2028 Claims Processing Jobs - Page 3

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. Tobe in a position to handle training for new hires Work together withthe team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case ofany defaulters. Encourage the team to exceed their assigned targets.**Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

Checks for completeness and appropriateness of source data. Involved in fact finding, information search and data gathering. Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required Ability to analyze and process transactions based on rules. Able to integrate knowledge as a skilled specialist. Possess strong domain knowledge in Healthcare and Insurance domain.

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing 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 Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims Examiner training needs and develop/implement training programs as approved by Senior Management. Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management. Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations. Assist in the development of Claims Department Policies and Procedures. Attend organizational meetings as required Adhere to organizational Policies and Procedures. Requirements: 2-3 years of experience in processing claims adjudication and adjustment process 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 Work Timings: 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 - Reinsurance Exp - 2 to 4 years Salary - upto 6LPA Location - Bangalore Experience in Reinsurance is mandatory(Only International experience) Medium to High back office transactions, Complex transactions and MIS operations Gopinath 9150989283

We are hiring Part-time / Freelance Field Executives (Verifiers) for – Bihar Locations: Begusarai, Bhagalpur, Bihar Sharif, Darbhanga, Gaya, Madhubani, Muzaffarpur, Nawada, Purnia Flexible hours | Attractive payout per visit Must have 2-wheeler phone Required Candidate profile Interested candidates send your resume at hr1@gravityintegrates.in with subject line “Application for Field Executive – [City Name]”

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the companys culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the employees respect this strategy. Work regularly in improving the companys operations performance. Also, the deputy operations manager works in certain cases in touch with the clients to make sure that they receive the required service with the highest quality. In Customer service company, the deputy operations manager works with his team to make the clients satisfied by offering to his team the required training and courses to be able to communicate correctly with the customers. Follow up with the running project daily in order to make sure that they follow the right operation process. Check the logistics operations. Monitor t Show to the employees the company strategies and regulations in order to maintain the operation process. Solve all the different problems that could face the operations, to ensure the operational strategy. Issue a weekly, and monthly report for the operations manager to see all the updates realized on Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

Retail Claims - Automation ProjectsKey Responsibilities1. Automate Claims Processes- Design anddevelop automated workflows and business rules to streamline claims processing. 2. Integrate with Existing Systems- Integrateautomated claims processing solutions with existing systems and technologies. 3. Testing and UAT - Test and validateautomated claims processing solutions to ensure accuracy and efficiency. 4. Daily production issue - Troubleshootissues and resolve problems related any day-to-day production issues across allclaim systems for death and health claims5. Collaborate with IT stakeholders, claim team and other requiredstakeholders to understand requirements and implement solutions6. Strong technical skills while alsounderstanding the business requirement from stakeholders and prepare a BRD fordevelopment and having analytical skills and ability to analyse complex datasets 7. Workingwith individual project teams and test lead to develop UAT approach and providesupport in setup of UAT

Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Qualifications 1-4 Years of Financial work experience Excellent analytical skills and the ability to translate analytical findings into actionable solutions and processes. Strong communication skills to manage information gathering requests. Results oriented with the ability to complete assignments in a timely manner. Proficient in Microsoft Excel with the ability to quickly learn SAP CRM/BW software applications. 1-4 Years of Financial work experience Excellent analytical skills and the ability to translate analytical findings into actionable solutions and processes. Strong communication skills to manage information gathering requests. Results oriented with the ability to complete assignments in a timely manner. Proficient in Microsoft Excel with the ability to quickly learn SAP CRM/BW software applications. Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance.

SUMMARY Job Title: P&C Insurance Team Lead Location: Noida Experience: 7+ years in claim processing Requirements Requirements: Graduate or Post graduate with 7+ years of experience Experience in dealing with international clients (Preferred) Must have Property and Casualty (P&C) Insurance experience Should have claims adjudication and adjusting experience Experience in end-to-end claims processing Minimum 2 years of experience in a team handling role Preferably CPCU or equivalent insurance designation Position Summary: The job holder will be responsible for managing a team and overseeing all relevant technical/operational processing activities. This role also involves providing direct assistance to underwriting teams as needed, along with people management, performance appraisals, and client interaction. Skills and Competencies: Effective communication skills Strong people management skills Sound knowledge of property and casualty underwriting Commercial awareness and understanding of the insurance market Problem-solving and decision-making abilities Basic knowledge of regulatory and legal compliance issues Excellent numeric, analytical, and written skills Effective prioritization and organizational skills Proficiency in Microsoft Word, Excel, and Outlook Primary Responsibilities: Monitoring the performance of a team of Claims adjusters and providing timely feedback Conducting employee performance reviews Assisting with the professional development of the team Setting objectives and managing the team's progression Coordinating with internal customers and maintaining the flow of work Ensuring SLA adherence Preparation and review of reporting packs for senior management and stakeholders Additional Responsibilities: Ensuring appropriate performance metrics are in place and accurately reported Identifying issues and implementing remedial action, including staff training Identifying and implementing opportunities for streamlining claims activity Ensuring Standard Operating Procedures and User Guides reflect current procedures Facilitating and monitoring new activities transitioned to the service provider Assisting with the investigation and resolution of data quality issues Assisting with the testing and roll out of new IT initiatives

Role Objective: Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention. Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with regards to processes, resource utilization and overall constant cost managementMust operate utilizing aggressive operating metrics. Qualifications: Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set: Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.Ability to interact positively with team members, peer group and seniors. Subject matter expert in AR follow upDemonstrated ability to exceed performance targets.Ability to effectively prioritize individual and team responsibilities.Communicates well in front of groups, both large and small.

Medcare Hospitals Medical Centres is looking for Senior Executive.Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Leading the full audit cycle by checking tax compliance, verifying financial records, and inspecting accounts. Analyzing the results of the audit and presenting possible solutions for ineffective financial practices to management. Evaluating company accounting procedures, payroll, inventory, and tax statements to guide financial policymaking. Conducting risk assessments to recommend aversion measures and cost savings. Following up with management to ensure remediations are implemented into the company's financial practices. Supervising junior auditing personnel and implementing their research work into the auditing process. Preparing and reviewing annual audit memorandums. Researching applicable federal and state laws and regulations to ensure the company's books are compliant. Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before

Medcare Hospitals Medical Centres is looking for Associate to join our dynamic team and embark on a rewarding career journey 1 Customer service: Associates in Insurance serve as the primary point of contact for customers, providing them with information about policies, handling claims and addressing any concerns or issues they may have 2 Risk assessment and analysis: They help assess risks associated with insuring different clients, analyze data and make recommendations to senior-level professionals 3 Claims processing: Associates in Insurance handle claims processing, by gathering information, reviewing policies, assessing damage and negotiating settlements 4 Compliance: They help ensure that the company is in compliance with regulatory requirements by reviewing policies, monitoring claims and conducting audits Requirements: Strong analytical skills, attention to detail, and good communication skills are also essential for this role Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before

Overview The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Responsibilities Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems Maintains documentation and reporting regarding payer enrollments in process. Retains records related to completed CMS applications Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation Maintains provider demographics in all applicable enrollment systems Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment Performs special projects and other duties as assigned Qualifications Associate's degree (2 years), required and Bachelor's degree in any related field, preferred. At least one (1) year of provider enrollment experience preferred.

Claims Management: Process, submit, and follow up on insurance claims, resolving discrepancies and denials with insurance providers. Patient Assistance: Educate patients on their insurance coverage and benefits and assist them with understanding their bills and statements. Liaison with Insurers: Serve as a point of contact between the hospital and insurance companies, ensuring proper communication and adherence to policies. Data and Reporting: Maintain accurate patient insurance information in the billing system and prepare reports on billing and insurance activities. Compliance: Ensure adherence to hospital policies and insurance regulations and guidelines Skills: Excellent communication and interpersonal skills. Strong organizational and attention-to-detail skills. Proficiency in insurance billing, coding, and claims processing. Knowledge of healthcare systems, insurance regulations, and compliance. Problem-solving and conflict resolution skills. Computer proficiency and the ability to work with data entry and reporting tools.

Overview: We are seeking an experienced Insurance Domain Expert to lead data migration projects within our organization. The ideal candidate will have a deep understanding of the insurance industry, data management principles, and hands-on experience in executing successful data migration initiatives. Key Responsibilities: 1. Policy Administration Handled quoting, rating, underwriting, policy issuance, endorsements, renewals, and cancellations. Exposure on Tools: Guidewire PolicyCenter, Duck Creek worked on policy admin Data components: Product models, customer attributes, risk factors supported Integrations with CRM, payment gateways, general ledger 2. Billing Management Managed the entire billing and collections cycle. Features worked on : Installment schedules, payment modes, commission disbursement Integrations worked on : ERP systems, financial reporting tools 3. Claims Management Supported intake, triage, segmentation, loss assessment, and settlement. Worked on Technologies: NLP, OCR, ML for fraud detection and predictive analytics worked on Tools: ClaimCenter, RPA bots, virtual chatbots 4. Reinsurance Strong functional exposure desired . 5. Data & Analytics Supported reporting, compliance, and operational insights and most importantly troubleshooting the lineage. Worked on Components: Data lakes, warehouses, marts, cubes handeled Use cases like : Actuarial triangles, regulatory dashboards, KPI tracking 6. Integration & Ecosystem Worked on Connects core systems with third-party services and internal platforms. Worked on APIs for ADAS, OEMs, and external data sources Exposure to Platforms: Unqork, Outsystems, SmartComm, ServiceNow Qualifications: - Bachelors degree in information technology, Computer Science, or a related field; advanced degree preferred. - Minimum of 5-10 years of experience in the insurance domain with a focus on data migration projects. - Strong knowledge of insurance products, underwriting, claims, and regulatory requirements. - Proficient in data migration tools and techniques, with experience in ETL processes. - Excellent analytical and problem-solving skills with a keen attention to detail. - Strong communication and presentation skills to interact with various stakeholders. Minimum Skills Required: Overview: We are seeking an experienced Insurance Domain Expert to lead data migration projects within our organization. The ideal candidate will have a deep understanding of the insurance industry, data management principles, and hands-on experience in executing successful data migration initiatives. Key Responsibilities: 1. Industry Expertise: - Provide insights into best practices within the insurance domain to ensure compliance and enhance data quality. - Stay updated on regulatory changes affecting the insurance industry that may impact data processing and migration. 2. Data Migration Leadership: - Plan, design, and implement comprehensive data migration strategies to facilitate smooth transitions between systems. - Oversee the entire data migration process, including data extraction, cleaning, transformation, and loading (ETL / ELT). 3. Collaboration and Communication: - Liaise between technical teams and business stakeholders to ensure alignment of migration objectives with business goals. - Prepare and present progress reports and analytical findings to management and cross-functional teams. 4. Risk Management: - Identify potential data migration risks and develop mitigation strategies. - Conduct thorough testing and validation of migrated data to ensure accuracy and integrity. 5. Training and Support: - Train team members and clients on new systems and data handling processes post-migration. - Provide ongoing support and troubleshooting for data-related issues. Qualifications: - Bachelors degree in information technology, Computer Science, or a related field; advanced degree preferred. - Minimum of 5-10 years of experience in the insurance domain with a focus on data migration projects. Strong knowledge of insurance products, underwriting, claims, and regulatory requir

In this Role you will be Responsible For Review and process insurance claims. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. Organizing and completing tasks per 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 for this role include: University degree or equivalent that required formal studies of the English language and basic Math 0-1 Year of experience where you had to apply business rules to varying fact situations and make appropriate decisions 0-1 Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product. 0-1 Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 0-1 Year of experience that required prioritizing your workload to meet deadlines **Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

1. Handle Provider Chat queries and meet client SLA 2. 5-10 Operation during weekdays 3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words

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 abhilasha.dutta@mediassist.in Whatsapp : 8050700698.

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. Tobe in a position to handle training for new hires Work together withthe team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case ofany defaulters. Encourage the team to exceed their assigned targets.**Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

"1. Handle Provider Chat queries and meet client SLA 2. 5*10 Operation during weekdays3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words"

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing 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 Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims Examiner training needs and develop/implement training programs as approved by Senior Management. Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management. Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations. Assist in the development of Claims Department Policies and Procedures. Attend organizational meetings as required Adhere to organizational Policies and Procedures. Requirements: 2-3 years of experience in processing claims adjudication and adjustment process 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

ROLE & RESPONSIBILITIES Preauthorization claim processing Manage the Turnaround time. Quality adjudication with Errorless Rotational basis shift (8 AM to 10:30 PM) WFO only QUALIFICATION & EXPERIENCE: BHMS/BAMS/BUMS/BDS/BPT 1-2 years Experience Knowledge of insurance field Strong medical knowledge Fresher also can apply KEY COMPETENCIES & SKILLS REQUIRED MS office Communication Medical knowledge/disease knowledge Note- Interested candidates can share their resume at vishali.massey@nivabupa.com

Int. voice process US Process Location : AHMEDABAD 5days working Saturday-Sunday off Salary : 20K CTC ( FRESHERS ) Up to 35K CTC (EXPERIEND ) Night Shift CAB FACILITY AVAILABLE GRADUATION MANDATORY NO TARGET AND NO SALES

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