2028 Claims Processing Jobs - Page 24

Urgent requirement for BHMS/BAMS -Jharkhand(Ranchi) 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.

Processing transactions into the system as per the communication received from customers Reviewing documents to determine type of request(s) & process them Process Payment Processing and Manual Calc transactions for Retirement insurance Required Candidate profile Graduate with 2 yrs Experience in US Healthcare Retirement Retirement Payment Processing Defined Benefits Manual Calculations Comfortable with US shift Noida Location WFO info.aspiringmantra@gmail.com

Job Summary The TL-Encounters role is pivotal in ensuring the seamless processing and adjudication of claims within our hybrid work model. With a focus on Facets and UiPath the candidate will leverage their expertise in Provider and Payer domains to optimize workflows and enhance operational efficiency. This night shift position requires a proactive approach to problem-solving and a commitment to delivering high-quality results. Responsibilities Lead the team in the efficient processing of claims using Facets to ensure accuracy and compliance. Oversee the automation of routine tasks through UiPath to enhance productivity and reduce manual errors. Provide expert guidance on claims adjudication processes to ensure timely and accurate settlements. Collaborate with cross-functional teams to streamline workflows and improve overall service delivery. Analyze and resolve complex issues related to Provider and Payer domains to support business objectives. Develop and implement strategies to optimize claims processing and reduce turnaround times. Monitor system performance and identify opportunities for improvement to enhance operational efficiency. Ensure adherence to industry regulations and company policies in all claims processing activities. Facilitate training sessions to upskill team members on the latest tools and technologies. Conduct regular audits to maintain data integrity and compliance with established standards. Communicate effectively with stakeholders to provide updates on project progress and challenges. Drive continuous improvement initiatives to foster innovation and excellence within the team. Support the development of best practices and standard operating procedures to ensure consistency. Qualifications Possess strong technical skills in Facets and UiPath essential for optimizing claims processing. Demonstrate expertise in claims adjudication crucial for accurate and timely settlements. Have in-depth knowledge of Provider and Payer domains vital for understanding industry dynamics. Exhibit excellent problem-solving abilities necessary for resolving complex issues. Show proficiency in automation tools important for enhancing operational efficiency. Display strong communication skills essential for effective stakeholder engagement. Maintain a proactive approach to learning and adapting to new technologies and methodologies.

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

This Position reports to: FP&A CoE Hub Business Area Lead Roles and Responsibilities: Performing analysis of business performance versus budget and forecast. Performing bench-marking of key performance indicators with external and internal peers. Performing closing activities and MIS reports for the respective business / functions. Working with the other financial professionals in Divisions / Hubs / Countries / Functions to understand and analyze the drivers of financial performance and identify trends. Preparing and analyzing Product / Customer profitability. Financial analysis for various what if scenarios and sensitivity analysis and the overall impact to the Divisions. Perform Capital investment evaluation using NPV / IRR techniques. Preparing allocation cycles and calculation of Labour hour rates and overhead absorption rate for different business sce-narios. Performing cost / benefit analysis and analysis of inventories, NWC. Preparing and ana-lyzing ad-hoc reports as per divisions / functions request. Analysis of overhead under / over absorption indicating root cause. Supporting preparation of relevant organization financial reporting, business planning & forecasting. Supporting forex valuations, hedging, audits & Group on special projects. Validating accuracy of financial data and business information and reports by performing rec-onciliation and review of exception. Active participation in business process /project reviews / functions review, assisting in target setting, & strategic planning & analyzing performance of portfolio for various segments and presenting financial dashboards for business review. Ensur-ing processes and controls within own area of responsibility are designed and implemented in line with Group and unit requirements. Providing training to FP&A Analysts and onboarding of new employees. Optimize own perfor-mance to increase productivity by developing automated solutions, eliminating duplications, coordinating information requirements. Recommend changes of process standards and proce-dures to improve the timely performance of process activities Identify areas for process / report standardization across different countries, divisions and busi-ness units. Ensure processes and controls within own area of responsibility are designed and implemented in line with Group and unit requirements. Maintain proper audit trail and docu-mentation for future tax / internal / external audits and reviews. Qualifications for the role Total 3-5 Year of experience in financial planning and analysis in Manufacturing industry (Man-date) Strong analytical and problem-solving skills. Thorough / detail-oriented approach. Strong communication skills. Fluent in English. Hands on experience in SAP FICO, S/4HANA and COPA modules Basic Knowledge of Sales & Distribution, Production planning, Projects, Material master mod-ules in SAP Experience with MS Office Ability to work with diverse teams across different countries. Self-motivated with a strong commitment to quality

Hiring for US Healthcare Claims Contact Person - Bhanumathi 1 year and above experince in US Helathcare claims US shifts and offs Work from office Salary best in the market Need only immediate joiners Work location Bangalore, Brookfiled Interested candidates can walk-in to th below address with Hard copy resume. Brigade Tech Gardens, Kundalahalli, Brookefields Green Avenue, Kundalahalli, ITPL Main Rd, Phase 2, Brookefield, Bengaluru, Karnataka 560037 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

We are looking for a Claims Associate with at least 1 year of claims experience to join our team and be the voice of trust during some of lifes most critical moments. If you're detail-oriented, empathetic, and thrive in a fast-paced environment, we want to hear from you. Company location : Firstsource Solutions Limited Unit-202, 2nd Floor, Block A, Brigade tech gardens Brigade Properties Private Limited, Brookefields, Kundalahalli Whitefield, Marathahalli, Bengaluru, Bengaluru Urban Karnataka - 560037 What You'll Do: Accurately process and manage insurance claims from start to finish Communicate with policyholders, providers, and internal teams to gather required details Confirm policy coverage and ensure all documentation is complete Identify and escalate complex or unusual claims Deliver prompt, professional, and empathetic service Keep systems and records organized and up to date What You Bring: 1+ year of experience in claims processing or a similar role (required) Strong attention to detail and organizational skills Excellent communication and customer service abilities Tech-savvy comfortable with claims systems and Microsoft Office A problem-solver who can stay calm under pressure Why You'll Love Working Here: Competitive salary and benefits Supportive, team-oriented culture Opportunities for growth and career advancement If interested Kindly contact HR-Kanak Kumari Phone no-6361345172 or mail your resume to kanak.kumari@firstsource.com Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines. Requirements: 1-5 years of experience in processing Claims Adjudication Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills **Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

Role: AR Caller(Account Receivable) Process: International Voice Process Experience : Freshers Location: Chennai Shift: Night Shift Package : 3LPA Qualification : Any Graduate Regards, Prabhakaran Please share your CV to this number 6381236843

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook Genpact Inviting Applications for Banking Operations Roles, Jaipur Work module: Work from office In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes Responsibilities • Validation of information entered by indexer • Check & Select accurate Pre-authorization • Identify duplicate Claims and take appropriate action • Reading & taking appropriate action on Alerts related to Members & providers. • Referring case to calling team for further information • Looking after Policy & Non-Policy messages • Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc. • Referring cases to various department like HCS, TMT, Triage after adjudication as and when required • Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud Qualifications we seek in you Minimum qualifications • Any Graduate except technical • Freshers are eligible Preferred qualifications • Good knowledge of healthcare & medical terminologies • Eye for detail & investigative skills • Good interpretation & comprehension skills • Proven experience Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Let's build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Job Title: Non-Voice Process Associate (UK Shift) Location: Firstsource Solutions Limited Brigade Residency. Unit-202, 2nd Floor, Block A, Brigade tech gardens Brigade Properties Private Limited, Brookefields, Kundalahalli Whitefield, Marathahalli, Bengaluru, Bengaluru Urban Karnataka - 560037 Shift Timings: US Shift (5:30 PM 2:30 AM IST) Working Days: 5 Days a Week (2 Rotational Offs) Eligibility Criteria: Minimum qualification: Graduation(No Freshers) Should have Experience is Medical Claims, Claim Adjudication, Medical Billing. Excellent written communication skills in English Basic computer proficiency (MS Office, Internet, Email) Ability to work in a fast-paced environment Prior experience in Medical Claims, Claim Adjudication, Medical Billing mandatory Key Responsibilities: Handle customer inquiries and provide assistance via email or chat Process and update customer information accurately Ensure timely resolution of customer issues Maintain a high level of professionalism and customer service Compensation & Benefits: Competitive salary with unlimited performance-based incentives One-way cab facility provided Comprehensive health insurance Paid time off and holiday benefits Opportunities for career growth and development Interview Process : HR Round : Screening and discussion of job role and responsibilities. Assessment Test and Live Chat Round : Evaluation of skills related to customer support and technical troubleshooting. Operations Round : Final round to assess operational knowledge and practical skills. How to Apply : Interested candidates can contact HR, Zulfi , on 9945093145 . Please send your updated resumes to Zulfi.Bmm@firstsource.com. Shortlisted candidates will hear from us as quickly as possible. We look forward to receiving your applications and potentially having you join our dynamic team! Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses

Role & responsibilities Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. Freshers are not eligible B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

Key Responsibilities: Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

Role: Voice Program Specialist - 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: Bengaluru 56001 Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement Graduation is Mandatory Total 2 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare. Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process. If Only Suitable then share your Resume to ganreddy@astoncarter.com Contact: 7760406375 (Ganesh Reddy) Role: Program Specialist (Voice Process) Minimum Requirement: Experience: The Program Specialist ideally should have two or more years of prior customer service, volunteering, or other customer-facing experience. Prior experience in the US healthcare industry is a must , and the Program Specialist must be a proven problem solver with the ability, drive, and initiative to learn the required healthcare, reimbursement, and customer service skills necessary to support the assigned program(s). Experience in handling sensitive data in US healthcare with high degree of proficiency. Must be familiar with HIPAA guidelines. Candidates should be flexible in working from home or in an office setting per business needs. About the Role: The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within Company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer. The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs. Key Responsibilities: Quickly and efficiently respond to incoming calls and faxes, identify how best to assist. Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system. Document calls in appropriate tracking systems, and handle/escalate calls per established procedures. Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary. Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language. Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate. Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate. Strict adherence to follow the process SOPs

About the Job : We're looking for a highly skilled and experienced Senior Guidewire & AWS Engineer to join our dynamic team. In this role, you'll be instrumental in designing, developing, and deploying cutting-edge software solutions that align with our business objectives. You'll leverage your expertise in Guidewire Cloud, AWS, and the GT Framework to build robust and scalable applications, contributing significantly to our core insurance platforms. Key Responsibilities : Software Development : Design, develop, test, and deploy high-quality software applications using Guidewire Cloud, Gosu, Java, and various AWS services. Guidewire Expertise : Apply in-depth knowledge of PolicyCenter, ClaimCenter, or BillingCenter to implement and enhance core insurance functionalities. Automation & Frameworks : Utilize your proficiency in the GT Framework (Automation) to streamline development processes and improve efficiency. Architecture & Integration : Apply your understanding of modern software architecture and API integration principles to build interconnected and scalable systems. Innovation : Explore and implement innovative tools such as Advanced Product Designer (APD) to enhance product development and configuration. Technical Documentation : Maintain clear, concise, and up-to-date technical documentation for all developed applications and systems. Support & Troubleshooting : Provide expert support for existing applications, troubleshoot complex technical issues, and ensure system stability and performance. Collaboration & Communication : Collaborate effectively with cross-functional teams and stakeholders, communicating technical concepts clearly and concisely. Qualifications : Experience : 8+ years of experience in software development, with a strong focus on Guidewire and AWS technologies. Certifications : Guidewire Associate certification is required. Technical Skills : - Demonstrable expertise in Guidewire Cloud environments. - Strong programming skills in Gosu and Java. - Extensive experience with AWS services. - Proficiency in the GT Framework (Automation). - Solid understanding of PolicyCenter, ClaimCenter, or BillingCenter. - Knowledge of modern software architecture and API integration. - Familiarity with Advanced Product Designer (APD) is a plus. Soft Skills : - Excellent collaboration and communication skills. - Strong problem-solving abilities and attention to detail. - Ability to work independently and as part of a team in a fast-paced environment. What We Offer : - Opportunity to work on cutting-edge Guidewire and AWS technologies. - Be part of a collaborative and innovative team. - Contribute to impactful projects that drive business success. - Professional growth and development opportunities

Job description : Interested candidates can call to the mentioned number - 7569452008 We are seeking graduates or qualified legal professionals to join our UK motor claims support team. This role involves assisting UK insurer clients with the technical handling and legal processing of motor insurance claims, particularly around liability resolution, litigation prep, and document review. Training in UK motor insurance law and procedural frameworks (e.g., RTA, OIC, MOJ Portal, Credit Hire Portal) will be provided Role & Responsibilities : Review motor accident claim files to assist in liability determination Draft and review case summaries, driver statements, and incident versions Support preparation of court documents and evidence packs Perform legal research on comparative negligence, UK case law, and CPR Liaise with UK-based teams and ensure compliance with UK motor law processes Identify fraud indicators or inconsistencies for Fraud escalation Maintain trackers and audit trails for all actions taken Support injury claim and litigation readiness tasks Skills Required: Must be fluent in English Only Experienced can apply 24/7 shifts & virtual week off ( 5 days of working a week) Candidate who is comfortable working from office can apply Virtual Interview is available Out of station candidates are strictly not eligible Immediate joiners are preferred For more details contact mobile no : 7569452008 ( 11am to 4pm ) Address : Unit no 202,2nd floor,Campus D, Centennial Business park, kundan Halli main road, EPIP Area, Bang,karnataka India 560066 Note : Sutherland never request payment or favous in exchange for job opportunities. Please report suspicious activity immediately to TAhelpdesk@sutherlandglobal.com Nandini Sutherland Global Services

Job description : Interested candidates can call to the mentioned number - 7569452008 We are seeking graduates or qualified legal professionals to join our UK motor claims support team. This role involves assisting UK insurer clients with the technical handling and legal processing of motor insurance claims, particularly around liability resolution, litigation prep, and document review. Training in UK motor insurance law and procedural frameworks (e.g., RTA, OIC, MOJ Portal, Credit Hire Portal) will be provided Role & Responsibilities : Review motor accident claim files to assist in liability determination Draft and review case summaries, driver statements, and incident versions Support preparation of court documents and evidence packs Perform legal research on comparative negligence, UK case law, and CPR Liaise with UK-based teams and ensure compliance with UK motor law processes Identify fraud indicators or inconsistencies for Fraud escalation Maintain trackers and audit trails for all actions taken Support injury claim and litigation readiness tasks Skills Required: Must be fluent in English Only Experienced can apply 24/7 shifts & virtual week off ( 5 days of working a week) Candidate who is comfortable working from office can apply Virtual Interview is available Out of station candidates are strictly not eligible Immediate joiners are preferred For more details contact mobile no : 7569452008 ( 11am to 4pm ) Address : Unit no 202,2nd floor,Campus D, Centennial Business park, kundan Halli main road, EPIP Area, Bang,karnataka India 560066 Note : Sutherland never request payment or favous in exchange for job opportunities. Please report suspicious activity immediately to TAhelpdesk@sutherlandglobal.com Nandini Sutherland Global Services

Education Major Any Graduate or Post Graduate with any Specialization Degree Bachelor Master Licenses/Certificates Insurance Certification will be the additional advantage Work Experience Minimum 1-2 years of experience of Employee Benefits in Insurance domain Primary Responsibilities Processing of Monthly/Weekly/Daily request for addition/deletion/correction of employee for all accounts Prepare premium calculation and ensure master file is consistently updated and maintained Check and maintain Cash Deposit trail balance Job Description Ensure issuance of E-cards in timely manner Book the revenue on the system, ensuring all the transactions are accurately recorded and aligned with the clients requirements V. Additional Responsibilities Holds Technical Expertise in Policy Types and Wordings Understanding of best practices in business processes and quality assurance. Commitment to maintaining confidentiality and handling sensitive information appropriately. Willingness to continuously learn and develop new skills to enhance audit effectiveness. VI. Skills and Competencies Proficiency in Excel (calculations, pivot etc) Soft Skills - Email Writing skills Technical Proficiency and Understanding of Insurance service Excellent Written and Oral communication skills Interpersonal skills Ownership and Accountability Insurance domain knowledge LOCATION - VIKROLI MUMBAI CALL FOR MORE DETAILS - 9049079583

We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA. Key Results Production, Quality Shift and Schedule adherence Process Knowledge Minimum Eligibility: Candidates should have minimum 1 year Experience in Claims Adjudication & Claims Adjustment or Claims Adjudication with Appeals & Grievances. Shift Details: Night shift / Flexible to work in any shift and timing Cab Boundary Limit: Up to 30 km (One way drop cab) Job Location: Firstsource Solution Limited,5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu 603103.Landmark near Vivira Mall. Contact: Arun HR Phone: 6374232238 Email: arun.kumar9@firstsource.com If you are interested please share your updated CV to the arun.kumar9@firstsource.com or 6374232238. Join us to be part of a dynamic team with career growth opportunities. We look forward to seeing you at the interview! You can refer your friends as well! Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or arun.kumar9@firstsource.com

Hiring For Customer service role: (Fresher and experienced both can apply ) (70% voice & 30% non Voice) Job Location: Airoli, Navi Mumbai Eligibility: HSC or Graduate Fresher or any BPO or non bpo experience (stable profiles only) Qualification: Minimum HSC Passed Shift: 24/7 Rotational Shifts. Week offs: 5 days working and any 2 rotational week offs. Rounds of Interviews: HR and HL(English Test) Quality: Excellent language skills Age Criteria: maximum 48 Note: 1.Mega drive at Sutherland office tom at 2pm 2.Face to face interviews Role & responsibilities No Walkins on Saturday and Sunday Note: "Sutherland never requests payment or favours in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@sutherlandglobal.com

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 dona.antony@mediassist.in or WhatsApp to 9632777628

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 varsha.kumari@mediassist.in

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

Job Title : Claim Processor Open Positions: 2 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications : Degree in M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS . Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing experience. Understanding of GIPSA/MA packages, SOC, and Tariff deviations. Identifying bill inflations in insurance billing. Knowledge of surgeries, advanced treatments, and procedure costs. Behavioral Competencies: Strong communication skills (verbal & written). Teamwork and collaboration. Time management and multitasking.

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |