3165 Claims Processing Jobs - Page 44

Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

AR Caller Excellent English communication is a must Location- Makarba, Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facility 5 days Work-Week Saturday, Sunday fixed off Freshers & Experienced both can apply

Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

Healthcare KPO | Makarba, Ahmedabad We're hiring for: AR Caller Payment Posting Eligibility Verification Credentialing Dental Billing Min. 6 months experience required Fixed Night Shift Graduates only (No IT) Excellent English Communication must

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 Deputy...

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 3.6+ 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 Depu...

Dear Aspirants, Sagility is conducting a huge walk in drive process trainer role for Coimbatore location. Job Description Summary We are seeking a highly motivated and experienced Training Specialist to join our team as a Claims Administration Trainer. In this role, you will be focusing on equipping our team members with the necessary expertise to effectively handle claims processing, customer inquiries, and ensure compliance with company policies and industry regulations. As a Training Specialist, you will play a critical role in maintaining the high standards of our claims administration department and contribute to the overall success of the organization. Job Description Education: Any Gr...

Guidewire Claim Center Configurator Developer Guidewire Configuration Developer having a thorough understanding of Guidewire products with a specific skill set in Claim Center. This role needs working with internal customers to design, develop, make program and/or configuration changes to deliver business functionality within Guidewire. The individual will be a leader within the team and help develop GW skills and experience with other team members. Good to have: GW ClaimCenter v10 configuration Specialist certified Primary Duties and Responsibilities: The role will work with internal customers/architects/Developers to design, develop, and maintain functionality within the Guidewire platform...

Main Skill: Guidewire Policy Center, Billing Center & Claim Center Must Have: Proven experience in functional testing of Guidewire applications (Policy Center, Claim Center, Billing Center) within an insurance domain. Proficiency in test case design and test execution methodologies. Familiarity with automation testing tools and frameworks (Selenium). Strong analytical and problem-solving skills. Experience with test management tools (e.g., JIRA & X-Ray). Excellent communication and collaboration skills. Guidewire certification(s) is a plus. Knowledge of agile methodologies and working in an Agile/Scrum environment.

We are seeking a talented individual to join our team at Marsh. This role will be based in Mumbai/Pune. What can you expect: Excellent exposure to complex & diverse insurance handling work. Opportunity to enhance insurance knowledge and understanding & build on client management skills. As a new colleague, you will be provided with Business Overview/Insights, in-depth process training, roles & responsibilities overview, expectations of various stakeholders to make you successful in this role. Within the first 30 days, we expect you to gain good understanding of the role and requirement that it entails. Within 60 days, attain competency & have a good understanding of process and systems & fin...

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

Role & responsibilities The Program Specialist serves as the primary contact for patients and healthcare providers, helping them access prescribed therapies by resolving insurance and operational barriers. This role involves handling inbound/outbound calls, verifying insurance coverage, processing patient applications, coordinating prescriptions, and documenting all interactions. Specialists must communicate clearly, follow SOPs, and maintain a calm, professional demeanor while supporting multiple healthcare programs.

Education Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies: (Job related) Computer Savvy Should have working knowledge of MS-Office Soft Skills: (Job related) Comprehend English Language and average communicator Commitment to achieving deadlines Ability to make sound judgment calls and be decisive

Role Overview: As a TPA Cashless Claims Specialist (Health Insurance) based in Bengaluru, you will be responsible for processing cashless claims submitted by policyholders, managing insurance claims, and ensuring efficient claims management. Your role will involve regular communication with customers and providing exceptional customer service to address any queries or issues related to claims. Key Responsibilities: - Process cashless claims submitted by policyholders - Manage insurance claims effectively - Ensure efficient claims management - Communicate regularly with customers - Provide exceptional customer service to address queries or issues related to claims Qualification Required: - 2-...

About Us: AM Medical IT Solutions is dedicated to offering high-quality, cost-effective services to the medical and dental industry. We specialize in medical and dental revenue cycle management, including inpatient and outpatient services, account receivable recovery, physician credentialing, contract negotiations, practice management, Chronic Care Management, Patient-Centered Medical Home, software support, and business succession consultations. For years, AM Medical IT Solutions has been a trusted partner for solo practitioners, group-practice physicians, and hospitals, helping them meet their needs and grow. Role : AR Associate/Sr AR Associate Job Responsibilities: Manage AR calls to reso...

Urgently Hiring for Associate Service Consultant-Underwriting Salary - 3 LPA - 4.5 LPA + (Incentives) Job Location - Gurugram Share your resume to HR Nikita: 9717102713 / 9773626804 Immediate Joiner Preferred Role Description This is a full-time on-site role for an Underwriter at Policybazaar.com, located in Gurugram. The Underwriter will be responsible for assessing and evaluating insurance applications, analyzing risk factors, determining policy terms, and reviewing insurance contracts. They will also collaborate with insurance agents and brokers to review applications and provide expert advice on underwriting policies. Qualifications Strong analytical and problem-solving skills Ability to...

Open Positions (US Healthcare – Claims Adjudication Process_ Team Leader – Operations Quality Specialist Subject Matter Expert (SME) Quality Team Leader Process Trainer Assistant Manager Experience : 4 Years into US Health care Location : Coimbatore

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 d...

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 d...

Role - Process Specialist Exp - 2 to 4 years Salary - upto 6LPA Location - Bangalore Immediate to 15 Days Must Have: Reinsurance(P&C),High back-office transactions to insurance clients (Life/P&C) Night Shift

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 ...

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...

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 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...