3165 Claims Processing Jobs - Page 38

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

About The Role 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 efficienciesBE Automobile Graduate/Diploma with or without Automotive experienceBE Mechanical Graduate/Diploma with Automotive experienceExperience in War...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(Domestic) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance ...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

Role Objective : Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports. Essential Duties and Responsibilities Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team) Quality of Notation, Ability to read clinical documentation and data enter for payer requirements. 80%+ Calling will be involved (may vary site to site), should be open to Voice based work Would secure relevant information of Health Insurance of the patient. Work on Websites/Applicationsto perform the activity as per the SOP. Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone) Should be Open to...

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

About The Role Project Role : Business Analyst Project Role Description : Analyze an organization and design its processes and systems, assessing the business model and its integration with technology. Assess current state, identify customer requirements, and define the future state and/or business solution. Research, gather and synthesize information. Must have skills : Agile Requirement Management Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Business Analyst, you will engage in a variety of tasks that involve analyzing an organization and designing its processes and systems. Your typical day will...

Min 2 yrs hands on experience in US medical billing with eligibility verification & authorization is MUST. Candidates experienced preferably in behavioral health Ready to work in night shift Any Graduate with very good communication skills in english language.

Caregivers in centre will take care of the childrens. Need to help the children in Naptime & Feeding. Need to take the Children s to the washroom. Diaper Changing for Infants. Need to clean the classrooms & Play area before Leaving. Qualification & Experience not Required. Age Limit is from 20 to 45 years.

Guidewire Policy Center Support and Maintenance (Senior 6-8 years) Must be flexible to work in shifts (Rotational Shift India Shift, UK Shift) and On Call Support on a roster-ed rotational basis. Proficient in maintaining and supporting applications, enhancements, conducting testing, and managing deployments, performing root cause analysis & defect fixes. Manages the Guidewire Configuration. Designs, modifies and implements Guidewire product suite. Skills and attributes for success Deep understanding of Guidewire framework Policy Centre, implementation, architecture and components Must have Guidewire Policy Center 9.0 version + technical/functional/cloud certification. Well versed in develop...

Guidewire Policy Center Support and Maintenance (Senior 6-8 years) Must be flexible to work in shifts (Rotational Shift India Shift, UK Shift) and On Call Support on a roster-ed rotational basis. Proficient in maintaining and supporting applications, enhancements, conducting testing, and managing deployments, performing root cause analysis & defect fixes. Manages the Guidewire Configuration. Designs, modifies and implements Guidewire product suite. Skills and attributes for success Deep understanding of Guidewire framework Policy Centre, implementation, architecture and components Must have Guidewire Policy Center 9.0 version + technical/functional/cloud certification. Well versed in develop...

Retail Claims - Automation & ProjectsKey Responsibilities1 Automate Claims Processes- Design anddevelop automated workflows and business rules to streamline claims processing Integrate with Existing Systems- Integrateautomated claims processing solutions with existing systems and technologies Testing and UAT - Test and validateautomated claims processing solutions to ensure accuracy and efficiency 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 techn...

Downloads deposit files from lock box accounts2 Posts payments, denials, and adjustments from all payers3 Review all remittance advices for accuracy to identify errors or questionable data4 Researches and resolves unapplied/unidentified cash receipts5 Reviews postings to ensure payment is applied appropriately, corrects payment posting errors for the sites, and submits refund requests6 Assists with the follow up requests for medical records, continuing claim reports PRs, and other information related to claims that are on the no activity report7 Prepares and submits check requests to Accounting for payment of invoices

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 were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were 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 an advanced technology services ...

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 admissibil...

ONLY CANDIDATES WITH WORK EXPERIENCE IN "HEALTHCARE INSURANCE CLAIM/DISABILITY CLAIM/CLAIM PROCESSING" TO APPLY FOR THIS ROLE. Job Title: Intake Specialist Location: Noida/Mumbai, India Job Type: Full-Time Reporting Manager: Manager About Impact Disability Law: At Impact Disability Law, the intake team is the heart of our client experience. We are often the very first point of contact for people navigating life-changing situations. Because first impressions last, our intake process has to be flawless . Every caller should hang up feeling cared for, confident they called the right firm, and ready to refer us to their family and friends. Position Summary: As an Intake Specialist , you are the ...

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 were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were 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 an advanced technology services ...

Job Summary Clinical claim Review Responsibilities Oversee the claims adjudication process to ensure accuracy and compliance with industry standards. Provide expertise in claims and payer domains to enhance operational efficiency. Analyze claims data to identify trends and areas for improvement. Collaborate with team members to streamline claims processing workflows. Ensure timely resolution of claims issues to maintain customer satisfaction. Develop and implement strategies to optimize claims adjudication procedures. Monitor performance metrics to ensure adherence to service level agreements. Communicate effectively with stakeholders to address claims-related inquiries. Utilize technical sk...

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 were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were 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 an advanced technology services ...

Cavalier IT is looking for Student Enrollment Specialist to join our dynamic team and embark on a rewarding career journey Provide guidance and support to prospective students regarding available programs, admission requirements, tuition fees, and financial aid options. Assist students in completing application forms, gathering necessary documentation, and submitting required materials for enrollment. Respond promptly and professionally to inquiries via phone, email, or in-person meetings, addressing questions related to admissions procedures, program details, and other relevant information. Maintain accurate records of student inquiries, applications, and enrollment status using designated ...

MVR Cancer Center is looking for Manager - Insurance to join our dynamic team and embark on a rewarding career journey Develop and implement insurance policies and programs. Manage insurance claims and processes. Monitor and report on insurance performance. Collaborate with insurance providers and stakeholders. Ensure compliance with insurance regulations and standards. Provide support and guidance on insurance matters. 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. More than 1...

Suyash Hospital Raipur is looking for Medical Administrator to join our dynamic team and embark on a rewarding career journey Staff Management: You supervise and lead a team of administrative staff, including medical secretaries, receptionists, medical records clerks, billing specialists, and administrative assistants. This involves hiring, training, scheduling, and performance management to ensure efficient operations and high-quality service delivery. Patient Services: You oversee patient services, ensuring that patients are greeted courteously, appointments are scheduled promptly, and inquiries are handled professionally. You may establish and enforce policies and procedures related to pa...