710 Claims Processing Jobs - Page 25

An excellent opportunity for a seasoned operation professional to lead and manage high-performing teams in motor insurance claims. This role offers exposure to end-to-end claims operations, client interactions, and team leadership in a process excellence-driven environment. Your Future Employer - A leading global business process management company serving clients across industries like Insurance, Banking, Travel, Healthcare, and more. With a strong focus on innovation, analytics, and digital transformation, the organization enables businesses to achieve superior operational outcomes and efficiency. Responsibilities - Managing day-to-day operations and driving performance improvements across functions. Overseeing the motor bodily injury claims process with a focus on compliance and timely resolution. Leading and mentoring a team to foster engagement and accountability. Collaborating with legal and external stakeholders on complex claims. Monitoring KPIs, identifying process gaps, and driving continuous improvement initiatives. Ensuring compliance with industry regulations and internal controls. Driving automation initiatives and contributing to digital transformation efforts. Requirements - Graduate degree in Business Administration, Insurance, or a related field. Strong experience in operations management, especially in the insurance sector. Proven track record in managing motor insurance claims and leading large teams. Excellent communication, analytical, and stakeholder management skills. Familiarity with claims systems, risk assessment methodologies, and process optimization tools. What is in it for you - Opportunity to drive operational excellence and team performance. Exposure to global best practices in insurance operations. Be a key contributor to digital transformation and strategic projects. Reach us: If you think this role aligns with your career goals, please email your updated resume to vasu.joshi@crescendogroup.in for a confidential discussion. Disclaimer: Crescendo Global specializes in Senior to C-level niche recruitment. We are committed to enabling job seekers and employers with an engaging and professional recruitment experience. Crescendo Global does not discriminate on the basis of race, religion, gender, sexual orientation, age, disability, or any other protected status. Note: Due to the volume of applications we receive, we may only respond to shortlisted candidates. Thank you for your understanding. Scam Alert: Beware of fraudulent job offers in the name of Crescendo Global. We do not charge fees or request purchases. All valid opportunities are listed at www.crescendo-global.com. Profile Keywords - Deputy Manager Jobs, Operations Jobs, Insurance Claims Jobs, Motor Insurance, Claims Management, SLA Management, Team Leadership, Client Management, Operations Excellence, BPM Jobs, Insurance Operations, Claims Processing.

Job description Experience Required 4+ years (Property and Casualty domain is mandatory) Notice Period Immediate to 30 days Shift Timings 630 PM to 330 AM IST (US Shifts) Role Overview We are looking for an experienced Property and Casualty Claims Specialist to support claims processing and management in the US insurance process. The candidate will focus on evaluating and processing claims while ensuring compliance with industry standards. Key Responsibilities Review and process insurance claims and related documentation. Conduct claims assessments, ensuring accuracy and completeness. Coordinate with brokers and carriers to gather necessary information. Prepare claims reports and ensure timely follow-up on pending claims. Maintain accurate records in claims management systems. Ensure compliance with industry regulations and internal guidelines. Collaborate with team members to resolve claim issues and provide necessary support. Qualifications Bachelors degree in any field. 5+ years of experience in Property and Casualty claims processing, with exposure to the US insurance market. Strong analytical, organizational, and problem-solving skills. Excellent communication and customer service skills. Proficiency in claims management software and tools.

Key Responsibilities: - Installation and SetupAssist in the installation, setup, and configuration of medical devices at customer sites, ensuring proper integration and functionality. - Preventive MaintenancePerform routine maintenance tasks on medical devices according to manufacturer guidelines, including cleaning, calibration, and testing. - Troubleshooting and RepairsDiagnose technical issues with medical devices, identify root causes, and implement timely repairs to minimize downtime. - Quality AssuranceConduct inspections and quality checks on medical devices to verify compliance with regulatory standards and company specifications. - User TrainingProvide training and technical support to healthcare professionals on the proper use and maintenance of medical devices. - DocumentationMaintain accurate records of equipment maintenance, repairs, and service activities, ensuring compliance with regulatory requirements. - Customer SupportRespond to customer inquiries and service requests in a timely and professional manner, providing effective solutions and recommendations. - Should be open to travel when it is troubleshooting/handholding of devices Qualifications: - Associate degree or certification in biomedical equipment technology, electronics, or a related field. - Previous experience in medical device installation, maintenance, or repair is preferred. - Strong technical aptitude and problem-solving skills, with the ability to troubleshoot complex equipment issues. - Excellent communication and interpersonal skills, with the ability to interact effectively with customers and internal teams. - Detail-oriented approach with a commitment to quality assurance and customer satisfaction. - Ability to work independently and prioritize tasks in a dynamic and fast-paced environment This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.

Position Manager Qualification Any graduation Experience 10 years of BPO experience in US Healthcare domain Job Location Coimbatore, WFO Salary 10-12 Lakhs per annum

Long Term Disability Claim Manager Role Overview: The LTD Claim Manager will manage an assigned caseload of Long-Term Disability cases. This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys etc. to gather the information to make the decision on the claim. What You'll Do: Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximum impact Have discussions with customers and employers regarding return to work opportunities and communicate with an action-oriented approach. Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis Ask focused questions of internal resources (e.g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on all client performance guarantees Respond to all communications within customer service protocols in a clear, concise and timely manner Make fair, accurate, timely, and quality claim decisions Adhere to standard timeframes for processing mail, tasks and outliers Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.) Clearly articulate claim decisions both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives What You'll Bring: High School Diploma or GED required. Bachelor's degree strongly preferred. Long Term Disability Claims experience preferred. Experience in hospital administration, medical office management, financial services and/ or business operations is a (+) Comfortable talking with customers and having thorough phone conversations. Excellent organizational and time management skills. Strong critical thinker. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Ability to focus and excel at quality production Proficiency with MS Office applications is required (Word, Outlook, Excel). Strong written and verbal skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with customers. Experience in effectively meeting/exceeding personal professional expectations and team goals. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. Comfortable giving and receiving feedback. Flexible to change. Demonstrated analytical and math skills. Critical Competencies: Decision Quality Communicate Effectively Action Oriented Manages Ambiguity Customer Focus

Adhere billing process guidelines Review claims, Verify coverage Assist with inquiries Prepare claim forms & documents & timely claim processing Record Keeping & upload files on the portal Assist pre-authorizations Resolve billing issues/escalation Required Candidate profile Any graduation or BBA/BHA min. 1 year Billing Experience is preferred Please Email your resume at hr@jimsh.org

Job Summary: We are seeking a dedicated and detail-oriented professional to manage insurance claims on behalf of clients across various lines of business. The ideal candidate will ensure accurate documentation, effective coordination with insurers, and timely settlement of claims, while maintaining high standards of service and compliance. Key Responsibilities: Register and manage claims across multiple insurance segments (e.g., Health, Motor, Property, Marine, etc.) Liaise with clients and insurance companies to collect required claim documents and provide status updates Monitor and ensure timely follow-ups to drive claim resolution and settlements Maintain accurate claim records and prepare regular MIS reports for internal and client use Ensure adherence to regulatory requirements and internal company standards throughout the claims process Proactively follow up with insurers to expedite claim approvals and settlements Escalate delays, disputes, or complex claims to senior management or resolve through effective negotiation Candidate Requirements: Graduate degree (preferably in Commerce, Insurance, or a related field) Minimum 2 years of experience in claims handling within a broking firm or insurance company Strong knowledge of insurance products and end-to-end claim processes Effective communication and interpersonal skills, with a focus on client servicing and coordination High attention to detail and the ability to manage multiple claims simultaneously

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: Bachelor s degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: Bachelor s degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: Bachelor s degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in

Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : B.Sc. Nursing, Msc Nursing, Interested candidates can share there profiles to sarika.pallap@mediassist.in or WhatsApp to 8951865563.

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Days : Monday to Friday Walk in Timings : 1PM to 4 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Information: Alina Zaman-9289544594/Keshav Kaushal-9205669978/ Nasar Arshi 9266377969/Arpita Mishra-8840294345, Anushka- 8317044614/ Vishal-9560031640 Desired Candidate Profile Candidate must possess good communication skills. Only Immediate Joiners can apply. Only Candidate with relevant experience in AR/Denial Management can apply Provident Fund (PF) Deduction is mandatory from the organization worked. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Managing CGHS, ECHS, CAPF and ESIC and All Government Portals: Medical file Audit Claim Processing Uploading Query Management Required Candidate profile Mandatory practical experience of government empanelment such as CGHS ECHS ESIC CAPF etc. and medical file audit and processing for Railways, CGHS, ECHS and other govt empanelment's.

Job Title: Business Support Associate Location: Bangalore, India Job Summary: We are seeking a detail-oriented and tech-savvy Business Support Associate with excellent communication skills and proficiency in Excel for US healthcare process. Roles & Responsibilities: Insurance Eligibility & Verification: Through website portals and representatives. Claim Submission: Accurately submit dental and medical insurance claims. Claims Follow-up: Regularly follow up on pending claims for timely resolution. Payments Posting: Record payments from insurance companies and patients. Reporting: Summarize daily tasks, claims, and payments. Virtual Assisting: Assisting Admin related projects Skills: Good Communication Skills: Strong verbal and written communication. Proficient with Excel: Data entry, analysis, and report generation. Tech-Savvy: Comfortable with various software and technology tools. Qualifications: Experience in a US healthcare setting is preferred. Familiarity with US insurance procedures. Strong attention to detail and organizational skills. Bachelor's Degree in any Field. Shift Timings: Night Shift/ 6:30pm - 3:30am

Candidate should be working as a Team leader / Quality analyst / SME / Trainer on papers in US Healthcare for Claims adjudication process. Qualification - Graduate Shift - US rotational shifts Work Location - Chennai Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

SUMMARY Job Title: Healthcare Claims Associate German Language Location: Powai, Mumbai Experience Level: 1 6 years Employment Type: Full-time Shift: UK shift Job Summary: We are looking for a detail-oriented and multilingual professional to join our healthcare operations team as a Healthcare Claims Associate with fluency in German . The ideal candidate will be responsible for processing, reviewing, and validating healthcare claims in accordance with company policies and healthcare regulations. Fluency in German is essential as the role involves interpreting and processing claims originating from German-speaking regions. Key Responsibilities: Review, verify, and process healthcare claims using internal systems. Analyze submitted medical documents and ensure compliance with insurance policies. Translate and interpret medical and insurance documents from German to English and vice versa. Communicate with German-speaking clients, hospitals, or insurance providers as required. Identify and flag any inconsistencies or fraudulent claims. Collaborate with internal teams to resolve claim issues and escalate when needed. Maintain accurate records and documentation of all claim activities. Ensure adherence to SLAs and quality metrics. Qualifications & Skills: Bachelor's degree in Healthcare, Business Administration, or a related field. Fluency in German (B2/C1 level or higher) verbal and written. 1 6 years of experience in healthcare claims processing or insurance domain preferred. Strong understanding of medical terminology and healthcare billing systems. Familiarity with ICD, CPT codes, and healthcare regulations is a plus. Excellent communication, analytical, and problem-solving skills. Ability to work in a fast-paced and deadline-driven environment. Experience with tools like Facets, QNXT, or other claims adjudication systems is a plus. Preferred: Certification in German language (Goethe, TestDaF, or equivalent). Experience working with European or German healthcare clients.

Job Summary We are seeking an experienced Architect with 12 to 15 years of experience to join our team. The ideal candidate will have strong technical skills in React JS and Java along with domain expertise in Medicare and Medicaid Claims Claims and Payer. This hybrid role requires a proactive individual who can drive technical solutions and contribute to the companys mission of improving healthcare systems. Responsibilities Lead the design and development of scalable and efficient software solutions using React JS and Java Oversee the implementation of technical solutions that align with business requirements and industry standards Provide technical guidance and mentorship to the development team to ensure best practices are followed Collaborate with cross-functional teams to gather and analyze requirements ensuring comprehensive understanding of project goals Develop and maintain technical documentation to support the development and deployment of software solutions Ensure the security performance and reliability of applications through rigorous testing and quality assurance processes Drive continuous improvement initiatives to enhance the development process and overall product quality Monitor and evaluate emerging technologies and industry trends to incorporate innovative solutions into the architecture Facilitate effective communication between stakeholders including business analysts project managers and developers Conduct code reviews to ensure adherence to coding standards and best practices Troubleshoot and resolve complex technical issues providing timely and effective solutions Contribute to the strategic planning and execution of technology roadmaps to support business objectives Ensure compliance with regulatory requirements and industry standards in all technical solutions Qualifications Possess a strong background in React JS and Java with proven experience in developing complex applications Demonstrate expertise in Medicare and Medicaid Claims Claims and Payer domains Exhibit excellent problem-solving skills and the ability to troubleshoot and resolve technical issues effectively Showcase strong communication and collaboration skills to work effectively with cross-functional teams Have a proactive approach to learning and staying updated with the latest industry trends and technologies Display a commitment to quality and a keen eye for detail in all aspects of software development Hold a bachelors degree in Computer Science Information Technology or a related field Preferably have a masters degree or relevant certifications in software architecture or related disciplines Show experience in leading and mentoring development teams to achieve project goals Demonstrate the ability to create and maintain comprehensive technical documentation Exhibit strong organizational skills and the ability to manage multiple tasks and projects simultaneously Have a solid understanding of regulatory requirements and industry standards in the healthcare domain Display a passion for improving healthcare systems and contributing to the companys mission.

Job Summary ( 2 to 3 years experience) We are seeking a diligent and detail-oriented Medical Biller to join our team in the Medical billing. The successful candidate will play a vital role in ensuring the accuracy of medical billing and coding processes, which are essential for the smooth operation of healthcare services. As a Medical Biller, you will be responsible for managing billing cycles, reviewing patient records, and submitting claims to insurance companies. You will work closely with healthcare providers, insurance agencies, and patients to address billing inquiries and resolve discrepancies and payment posting. The ideal candidate will possess strong analytical skills, proficiency in medical billing software, and a comprehensive understanding of US healthcare regulations and reimbursement methodologies. Roles and Responsibilities Review and validate medical records and patient information for accuracy. Prepare claim (UB-04 and CMS-1500) and timely submit claims to insurance companies. Follow up on outstanding claims and resolve any billing issues or disputes. Review and analyze billing data to identify inconsistencies or errors. Maintain updated knowledge of medical billing codes, insurance guidelines, payment posting and regulatory requirements. Communicate effectively with healthcare providers, patients, and insurance representatives regarding billing inquiries. Generate regular reports on billing activities and outstanding claims for internal review. Qualifications Graduate with 2 to 3 years experience as a Medical Biller or in a similar billing role in the US healthcare sector. Complete RCM cycle knowledge. Knowledge of medical billing software and electronic health record systems. Familiarity with ICD-10, CPT, and HCPCS coding standards. Strong attention to detail and exceptional organizational skills. Excellent verbal and written communication abilities. Ability to analyze data and problem-solve efficiently. Knowledge of US healthcare insurance processes and regulations.

Skill required: Property & Casualty - Property and Casualty Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 2 to 3 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 model that can meet the unique needs of each market segment.Experience in Property & Casualty Core Underwriting or Underwriting support serving Commercial Insurance Carriers or Brokers out of Shared Service centers or Third Party BPO Companies Extensive knowledge of end-to-end spectrum of services offered under the suite of General Insurance Underwriting Support and tasks doneSkills required:Rating, Quote, Policy Booking, Issuance, Mid-term endorsements, Renewals and an overview of ReinsuranceShould be able to collaborate well with Underwriters, Underwriting Assistants and Brokers as needed to be able to get closures on outstanding documentation Must have excellent communication both written and oral skills In this role, you will be managing workflow process and inventory handle policy maintenance inclusive of, contract amendments, customer & policy maintenance, broker of record changes. You will be managing terminations as needed in internal systems issuance of policy certificates to agents within desired timelines for Property, Auto, Workers Comp, Inland Marine, Travel and Marine Insurance (Commercial & Personal lines in the English Language) What are we looking for? Agility for quick learning Problem-solving skills Detail orientation Prioritization of workload Written and verbal communication Customer Service attitude Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shiftsRoles & Responsibilities - Policy Servicing Experience and Mid Term Policy EndorsementsExperience of Mid term endorsements supporting Commercial Lines business NAM region preferred UK or EMEA can be subject to evaluationPreferably supported Workers Compensation and Auto Endorsements Primary lines Types of Endorsements mentioned below:-Name Insured Changes Loss PayeePayroll ChangesExperience ModDriver Updates/Auto Id CardCertificate of InsuranceOut of Sequence endorsementsPremium AuditsBureau CritsBureau - NCCI Fillings Premium FinanceCancellations & ReinstatementsWaiver of Subrogation Qualifications Any Graduation

Preferred candidate profile Candidate should be from Property and Casualty Claims Process Immediate Joiners Only Good English Communications

We Have Urgent Requirement of TPA Manager

Basic Section No. Of Openings 2 Grade 1B Designation SENIOR CODER Closing Date 21 May 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available About The Role Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

About The Role - Grade Specific Guidewire Developer guidewire Policy integration /guidewire Policy configuration OR guidewire billing integration / guidewire billing configuration OR guidewire claims integration /guidewire claims configuration OR PC/CC/BC/Integration/Configuration PCPolicyCenter CCClaimCenter BCBillingCenter About The Role Guidewire Developer guidewire Policy integration /guidewire Policy configuration OR guidewire billing integration / guidewire billing configuration OR guidewire claims integration /guidewire claims configuration OR PC/CC/BC/Integration/Configuration PCPolicyCenter CCClaimCenter BCBillingCenter Skills (competencies) (SDLC) Methodology Verbal Communication Inclusive Communication Written Communication Policy Development

About The Role Design, develop, and configure Policy Center, Claim Center, and Billing Center applications in Guidewire. Customize Guidewire applications to meet specific business needs, including creating and modifying workflows, rules, and integrations. Develop and maintain integrations between Guidewire applications and other systems using APIs and web services. Develop and execute test plans, perform unit testing, and ensure the quality of the solutions delivered. Provide ongoing support and troubleshooting for Guidewire applications, addressing any issues that arise in production. Create and maintain technical documentation, including design specifications, user guides, and process flows. Work closely with business analysts, project managers, and other stakeholders to gather requirements and ensure alignment with business objectives. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. primary skills Extensive experience with configuring and improving Policy Center, including workflows, rules, and integration points. Proficiency in developing and configuring Claim Center, including claim processing and integration with external systems. Strong background in Billing Center configuration and customization, including payment processing and billing rules. Expertise in using Guidewire Studio for application development and debugging. Equal Opportunities at frog Frog and Capgemini Invent are Equal Opportunity Employers encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status, or any other characteristic protected by law.