3165 Claims Processing Jobs - Page 30

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At l...

Innolead is looking for Lead Architect (Healthcare Specialist): to join our dynamic team and embark on a rewarding career journey As the Lead Architect, you will be a key member of the architectural team, responsible for providing technical leadership and expertise in designing and developing complex and innovative solutions Your role involves leading the architectural design process, collaborating with cross-functional teams, and ensuring the successful implementation of architectural solutions You will play a critical role in shaping the overall technology landscape and driving the organization's technical vision Key Responsibilities:Architectural Design: Lead the design and development of...

Aster DM HealthCare Global Centre is looking for Senior Associate to join our dynamic team and embark on a rewarding career journey As a Senior Associate in Revenue Cycle Management, you will be responsible for ensuring the efficient and effective functioning of the revenue cycle processes within a healthcare organization You will oversee various aspects of revenue cycle operations, including patient registration, charge capture, coding, billing, claims processing, denial management, and accounts receivable follow-up Your primary goal will be to optimize revenue generation, maximize collections, and minimize denials to ensure the financial health of the organization Responsibilities:Revenue ...

Guidewire Claims Developer Position : Senior Engineer / Technical Lead / Senior Technical Lead Experience : 03 to 08 Years. Job Location : Greater Noida, Pune & Hyderabad . Mandatory Skills: P&C, Property & Casualty, Claims Center, Insurance, Guidewire Claims, Java, J2EE, GOSU & Claims Integration. Job Description: Good systems development and Guidewire Claim Center Experience. Hands-on development expertise on Guidewire Claim Center with configuration and Integration. Configure business rules and other business logic in Gosu. Design and Integrate Third Party Integrations. Well versed with all Guidewire Claim Center configuration/Integ areas like PCF, Gosu, Business Rules, LOB Model, Documen...

good communication skills for processing Critical Illness and Personal Accident Claims.

for Health Reimbursement Claims Processing doctor. Medical Evaluation and Documentation Examine claim documents and understand detailed clinical findings. Document diagnoses, treatment plans, and procedures done clearly. Ensure medical records are accurate and complete for claim submission. Certification and Verification Certify the necessity of treatments or procedures for insurance claims. Verify the authenticity of medical reports submitted for claims. Provide second opinions or independent medical examinations (IME) when required. Compliance and Ethical Oversight Ensure all documentation and certifications comply with regulatory and insurer policies. Prevent and report fraudulent claims ...

We are hiring AR Callers / Senior AR Callers with hands-on experience in US Healthcare Accounts Receivable (AR) processes. The ideal candidate should have strong expertise in denial management, insurance follow-up, and claim resolution, while ensuring client deliverables meet the highest quality standards. Work Mode: Work From Home (Initially Work from Office for starting 2 Months) Shift Time 2 PM to 11 PM IST Key Responsibilities: Handle US Healthcare Physicians / Hospitals Accounts Receivable (AR) process. Work closely with the Team Leader to achieve process goals. Ensure deliverables meet clients quality standards and timelines. Manage Denials, Rejections, LOAs, and Corrections to claims ...

The Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has been performed at optimum cost. The Analyst is required to process claims as per the daily workload allocation with required quality levels to ensure timely settlement of claims to the dealer. As a requirement of the role the analyst is supposed to respond to claim process queries & ensure to take adequate measures to reduce / eliminate processing errors. ...

Job Purpose To collect, check and compile data pertaining to all Property Insurance policies for all Units for enabling timely renewal, accurate insurance coverage, policy compliances and premium refund. To check and maintain the policy documentation and data (physical and soft) for quick retrieval. To effectively handle all claims below Rs. 1 Cr. Maintenance and accounting for Cash deposit accounts with Insurance companies. Job Context & Major Challenges -Follow up with Units and Surveyors for Claims (which are less than Rs. 1 Cr. ) related requirements and documentation. Entails dealing with too many people on regular basis. -Regular (in fact daily) Follow up is required with Insurance Com...

Hiring for Freshers- Semi Voice Process || Banaglore || 3.2Lpa || Roatational Shifts || 2 Way Cab || Job Title : International Semi -Voice Process Location : Bangalore Eligibility : Graduate ( Freshers ) Salary :3.2 Lpa - 18k take home Mode of Work : WFO - 2 way Cab with 25km Radius Rotational Shifts - 5 Days Working - 2 Rotational Weekoff Execellent Communication Skills Required Hiring Process: 1. HR ROUND 2. AMCAT Round 3. Operations Round Intrested Candidates can drop their CV to HR Bhavana- 8374730176 - or can drop their Mail Id to Bhavana.D@axisservice.co.in

About Client Hiring for One of the Topmost Prestigious Multinational Corporations!!! Job Title : Premium Handler Qualification : Any Graduate and Above Relevant Experience : 0 - 4 Years Must Have Skills : 1. Reinsurance premiums 2. Excellent verbal and written communication 3. Billing and Placement 4. Pre Placements(Health Insurance and Medical Billing experience will not be considered) 5. Accounting work Good Have Skills : NA Roles and Responsibilities : 1. Process premiums (PPC & PPW, multi-currency) with in SLA 2. Prepare LPANS, do market submissions and process LORS splits 3. Resolve bureau queries 4. Ensure Proactive Communication 5. Handle enquires 6. Resolve Queries of team members 7....

Job Description Job Role : Claims Processor Years of Experience :1-3 Yrs Preferred Location :HYD 3 Shift Timing (IST) :5:45 PM - 3:30AM Short Description Claims Processing for Optum Financial Services Shift should be 5.45 PM to 3.15 AM 100% Work From Office Hyd Location Engagement Duration (in Months): 6 Engagement & Project Overview For OFS-CDH(Consumer Driven Healthcare), the Claims Processor will review claims received through Service Now and enter them on Claims link for further processing through Wex Platform for members related to various employer plans customized through ERISA(Employee Retirement Income Security Act of 1974 (ERISA) and other Retiree Reimbursement Accounts, total Train...

As a Sr. Sales Manager at Visakhapatnam Unit, you will be responsible for the overall business development, sales, and marketing in the Andhra Pradesh & Telangana region. Your key responsibilities will include: - Customer Relationship Management - New Customer acquisition - Internal stakeholder relationship management - Co-ordination for all claims processing - Leading the marketing team and developing partnerships - Collaborating with senior marketing leaders to develop marketing strategy and plan To excel in this role, you should possess the following qualifications and skills: - 10-12 years+ experience in Sales & Marketing, with a focus on TMT Bars - Graduate degree, with a PG in Marketin...

Eurofins is a leading provider of assurance and inspection services, covering a broad spectrum of sustainable supply chain practices, including the circular economy. Eurofins helps the customers to identify and mitigate risks in their supply chain and to ensure the benchmarking performance with operations, processes, systems, people, or capabilities. We hold accreditations for various industry standards and memberships, ensuring comprehensive service throughout the supply chain. Whether you are in the food, consumer products, healthcare, or cosmetics industries, we offer a full range of services including product inspection, auditing, certification, training, and consultation. Eurofins Assur...

Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesTo maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify w...

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that sup...

About The Role Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and r...

Job Description Associate Claims (Non-Medical) Hiring for Freshers Job Title: Associate Claims Non-Medical Location: Bangalore 5 Days working Role Overview: We are seeking a dedicated and empathetic Associate Claims Executive (Non-Medical) to join our health insurance team. The role involves evaluating claims, reviewing documentation, determining coverage, and ensuring smooth and transparent claim settlement. The ideal candidate should have strong analytical skills, attention to detail, and excellent communication abilities to deliver a positive experience for policyholders. Key Responsibilities Claims Evaluation: Review and assess insurance claims to determine validity and payment eligibili...

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 we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re 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 that’s shaping the future, this is your moment. Genpact (NYSE: G) is anadvanced technology servi...

Skill required: Business Reporting & Governance - Reporting Analytics Designation: Measurement and Reporting Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Business Advisory Associate is responsible for generation and managing pre-defined, and strictly documented, regularly scheduled reports, and production of any ad hoc reports in accordance with the Business Unit needs.Coordinate operational metrics and reporting of the client; coordinate data necessary for management reporting and to support business decisions. Leading reporting projects and initiative.Candidate who is good in excel and MIS reports are looked at for these skillsPrepare manage...

Position Summary : As a Demo Speaker at NxtWave, you will be responsible for conducting demo sessions in person with parents and students and engaging them, and driving enrollment in the NIAT (NxtWave Institute of Advanced Technologies) program. The ideal candidate is a motivated communicator with excellent language proficiency, and a passion for helping students succeed in tech careers. Key Responsibilities : 1. Demo Sessions & Presentations : Conduct demo sessions for parents and students, showcasing the benefits of NxtWaves NIAT product and how it prepares students for high-paying tech roles. Present the value proposition clearly, emphasizing the programs potential to boost future career ...

Bigfix Gadget Care is looking for Process Executive (Claims) to join our dynamic team and embark on a rewarding career journey Analyze and identify areas for process improvement Develop and implement process improvement strategies Monitor and evaluate operational processes and provide recommendations for improvement Develop and implement policies and procedures to ensure compliance with regulatory and legal requirements Ensure that operational processes are efficient, effective, and meet established goals and objectives Proven experience in process improvement and project management Strong analytical and problem-solving skills Excellent communication and interpersonal skills Disclaimer: This...

Responsible for managing and reconciling payments related to executive compensation within the organization. This role requires meticulous attention to detail, strong analytical skills, and the ability to collaborate effectively with various departments to ensure accurate and timely processing of the payments. Qualification Any Bachelors degree /Any Masters degree Should have have good knowledge of all TPA work. Must be aware of norms of the insurance sector. . Basic Knowledge of billing. Provides excellent customer care. Excellent communication and computer skills Demonstrates strong interpersonal skills. Multi-tasks well in a fast-paced workplace. Key Responsibilities Claims Processing: Ov...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Salary- 25k/month + other benefits Work Location-Gurgaon Contact No-9971006988 through whats app chat

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...