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2028 Claims Processing Jobs - Page 35

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1.0 - 5.0 years

3 - 4 Lacs

Bengaluru

Work from Office

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432447/Whatsapp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

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1.0 - 3.0 years

3 - 4 Lacs

Bengaluru

Work from Office

About Client Hiring for one of the most prestigious multinational corporations Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS / FAMILY******

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1.0 - 6.0 years

0 Lacs

jaipur, rajasthan

On-site

You will be responsible for providing expertise in the health insurance industry to our team, with a comprehensive understanding of insurance products, claims processing, underwriting, compliance, and client servicing. Your role will involve leveraging your experience in both public and private sector insurance programs to contribute to the success of our organization. To excel in this position, you must possess a State Insurance License and have 1-6 years of experience in selling health insurance products, demonstrating a track record of success in the field. A deep understanding of health care plans is essential, along with strong communication skills to effectively present information to groups and brokers. Attention to detail and a customer service-oriented approach are key aspects of this role, as well as the ability to provide leadership and mentorship to team members. You should be prepared to travel, including overnight stays within your assigned region as required. If you meet these qualifications and are looking to make a meaningful impact in the health insurance industry, we encourage you to apply for this exciting opportunity.,

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8.0 - 14.0 years

0 Lacs

maharashtra

On-site

As a Lead Corporate Insurance in our organization, you will be entrusted with the responsibility of managing the entire in-house insurance requirements. This includes overseeing a variety of insurance types such as Fire, Burglary, Liability, Special Contingency, Sports-related policies, and Employee Benefit (GTL, GMC, and GPA). Your role will be pivotal in ensuring that our insurance solutions align with the company's risk profile and specific needs. Your primary focus will be on Client Relationship Management, where you will establish and nurture trust with key personnel within the company. By conducting thorough assessments, you will identify the specific insurance needs and provide tailored solutions within the allocated budget. Acting as the main point of contact between clients and insurance providers, you will address inquiries, resolve issues promptly, and keep clients informed about policy changes and industry trends. In addition to client management, you will be responsible for ensuring compliance with all relevant insurance regulations and company policies. By maintaining accurate records and staying updated on industry developments, you will play a crucial role in advocating for fair and timely settlements during the claims process. Regularly reviewing and renewing policies will be essential to address any potential coverage gaps and ensure that the existing policies remain relevant for the evolving needs of our clients. To excel in this role, you must possess a Graduate/Post Graduate qualification with 8-14 years of experience in the insurance sector. Your ability to communicate effectively, attention to detail, and commitment to continuous learning and development will be key to your success. By participating in training programs and enhancing your product knowledge and sales skills, you will be better equipped to provide exceptional service and support to our clients. If you are ready to take on this challenging yet rewarding role and make a significant impact in our organization, we look forward to welcoming you to our team in Mumbai.,

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2.0 - 6.0 years

0 Lacs

maharashtra

On-site

The job involves handling queries and issues of HR/Employee, customers, and brokers related to claims and other matters. Your responsibilities include resolving queries through emails and calls, guiding customers on applying for claims and policy terms, registering claims in the system, and following up with the Insurance Company for endorsements. You will also be responsible for tracking claims files, updating corporate clients, following up on cheque dispatch and NEFT details, and maintaining day-to-day activities on worksheets. Additionally, you will be required to resolve grievances by coordinating with the operations team and preparing/sending monthly MIS reports to corporate clients. This is a full-time position that requires you to work in person at the specified location.,

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4.0 - 8.0 years

0 Lacs

navi mumbai, maharashtra

On-site

As a Claims Processing professional in our hospital, your primary responsibility will be to oversee the timely and accurate submission of insurance claims for medical services provided by the hospital. You will serve as the main point of contact between the hospital, insurance providers, and patients, effectively managing claims and coverage issues. Prior to providing services to patients, you will be required to verify insurance details, eligibility, and coverage limits to ensure seamless processing. Handling pre-authorizations and claim approvals with insurance companies will also be a crucial part of your role. You will lead and supervise the Third Party Administrator (TPA) team to ensure efficient claims management and effective issue resolution. Maintaining compliance with hospital policies and insurance regulations, as well as accurate record-keeping, will be essential in your daily tasks. Furthermore, you will provide customer support by assisting patients with claims-related inquiries, resolving issues like denied claims or coverage concerns. Regular reporting to management on claim status, settlements, and outstanding issues will also be part of your responsibilities. Addressing and resolving escalated claims issues, disputes, and billing discrepancies between patients, the hospital, and insurance providers will require your problem-solving skills. You will be responsible for ensuring that the claims process adheres to the hospital's internal guidelines and audit requirements. For the role of TPA Incharge, candidates with BHMS/BAMS qualifications are preferred. For the TPA Executive position, a minimum of 4 years of experience is required. This is a full-time position with benefits including health insurance, yearly bonus, and day shift schedule. Candidates must have a total of 5 years of work experience and be willing to work in person at our location in Navi Mumbai, Maharashtra. Relocation before starting work is required for this role.,

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1.0 - 6.0 years

0 Lacs

jaipur, rajasthan

On-site

You will be joining our team as a Health Insurance Expert, bringing your extensive experience in the health insurance industry to provide support in various areas such as insurance products, claims processing, underwriting, compliance, and client servicing. Your role will require a deep understanding of both public and private sector insurance programs, and a successful track record in the health insurance field. As a Health Insurance Expert, you must hold a valid State Insurance License and have 1-6 years of experience in selling health insurance products with a proven record of success. Your responsibilities will also include demonstrating a comprehensive knowledge of health care plans, as well as possessing effective verbal and written communication skills to conduct presentations to groups and brokers. In this role, attention to detail and customer service orientation are crucial, along with leadership and mentoring abilities. You should be prepared for travel, including overnight stays within your assigned region as needed. Your strong written and verbal communication skills will be essential in effectively carrying out your responsibilities.,

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3.0 - 8.0 years

2 - 3 Lacs

Noida

Work from Office

Inviting applications for the role of Claims / Dispute Management Analyst Note- This is Night Shift Office- Onsite Role- (Return to office) Must have experience in Advance Excel. Note- Only Apply if you have Effective Communication Skills In this role associate will work with a team to provide analytical support on deductions recovery. Such analytical support may include data management, data interpretation, reporting, structuring an analysis, interpreting the results in a business context, and providing insights to team to drive deduction recovery. The analyst should be able to identify pattern emerging from data and reports and establish the linkage for the same with business problems. Incumbent should know pricing process - price change to process communication. & able to identify leakages at each stage in value chain and work with stakeholders to fix it. Also, able to work on pricing claims, independently validate them and clear with in timelines. Responsibilities * Prepares and analyses data. This can include locating, profiling, cleansing, extracting, mapping, importing, validating, or modelling. * Performs validation and testing to confirm the accuracy of the information built. * Interprets results of analyses, identifies trends and issues, and develops recommendations to support business objectives. * Communicates valuable information so that it is easy to understand and influences other to act based on the useful information provided. * Think strategically about data as a core enterprise asset and assist in all phases of the advanced analytic development process. * Slice and dice through the database and come up with actionable analytical insights. Qualification we seek in you! Minimum Qualification * Graduate or equivalent * Relevant experience in Dispute Management, OTC * Analytical aptitude - problem solving, quantitative. Preferred Qualification * Knowledge on Collections, Cash & Trade Promotion in CPG / heavy manufacturing industry * Analytical skills, problem solving ability and attention to detail. * Should have ability to handle large data sets on excel & in arriving at meaningful findings. * Proficiency with Microsoft Office and well versed in Excel. * Work in a dynamic and fast-paced environment without compromising the quality. * Excellent communication/ interpersonal skills * Exposure to ERP systems (SAP).

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1.0 - 6.0 years

2 - 6 Lacs

Navi Mumbai

Work from Office

Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: Experience: A minimum of 1-5 years of experience in medical billing and insurance claims processing. Previous experience in a senior or leadership role within a medical billing department is highly desirable. Knowledge: Strong understanding of medical billing procedures, healthcare reimbursement, and insurance claim processes. Proficiency in medical coding (ICD-10, CPT, HCPCS) and knowledge of billing software and electronic health records (EHR) systems. Familiarity with healthcare regulations, including HIPAA, and the ability to maintain compliance.

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4.0 - 9.0 years

1 - 5 Lacs

Chennai

Work from Office

Job description Team Executive - Claims Adjudication Location : Chennai, Navalur Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi.rrr@firstsource.com

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1.0 - 4.0 years

2 - 5 Lacs

Madurai, Coimbatore, Thiruvananthapuram

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Role & responsibilities Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit Candidate must have excellent knowledge of health insurance / Health TPA domain. Candidate must have excellent bill/medical negotiation skills & customer handling skills. Good communication skills in Hindi/English and regional language of the state/region. Ready to relocate himself/herself at location within India as may be required according to the job requirement Candidate must own vehicle to travel in various hospital assigned to him Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management Proficient in handling complex situations and customers. Candidate must possess clinical knowledge for evaluation of medical files Sound knowledge of surgical procedures and disease cure management Preferred candidate profile

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1.0 - 3.0 years

6 - 10 Lacs

Navi Mumbai

Work from Office

Skill required: Supply Chain - Mechanical Engineering Designation: Business Advisory Associate Qualifications: BE Years of Experience: 1 to 3 years About Accenture 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 worlds 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. Visit us at www.accenture.com What would you do Process warranty claims for a US based agricultural and construction and forestry equipment to maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level Agreement What are we looking for BE Mechanical/Automobile Graduate (Fresher/Experienced)Experience in WarrantyExperience with Auto componentsInterpersonal skills to deal with dealers, warranty engineers, etcData processing accuracy, detail oriented, and ability to evaluate/research a warranty claimBasic level capability in use of desktop software (MS Office Suite, with focus on Excel)Organized, timely, pro-active and highly productiveStrong written communication in EnglishAttention to detail and ability to multi-taskInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesCoach and Train team members Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shiftsVerification and analysis of warranty claims based on available external resources (e.g. DTAC, parts catalogs, sales information)Running queriesDocumenting and adding comments (e.g. to slow pay list or to the claim) Qualification BE

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0.0 - 5.0 years

0 - 1 Lacs

Chennai

Work from Office

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com

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2.0 - 5.0 years

2 - 5 Lacs

Ahmedabad

Work from Office

Role & responsibilities 1) Preparing and submitting billing data and medical claims to insurance companies 2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts 3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur 4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary 5) Ensuring each patients medical information is accurate and up-to-date 6) Preparing bills and invoices and document amounts due to medical procedures and services 7) Good expertise in AR Aging 8) Doing charge and Payment Posting 9) All the End to End process of Medical Billing

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1.0 - 3.0 years

5 - 9 Lacs

Bengaluru

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This position is responsible for providing administrative support to colleagues in the Talent & Culture function to ensure the timely and accurate delivery of Talent & Culture initiatives and projects. Process day-to-day Talent & Culture administration in an accurate and timely manner Conduct regular file audit for candidate files. Prepare new ambassador s personal files including all necessary forms, document and information. End to End process of Pre-Employment Medicals/Food Handlers renewal test and report administration Ensure that Health and safety policies of ESIC, Group Medical Coverage, Group Personal Accident and Group Term Life Insurance are periodically reviewed and renewed Assist employees in claim process in co-ordination with TPA/ESIC Authorities for ESIC, Group Medical Coverage, Group Personal Accident and Group Term Life Insurance are periodically reviewed and renewed Assist new employees with all the mandatory documentation that is required for completion upon commencement, ensuring all forms are complete. Ensure all the New Joiners background checks, medical check-up done well in time and reports properly documented in the employee file. Prepare various letters and communication to employees Prepare monthly employee newsletter and publish it creatievly Organize and execute engagement & CSR activities Update and track annual and probation period appraisals of all employees Maintain good working relations with all departments and all professional external contacts. Minimum 1 year of experience in a similar capacity Excellent reading, writing and oral proficiency in English language Proficient in MS Excel, Word, & PowerPoint

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5.0 - 10.0 years

5 - 8 Lacs

Chennai

Work from Office

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & 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 Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business 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. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. 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: 5+ 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. ***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 weekend s basis business requirement.

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0.0 - 1.0 years

1 - 3 Lacs

Chennai

Work from Office

Job Summary Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel. Responsibilities Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Maintain up-to-date knowledge of industry standards and regulatory changes. Utilize technical skills to enhance claims processing efficiency. Communicate effectively with stakeholders to ensure clarity and understanding of claims processes. Implement best practices to improve overall claims management. Monitor claims processing metrics to ensure timely and accurate adjudication. Provide feedback and suggestions for process improvements. Support the team in achieving departmental goals and objectives. Ensure all claims are processed within established timelines. Assist in the development of training materials for new team members. Contribute to a positive work environment by fostering collaboration and teamwork. Qualifications Possess strong analytical skills to assess and adjudicate claims accurately. Demonstrate proficiency in claims adjudication processes and tools. Exhibit a solid understanding of Medicare and Medicaid claims requirements. Show excellent communication skills to interact with various stakeholders. Have the ability to work effectively in a hybrid work model. Display a keen attention to detail to ensure compliance and accuracy. Certifications Required N / A

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2.0 - 4.0 years

3 - 5 Lacs

Hyderabad

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Job Summary We are seeking a dedicated Senior Process Executive for our B&L team with 2 to 4 years of experience. The ideal candidate will have strong technical skills in MS Excel and preferably domain experience in Frclsr Claim File&srv(MortgLn) and Default Report&Analytic-MortLn. This is a night shift role based in our office with no travel required. Responsibilities Senior Process associate is expected to meet or exceed the set agreed target both during the training period and in the period following training. The productivity targets will be revised based on the tenure and any such changes will be made known to the associate. Quality Process associate is expected to meet and exceed the minimum quality benchmark according to the guidelines specified. The quality targets will be revised based on the tenure and any such changes will be made known to the associate. Process associate is expected to be open and receptive to feedback and should view the feedback mechanism as a tool for constant self improvement and process development. Essential Functions Basic knowledge of Mortgage industry and ability to recognize various mortgage documents (example Deed Appraisal Invoices Payoff letters etc) File claims for reimbursement of expenses. Reconcile claim proceeds. File supplemental claims as needed. Ensure data accuracy. Ability to review and gauge any red flags in the document and information provided in client system. Perform other related duties as required and assigned. Qualification (Process Associate) Graduate in any discipline 2 to 4 year of Experience in BPO Transaction Data Processing background. Qualification (Sr. Process Associate) Graduate in any discipline 2 Plus year of experience in Mortgage BPO Transaction Data Processing background. Skill Sets Good analytical skills research knowledge and decision making. Knowledge of MS office (Excel) Good written and spoken communication skills. Ability to work in shifts (preferably night) Willing to work 6 days a week. Certifications Required Certification in Advanced Excel or Data Analysis is preferred.

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1.0 - 5.0 years

2 - 3 Lacs

Noida, Greater Noida

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Job Description: Medical Record Retrieval and Release of Information Specialist Position Overview: We are seeking dedicated and detail-oriented Medical Record Retrieval and Release of Information (ROI) Specialists to join our healthcare team. The position is responsible for efficiently and accurately retrieving, processing, and releasing medical records in accordance with healthcare regulations and policies. This is a hybrid role with both calling and non-calling responsibilities. Key Responsibilities: Retrieve medical records from healthcare facilities, ensuring accuracy and completeness of records. Ensure compliance with HIPAA and other regulatory standards regarding the privacy and security of medical records. Process release of information requests for authorized parties such as patients, legal entities, insurance companies, and other healthcare providers. Organize and maintain medical records in both paper and electronic formats, ensuring they are accessible and easily retrievable. Coordinate with other departments (e.g., billing, insurance) to provide requested information while safeguarding patient confidentiality. Review and verify records for completeness and accuracy before releasing them. Perform audits of medical records to ensure accuracy and compliance with regulatory standards. Skills & Qualifications: Experience in healthcare administration or medical records management (preferred). Knowledge of HIPAA regulations and patient confidentiality. Strong communication skills (for calling positions). Excellent attention to detail and organizational skills. Ability to work efficiently and accurately in a fast-paced environment. Experience with medical records systems and software (e.g., Epic, Cerner, etc.) preferred. Ability to handle sensitive information with professionalism and discretion. Comfortable with night shift. Salary & Benefits: Competitive salary based on experience Health and Accidental insurance Call or WhatsApp -9311316017 (HR Manish Singh)

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4.0 - 8.0 years

7 - 11 Lacs

Greater Noida

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Guidewire Billing Developer Position : Senior Software Engineer / Technical Analyst / Technology Specialist Experience : 4 to 08 Years. Job Location : Greater Noida, Pune & Hyderabad. Mandatory Skills: P&C, Property & Casualty, Javascript, React. Node.JS, Java, GOSU Job Description: 4+ years of experience with Guidewire BillingCenter development. Strong proficiency of Guidewire Data Model, Gosu programming & BillingCenter configuration. Solid understanding of Billing processes in the P&C insurance domain. Excellent problem-solving & communication skills. Familiarity with SOAP/REST APIs, integration tools & DevOps practices. Guidewire Certification (BillingCenter Developer or Architect). Experience with other Guidewire modules (PolicyCenter, ClaimCenter) a plus. Familiarity to Scrum methodologies. Experience with CI/CD pipelines & DevOps Tools. Configure and customize Guidewire BillingCenter modules. Knowledge of insurance domain & business processes. Collaborate with cross-functional teams including Business Analysts, QE & Scrum Masters etc. Develop & execute unit & integration test cases. Provide technical support & troubleshooting for Guidewire applications. Maintain documentation for design, development & deployment processes. Stay updated with Guidewire best practices & industry trends. Education: BE/B.Tech, BCA, B.SE, MCA, MBA / Any Graduate/Any Post Graduate. Please share your resume at anshul.meshram@coforge.com

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4.0 - 8.0 years

9 - 13 Lacs

Greater Noida

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Guidewire Digital Developer Position : Senior Software Engineer / Technical Analyst / Technology Specialist Experience : 4 to 08 Years. Job Location : Greater Noida, Pune & Hyderabad. Mandatory Skills: P&C, Property & Casualty, Javascript, React. Node.JS, Java, GOSU Job Description: 4+ years of experience in Guidewire Digital development. Strong proficiency in JavaScript, React, Node.js & Gosu Programming. Experience with Guidewire Digital Portal frameworks (CustomerEngage, ProducerEngage etc.). Solid understanding of RESTful APIs, OAuth & JSON/XML. Familiarity with CI/CD tools & DevOps Tools. Excellent problem-solving & communication skills. Guidewire Digital Certification. Experience with cloud platforms (AWS, Azure) etc. Knowledge of insurance domain & processes. Exposure to DevOps & containerization (Docker, Kubernetes) etc. Design & develop responsive web applications using Guidewire Digital Portal (CustomerEngage, ProducerEngage etc). Customize & extend Guidewire Digital modules to meet business requirements. Collaborate with cross-functional teams including Business Analysts, QE & Scrum Masters etc. Integrate Guidewire Digital with PolicyCenter, BillingCenter & ClaimCenter. Implement APIs & web services for seamless data exchange. Familiarity to Scrum methodologies. Troubleshoot & resolve technical issues across the digital stack. Stay updated with the latest Guidewire Digital releases & technologies. Education: BE/B.Tech, BCA, B.SE, MCA, MBA / Any Graduate/Any Post Graduate. Please share your resume at anshul.meshram@coforge.com

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3.0 - 8.0 years

6 - 10 Lacs

Bengaluru

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HI Warm Greetings from Rivera Manpower Services , WORK LOCATION : Bangalore /Kochi Note : Candidates who are willing to Relocate to Bangalore Can apply. Minimum 3 YEARS Experience in Property and Casualty Insurance /Motor Insurance for US market Can apply Call and book your Interview slots 9986267393 /9380300644 JD for Senior Process Analyst In this role, Underwriter Assistant assists the Branch Underwriter & plays a vital role in maintaining customer relationship through timely & accurate services. A person will act as a liaison between multiple parties including Branch Underwriter, Policy Servicing Team, Insurance Carriers, and Insurance Brokers, etc. by answering questions & providing detailed information about the accounts/policies via Phone Calls or Emails. To ensure success, Underwriter Assistant should have a friendly and professional attitude, excellent communication skills, and the ability to stay calm under pressure. Should have good understanding of Insurance Domain & minimum experience of 2 years in P&C Insurance. Must have a knowledge of Insurance Life Cycle & worked into minimum 2 different processes. Being an integral part of the production (sales) team in USA, should be ready to work in Night Shift India Time. Work experience in Surplus Lines Insurance or with Managing General Agent (MGA) or with Insurance Broker would be an added advantage. Primary Responsibilities Assist Underwriters in day-to-day duties by: 1. Co-ordinating & collecting information from different stakeholders that requires for underwriting & binding accounts/policies, 2. Binding policies in Carrier as well as Agency Management System along with Invoicing & delivering the same to the clients, 3. Follow-up with clients for bind request, pending information, inspection report recommendation implementation, 4. Ensure all documents/information available in file for policy servicing teams, 5. Handling questions & communication with stakeholders via email & inbound/outbound calls, 6. Updating & ensuring compliance to SL affidavits requirements, 7. Triaging endorsements & cancellations, 8. Facilitating & managing miscellaneous activities that do not require Underwriting decision making Excellent verbal & written communication Graduate with 3+ years of experience in an Insurance domain (P&C /BFSI) Flexible & customer focused Strong problem solving and analytical approach Proactive & accountable Skilled in multi-tasking & prioritizing Exposure to complaints & escalations management Prioritization of work received through different channels Call and book your Interview slots 9986267393 / 9380300644

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4.0 - 9.0 years

1 - 4 Lacs

Gurugram, Delhi / NCR

Work from Office

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

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2.0 - 4.0 years

5 - 5 Lacs

Pune

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RCM AR Caller with 2-4 years exp in US healthcare AR medical billing, claim process, claim settlement Night shift good in English communication

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2.0 - 3.0 years

1 - 3 Lacs

Noida

Work from Office

Role & responsibilities Excellent communication written/verbal skills. Act as SME and as well as the point of contact for issue resolution on floor for participants. Maintain positive and proactive communications in delivery of assigned benefit plan for employees. Assist with routine and periodic benefit plan audits. Research and recommend plan changes as needed. Resolve queries using Root Cause Analysis / Quick Solver techniques Participates in identifying and implementing process improvement opportunities. Requirement Excellent communication skills and Interpersonal skill. 2+ years of experience required. Those willing to work in US Shift (night shift) may apply. Perks and Benefits Cab facility. Monthly meal vouchers. 5 days working a week. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Open to work in night shifts- Yes/No Notice Period- Current Location- Current CTC- Expected CTC- Kindly mention Sr. Associate and your name in subject line

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