3155 Claims Processing Jobs - Page 3

Cognizant Walk-in drive for Freshers -US healthcare Process at Kochi location. Interview Date : 8th Nov 2025 (Saturday) Interview Time : 10:00 AM to 1:00 PM Venue - Cognizant, Infopark Phase 2, Kakkanad, Kochi, Kerala 682303 Building Details: 12th floor MPH POC:Raguvaran Preferred candidates Profile: Eligible --Arts Graduates B.Com/B.Sc/BBA/BA/BCA/B.Arch (2023/2024/2025 passed out only) Not Eligible -- BE/B.Tech/MBA/MCA Shift : US Night shift (5:30 PM IST 3:30 AM IST) Work Mode: only Work from Office (Kochi location) US Healthcare Non-Voice BPO process Candidates must have good communication. Interested candidates can walk-in to the Venue with the following documents: 1. Updated resume (2 ha...

About The Role Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song"” all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We ...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song"” all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and huma...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song"” all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song"” all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 1...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song"” all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120...

We are seeking an experienced TCS BaNCS Claim Domain Expert with a strong background in Health and General Insurance Claims. The candidate will have in-depth knowledge of claims processing, policy administration, and regulatory requirements. Required Candidate profile 1-5 years of experience in Health and General Insurance Claims domain - Strong knowledge of claims processing, policy administration, and regulatory requirements & TCS BaNCS platform is desirable.

Hiring for TL Min experience-6 Years with 1 yr Team handling on papers CTC-Mx-9.5lp (depends on the current/last CTC) US Shifts work from office Location-Kochi Notice-Immediate to 30 days share resume on- archi.g@manningconsulting.in contact-8302372009

Dear Candidate, We have an Opening for Medical Officer role in Corporate Claims Processing Department. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Roles & Responsibilities: Review and assess medical documents for insurance claims Verify authenticity of medical reports and diagnostics Evaluate medical necessity as per policy terms Offer expert opinions on complex/disputed cases Collaborate with internal teams for seamless claim processing Identify potential fraud...

Roles: Perform follow-up with US insurance companies on outstanding claims. Handle denials, rejections, underpayments, and appeals effectively. Understand EOBs, ERAs, and AR aging reports. Send resume to careers@osprosys.com contact : 9845701484

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

In this role, you will be responsible for managing the entire RCM process, including claims handling, appeals, and accounts receivable (AR) management . Primary Responsibilities Maintain billing software by updating rate changes, payment spreadsheets, and collection reports. Manage and organize Accounts Receivable (AR) effectively. Audit data to ensure clean and accurate claims submission. Prepare and submit billing data and medical claims to insurance companies. Verify that all patient medical information is current and accurate. Generate bills and invoices, documenting amounts due for medical services. Post payments and reconcile accounts accurately. Maintain up-to-date billing information...

Responsibilities: * Conduct surveys for loss assessments * Manage claims from start to finish * Ensure compliance with regulatory standards * Process claims accurately and efficiently * Adjudicate losses fairly and promptly Health insurance Annual bonus

Job Summary Join our dynamic team as a PE-Claims HC professional where you will leverage your skills in MS Office UiPath and Claims Adjudication to streamline processes and enhance efficiency. With a focus on the Payer and Provider domains you will play a crucial role in ensuring accurate claims processing. This hybrid role offers the flexibility of night shifts allowing you to balance work and personal commitments effectively. Responsibilities Analyze and process claims efficiently to ensure timely adjudication and payment. Utilize MS Office tools to organize and manage claims data effectively. Implement UiPath automation to streamline claims processing workflows. Collaborate with team memb...

Application link : https://forms.office.com/r/LadH3zeyfB US Insurance hiring @Wipro-Pune Fill out form Responsibilities: High complex activity processing & approvals basis DOA. Works independently, and in unison with US insurance brand values, to agreed standards and guidelines with a full practical grasp of systems, methods and applications. Participate in daily/weekly reviews with internal/external stake holders Performance Management Set performance standards, Helping team meet targets, performance evaluation & corrective actions Ability to perform RCA and derive solutions Drive process improvements, re-design, automation across processes Engage with internal & external customers with ful...

We are hiring for International Healthcare Customer Support. Role & responsibilities : Handle outbound calls related to healthcare services within the US healthcare system. Proactively reach out to members to provide support, resolve issues, and ensure a positive experience. Identify and address varying levels of member complexity and communicate effectively. Ensure strict compliance with HIPAA regulations and other healthcare-related guidelines. Resolve member inquiries efficiently and professionally, escalating complex cases as required. Preferred candidate profile Proven experience in outbound voice processes, preferably in the US healthcare sector. Strong verbal and written communication...

Job Description: Under direct supervision, the Associate is responsible for the timely and accurate posting and imaging of new claims. This includes accessing various systems, both internal and external, for eligibility. Other assignments can include managing incoming email inboxes, bulk uploading of claims and managing automated claims kick outs. The essential functions and responsibilities of this job position include, but are not limited to the following: Timely and accurately posts new claims in the Administrative System within established turnaround time Codes incomplete claims as appropriate Research claims eligibility to ensure the claim belongs to DRMS prior to posting. Reaches out t...

Hiring for insurance peroperty and casualty end to end claims experience Graduate with min 3 years work experience in P&C US shift SAT -SUN OFF Hybrid Mode - post 6 months Package upto 10 LPA Good communication skills CALL NOW 8237076800

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Noida Sector 3 Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : 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 ...

Were Hiring at Omega Healthcare! Position / Title: Executive – AR / Senior Executive – AR Location: Bangalore Shift Timing: Night Shift (Mandatory) Notice Period: Immediate joiners or 15 days Requirements Strong expertise in Physician Billing (CMS 1500)or Hospital billing (UB04) Working knowledge of EPIC Software (preferred) Proficiency in Denial Management, RCM Basics & AR Follow-up Excellent communication skills Experience in International Voice Process (mandatory) Experience Required: 1 – 5 years in AR Calling (US Healthcare) Interested candidates can fill out the Google Form for further updates: https://forms.gle/HbPpGEmGLkcYrvgE9 WhatsApp: 7899540860 Contact HR: Aswanth

Responsibilities: Manage hospital insurance policies and claims processing. Ensure compliance with healthcare regulations. Collaborate with TPAs on billing and claims settlement. Mantain and update patient billing daily Flexi working

Require International Contact Center (Voice Process) 4+ Years Experience In Claims Adjudication For Lead Positions Hiring For : SME Team Leader Specialist Quality AM DM Manager SM Operations Process Trainer Manager WFM V&A Trainer Process Trainer

Hiring for Medical Billing Executive (AR Caller) Location: Mohali Salary: Up to 23,000 CTC + 5,000–7,000 Incentives (Performance based) Shift Timing: 5:30 PM – 2:30 AM (Fixed Shift) Working Days: 5 days Sat-Sunday Fixed off Required Candidate profile 12th Pass with Minimum 6 Months of Experience / Graduate Good Communication Skills (English) Required Perks and benefits Cab Facility 1 time meal Provided PF

We have huge opportunities in US Healthcare operations for Claims Adjudication - Experience . Claims Adjudication Experience: 1-5 Years Designation: Process Analyst/Senior Process Analyst/Process Specialist. Walk In Date - 08-Nov-25; Saturday Walk In Time - 9.30 AM to 12.00 PM Venue: Building No12D, 6th floor, M/s, Mindspace, HITEC City, Hyderabad, Telangana 500081, India Role Summary: Essential Responsibilities Analyzing, validating, updating & processing claims, as well as meeting defined scope, targets and SLAs. Collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the innovation and quality. Concentrates on providing...

Dear Candidates Are you looking for opportunities ? If yes, read below to know more about an opportunity in Redserv (Redington Group), one of the leading Supply Chain Management organizations! Role hiring for :Marketing claims Work Location : Perungalathur Experience : 1-3 Years Mode : Work from office(Mandatory) Notice : Immediate - 15 days Education : BA or B.Sc is must Description Invoice and debit note raising to vendor Vendor Receivables follow-up Checking vendor portal for payment details and claim status Uploading claims in vendor portal Checking claim status in vendor portal. If interested please share your resume to vino.mugunthan@redingtongroup.com Regards Team HR