3165 Claims Processing Jobs - Page 42

AR Analyst(Dayshift) Male Candidate only can apply 1 to 2 years experience Good knowledge in Denials, appeals, rejection/claims, correspondence Knowledge in RCM & AR fundamentals For more details contact Darshini HR 9363752251

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. Work location Vidal Health Insurance TPA PVT LTD 513-522, 5th Floor B Wing, Chintamani Plaza, Mohan Studio Compound, Andheri Kurla Road, Mumbai-400099 Contact No -86...

Role & responsibilities Play as an intermediate role Between the Insurance co. and Hospital and We Assist Team. Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the insurance policy. Evaluating claims and posting remarks in whats app group and updating in CRM. Monitoring billing as per the Tariff. Managing claims escalations from hospitals. Responsible to handling queries raised by insurance company / TPAs Provide technical assistance and conduct training sessions for new processors on various health insurance policie...

Responsible for the Sales enrollments/Sales in the city. Do the market race and prepare the list of prospective customers , Handle the Team Members and motivate them for better sales , Ensure the team members are in market where enrollments & usage are done regularly. Should have good networking capabilities and be willing to travel extensively throughout their specified areas Key Role: Manage an assigned geographic sales area to maximize sales target and meet corporate. Objectives Build Database of key contact persons in the assigned geography. Build and maintain relationships with key client personnel Manage Category leads from qualification to closure

Hiring for Record Retrieval Specialist #Shift-US Shift Timing #Location: Ahmedabad, Gujarat #Minimum 6 Month Experience Required in International Voice process #Fluent English Required Free Meal Facility also available 1 month extra salary Bonus

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 4+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Docume...

We are looking for a highly skilled E/M Coder with 1-6 years of experience to join our team. The ideal candidate will have expertise in coding and analyzing medical data, ensuring accurate and efficient processing. Roles and Responsibility Analyze medical records to assign accurate codes for diagnoses and procedures. Review and interpret medical information to identify relevant details for coding purposes. Assign appropriate codes using knowledge of coding systems and regulations. Collaborate with healthcare professionals to clarify coding discrepancies or issues. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive patient information. Stay updated with changes in...

We are looking for a skilled Surgery Coder to join our team, with 2.5-6 years of experience in the field. Roles and Responsibility Accurately code surgical procedures using various coding systems. Collaborate with healthcare professionals to ensure accurate coding compliance. Develop and implement efficient coding processes to enhance productivity. Analyze and resolve coding discrepancies and denials promptly. Stay updated with industry coding guidelines and regulations. Maintain confidentiality and adhere to HIPAA policies. Job Requirements Strong knowledge of medical terminology and anatomy. Experience with surgery coding software and systems. Excellent analytical and problem-solving skill...

Urgent Hiring for medical Billing Salary: Up To 22k CTC (19k in-hand) Qualification: - Any Graduate - 12th + 3-year Diploma Cab facility + Meal facility Required Candidate profile Work Schedule: - 5 days working - Saturday & Sunday fixed off - Shift timing: 5:30 pm to 2:30 am Contact Us: Call/WhatsApp: 7696616371 HR Sanjna

Book your interview slot WhatsApp your profile @ 9623462146 / 8888850831 or Dipika@infiniteshr.com ******Hiring for P & C Insurance Team Manager / Sr TM , Salary upto 14.00L*** ****Hiring Team Manager Insurance process**** Salary upto 10 LPA Exp: 6 to 15 Yrs Salary : Upto 14 Lacs Regards Dipika Sharma 9623462146 8888850831

R&R: * Develop Gosu applications for claims processing and policy management. * Collaborate with cross-functional teams on billing center configurations and integrations * Guidewire development experience, strong knowledge of APIs, SOAP/REST & SQL

Ensures timely and accurate production and processing of complex reports, documents and information. Manages, prioritizes, and ensures that workload within own portfolio meets deadlines and targets to assist the team in achieving its business objectives. Participates in User Acceptance Testing for data repositorys fixes and conducts updates prior to deployment. Assures the highest quality and integrity of data to support accurate, consistent, well understood and timely information is available for use enterprise wide. Prepares data quality and control reports and refers queries for resolution to facilitate day-to-day operation. Identifies and raises data quality anomalies to a direct manager...

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Service Delivery Ops Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the 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 i...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 environment and offers a flexible operating mod...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 environment and offers a flexible operating mod...

Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Cab Facility Available.

Ask a series of relevant questions depending on the issue with the claim and record the responses. Night Shift Cab facility available

Hiring For AR Caller In US Healthcare -Shift: US Shift -Salary: 19K CTC (Depends on Interview & Experience) -Location: Ahmedabad, Gujarat -Fluent English Required -Experience & Fresher Both Can Apply

Hiring for {Claims Management Analyst} Skill required- Claim process ( Voice Process) Location: Bengaluru 3 to 5 years experience required Salary: Upto 7LPA English communication required UK Shift : Between 12:30pm to 11pm CTC- Upto 7 LPA

Hiring for {Claims Management Analyst} Skill required: Motor Insurance Claims- Claim process Location: Bengaluru 3 to 5 years experience required Salary: Upto 7LPA English communication required UK Shift : Between 12:30pm to 11pm CTC- Upto 7 LPA

We are Having openings for Freshers as International Medical Billing Specialist Shift-US Shift 5 days /W Location- Ahmedabad Only Graduate Freshers can apply Cab Facility available.

We are Having openings for Freshers as International Medical Billing Specialist Shift-US Shift 5 days /W Location- Ahmedabad Only Graduate Freshers can apply Cab Facility available.

Fluency In English Cab Facility # Night Shift Freshers & Experience Both can Apply Graduation is Must Salary Upto 30K CTC International Voice And Non-Voice

Fluency in English Salary: Up To 30k Fixed Night Shift Cab Facility Available 5 Days Working 2 Days Fixed off For Freshers:- 19k CTC and Experience Up To 30k CTC ( Depending on Interview)

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 environment and offers a flexible operating mod...