 9 Lacs

Hyderabad, Bengaluru, Delhi / NCR

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We are Conducting Mega Job fair for Top 10 Companies for AR calling. Job Title: AR Caller (Accounts Receivable Caller) Department: Revenue Cycle Management / Medical Billing Location: Bangalore / Hyderabad / Chennai / Noida Job Type: Full-Time. Experience: 0 to 10 years Job Summary: We are seeking an AR Caller to follow up on outstanding insurance claims and ensure timely reimbursement. The ideal candidate will be responsible for calling insurance companies (payers) to verify claim status, resolve denials, and secure payment for services rendered. Key Responsibilities: Call insurance companies and follow up on pending claims. Understand and interpret Explanation of Benefits (EOB) and denial codes. Identify reasons for claim denials or delays and take appropriate actions. Resubmit claims or file appeals when necessary. Document all call-related information accurately and clearly. Work with billing teams to resolve billing issues. Meet daily productivity and quality targets. Stay updated on payer policies and healthcare regulations. Required Skills: Excellent communication skills (verbal and written) in English. Basic knowledge of the US healthcare system and insurance claim process. Attention to detail and analytical thinking. Familiarity with denial management and RCM workflow is a plus. Experience using billing software like Athena, NextGen, eClinicalWorks, or similar is a bonus. Qualifications: Bachelors degree preferred, but not mandatory. Prior experience in AR calling/medical billing is an advantage. Willingness to work night shifts (for US clients). contact Hiring Manager : Aditya - 9900024811 / 7259027295 / 7760984460 / 7259027282 9900024951

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1.0 - 5.0 years

3 - 6 Lacs

Navi Mumbai

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1 to 2 yrs of exp in P&C or Specialty Insurance. Exp to FNOL (First Notice of Loss) & FROI (First Report of Injury) processes, along with claim management & payment processing exp. •Exp in handling complex claim cases & resolving disputes effectively Required Candidate profile 1 to 2 yrs exp in P&C.(Property & Casualty). Exp to FNOL and FROI processes. Exp in claim management & payment processing. Knowledge of US insurance regulations & standards.

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5.0 - 10.0 years

18 - 25 Lacs

Bengaluru

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SUMMARY Job Role: Guidewire Developer Location Pune / Mumbai / Hyd / Bangalore Experience The ideal candidate should possess at least 5 years of relevant experience in Guidewire development. Job Summary We are seeking a skilled Guidewire Billing Center Developer to design, develop, and maintain Guidewire Billing Center applications. This role requires close collaboration with business analysts, project managers, and fellow developers to ensure the successful implementation and integration of Guidewire solutions. Key Responsibilities Configuration and Integration: Develop and configure Guidewire Billing Center applications to align with business requirements. Customization and Extension: Customize and extend the BillingCenter data model and business rules using Gosu and PCF. Development: Write code using GOSU, Java, and other relevant programming languages. Testing: Conduct unit testing and provide support for QA testing to uphold the quality of developed solutions. Support and Troubleshooting: Assist in performance tuning, code reviews, and quality assurance processes. Identify and resolve issues related to Guidewire Billing Center applications. Documentation: Create and maintain technical documentation for developed solutions, including document generation and integration. Collaboration: Work with cross-functional teams to comprehend requirements and deliver solutions. Lead the end-to-end design, configuration, and customization of Guidewire BillingCenter. Take ownership of functional modules, including Invoicing and delinquency management, Payments, Payment Requests, and Disbursements, Billing Instructions and Commission processing, and Trouble Tickets (setup, workflows, resolution tracking). Mentorship: Mentor junior developers and ensure adherence to coding standards and best practices. Requirements Requirements: Proven experience as a Guidewire Developer or similar role Proficiency in Guidewire Billing Center applications Strong knowledge of GOSU, Java, and other relevant programming languages Ability to collaborate effectively with cross-functional teams Excellent troubleshooting and problem-solving skills Strong communication and mentorship abilities

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5.0 - 8.0 years

4 - 6 Lacs

Coimbatore

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Job Title: Team Leader-Provider configuration- Coimbatore & Claims Adjudication (US Healthcare) Experience: 5-8 years Qualification: Bachelors degree Shift: Night shift Transportation: Pick up and drop would be provided Job Summary: Team Leader - Provider configuration- Coimbatore and Claims Adjudication will oversee a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process improvement, and client satisfaction. Key Responsibilities: Team Management & Leadership: Lead, mentor, and manage a team handling enrollment, Provider configuration- Coimbatore and claims adjudication processes. Monitor team productivity, quality, and adherence to service level agreements (SLAs). Provide training, coaching, and development opportunities to team members. Conduct regular team meetings, performance reviews, and provide constructive feedback. Resolve escalations and complex issues promptly and professionally. Enrollment Management: Oversee new member enrollment, renewals, terminations, and updates in healthcare plans. Ensure data accuracy for member eligibility, coverage, and benefits. Collaborate with clients and internal teams to resolve enrollment discrepancies or queries. Claims Adjudication Oversight: Supervise the processing of healthcare claims ensuring accuracy and compliance with policies, provider contracts, and regulatory guidelines (HIPAA, CMS, etc.). Ensure proper review of claims for eligibility, benefits coverage, coding, and payments. Monitor claim denials and implement corrective action plans to reduce errors and rework. Process & Compliance: Ensure compliance with US healthcare regulations, privacy laws (HIPAA), and client-specific guidelines. Identify process improvement opportunities and work with quality teams to implement best practices. Prepare and analyze reports related to team performance, quality audits, and operational metrics. Liaise with clients and stakeholders for updates, process changes, or reporting needs. Required Skills and Qualifications: Bachelors degree or equivalent work experience in healthcare operations. Minimum 5-6 years of experience in US healthcare processes, with 1-2 years in a team leadership role. SMES and Quality analysts are eligible to apply Strong knowledge of US healthcare insurance, including enrollment, eligibility, Provider configuration, claims processing, and adjudication rules. Familiarity with CMS, Medicaid, Medicare, ACA, and HIPAA regulations. Proficient in claims platforms Excellent analytical, problem-solving, and decision-making skills. Strong communication and interpersonal skills. Ability to multitask and work under pressure. Interested candidates can share your resume to anitha.c@sagilityhealth.com

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4.0 - 9.0 years

3 - 5 Lacs

Coimbatore

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Greetings!!! Openings at Sagility for Process Trainer-Enrollment(US Healthcare) Minimum of 4 years of experience as a Process Trainer in an International BPO. Excellent written and verbal communication skills, with strong interpersonal abilities. Proven experience as a Trainer in an International BPO environment. Strong presentation and Excel skills. Sound knowledge of basic training methodologies. Ability to work in US rotational shifts. Immediate joiners are mostly preferred. Interested candidates can share your resume to anitha.c@sagilityhealth.com

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1.0 - 5.0 years

1 - 5 Lacs

Noida

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Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. There are two types of positions available: Non-Voice Process (200 positions) Key Responsibilities: For Non-Voice Process (200): Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Salary & Benefits: Competitive salary based on experience. Health and Accidental insurance. Interested candidates can call/WhatsApp on 9311316017 (HR Manish Singh) or email on Manish.singh2@pacificbpo.com .

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0.0 - 4.0 years

2 - 3 Lacs

Noida, Ghaziabad, Delhi / NCR

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Pacific an Access Healthcare is conducting walk in drive on 04-June-2025 (Wednesday) Payment Posting Charge Posting Location: Noida (Work from office) Minimum 8 months of relevant experience is mandatory Interested candidates can directly come for walk in interview Time 1-4p.m. Address: C-27 Trapezoid It park sec 62 Noida 7th floor Carry photocopy of resume and Aadhar card and mention HR Ishika on the top of your resume Call or WhatsApp on 9289356699/ ishika.batra@pacificbpo.com

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1.0 - 3.0 years

2 - 3 Lacs

Gandhinagar, Ahmedabad

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Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

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1.0 - 3.0 years

2 - 3 Lacs

Gandhinagar, Ahmedabad

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Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

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5.0 - 10.0 years

3 - 5 Lacs

Kochi

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Job purpose To manage the end-to-end claims reimbursement process efficiently and accuratelyensuring timely claim submission, verification, adjudication, and resolution—while 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). Submission Channels : Claims can be submitted via online portals, email, fax, or physical mail, depending on the insurer's requirements. 2. Claim Verification and Validation Eligibility Check : Determine if the claim is within the policy coverage limits and terms. Verify that the claim type (medical, property damage, etc.) is covered under the insured's policy. Document Review : Confirm all necessary documents have been provided. Ensure the claim is free from errors, fraud, or inconsistencies. Request for Additional Information : If documents are missing or unclear, the insurer requests clarification or additional evidence. 3. Claim Adjudication Assessment of Claim : Evaluate the claim amount against the policy terms and coverage limits. Check deductibles, co-pays, and exclusions outlined in the policy. Reimbursement Calculation : Determine the payable amount after accounting for policy conditions like sub-limits, deductibles, or co-insurance clauses. Approval or Denial : Approve valid claims for reimbursement. Deny claims with proper reasoning if they fall outside policy coverage. 4. Reimbursement Processing Payment Authorization : Approved claims move to the payment stage after final authorization by the claims manager or automated systems. Payment Methods : Payments are issued via direct deposit, checks, or transfers to the insured or service provider, depending on the arrangement. Notification : The claimant receives a notification detailing the reimbursement amount, processing timelines, and any deductions applied. 5. Dispute Resolution (if applicable) Denial Appeals : If a claim is denied, the insured can appeal the decision with additional documentation or clarification. Resolution of Discrepancies : Address issues such as underpayments or errors in processing through negotiation or review. Customer Support : Insured parties can work with claims specialists to resolve questions about their claim or reimbursement status. 6. Final Documentation and Archiving Record Keeping : All claim-related documents and correspondence are archived for compliance and future reference. Regulatory Reporting : Ensure claims are processed in compliance with local, state, or federal regulations and report as needed.

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3.0 - 8.0 years

2 - 7 Lacs

Ahmedabad

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Candidates with experience in US Healthcare (Medical Billing) are encouraged to share their resumes at avni.g@crystalvoxx.com or send a WhatsApp message to +91 75670 40888.

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1.0 - 3.0 years

3 - 3 Lacs

Nashik

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Any graduate with proficiency in English1 year of experience in Insurance Operations/Mutual Funds/Stocks trading/ Investment/ Project-Finance.Handling applications, renewals, cancellations, and payments for insurance policies.communication skills.

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2.0 - 9.0 years

4 - 11 Lacs

Chennai

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Job Tile : Claims processing Doctor 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 BDS, BHMS, BAMS Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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0.0 - 1.0 years

2 - 3 Lacs

Chennai

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Job Tile : Claims processing Doctor 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 BDS, BHMS, BAMS Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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28.0 - 29.0 years

25 - 30 Lacs

Jalandhar, Ludhiana, Patiala

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He will be deployed in working season in stages for cumulative duration of period mentioned in Enclosure-A for obtaining his expert opinion on emerging contractual issues. His key responsibilities will be to guide and assist Team Leader/Employer in all aspects of contract management in proper implementation of contract provisions including controlling the project cost of the construction package. He will also be required to offer his advice on contractual complications arising during the implementation as per the request of the employer. He will be required to prepare manuals/schedules for the consultants team/employer based on the provisions of the contract document. He will be responsible for giving appropriate suggestions in handling claims of the contractors and any dispute arising thereof.

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10.0 - 12.0 years

5 - 6 Lacs

Chennai

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Job Tile : Claims processing Doctor 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 BDS, BHMS, BAMS Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

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4.0 - 9.0 years

3 - 6 Lacs

Gurugram

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1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

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0.0 - 5.0 years

2 - 7 Lacs

Raipur

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Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey Customer Relationship Management Relationship Associates in Bancassurance establish and maintain strong relationships with bank customers They engage with customers to understand their insurance needs, provide information about available insurance products, and offer personalized solutions based on individual requirements Insurance Product Knowledge They develop a comprehensive understanding of the insurance products offered by the bank This includes life insurance, health insurance, general insurance, and other relevant insurance solutions They stay updated on product features, benefits, terms, and conditions to effectively communicate the offerings to customers Sales and Cross-Selling Relationship Associates actively promote and sell insurance products to bank customers They identify cross-selling opportunities by analyzing customer profiles and financial needs They explain the features and benefits of insurance products, address customer queries, and guide customers through the insurance purchasing process Needs Analysis and Solution Design They conduct needs analysis for customers to determine their insurance requirements They assess the customer's risk profile, financial goals, and coverage needs Based on the analysis, they design suitable insurance solutions that align with the customer's preferences and financial capabilities Documentation and Application Processing Relationship Associates assist customers with the completion of insurance application forms and related documentation They ensure accuracy and completeness of information provided by customers and facilitate the smooth processing of insurance applications Customer Service and Support They provide ongoing customer service and support to address inquiries, claims processing, and policy servicing requirements They act as a point of contact for customers throughout the insurance policy lifecycle, resolving any issues or concerns that may arise

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