3165 Claims Processing Jobs - Page 46

Ahmedabad #Salary: Up to 3.6 LPA #US Shifts #CareerGrowth #RecordRetrieval #MedicalRecords #USShifts(Night) #JobOpening #Manage medical/legal record requests, ensure timely retrieval #5 days #Fixed off #Fluent English

Role: Manager/Senior Manager - Accident & Travel Claims Job location: Goregaon East Position Overview: A Claims Manager in the Accident & Travel department oversees the processing and settlement of claims related to travel accidents and incidents. They ensure timely, accurate claims assessment, manage a team of adjusters, and maintain compliance with legal and policy guidelines while delivering excellent customer service. Additionally, they are responsible for mitigating risk and resolving complex claims efficiently. Role & responsibilities: Involvement in daily claim processing Regular Updating of Claims System data Calling customers for intimation details & reminders E-mail & letter commun...

Key Responsibilities: Lead and manage non-customer service healthcare operations including medical coding, claims processing, billing, data management, and healthcare analytics. Oversee day-to-day team activities ensuring adherence to service levels, quality standards, and compliance requirements. Implement process improvements and optimize workflows to increase efficiency and reduce errors. Monitor key performance indicators (KPIs) and generate reports to track operational performance. Ensure compliance with healthcare regulations such as HIPAA, ICD coding standards, and payer-specific guidelines. Collaborate with internal teams, clients, and external vendors to resolve issues and improve p...

Greetings from TCS BPS!! Dear Candidates, TCS BPS is hiring for any International Insurance professionals at TCS Pune. Job Summary: Process: International Insurance/Insurance Operations (Life, Pensions, Annuities) Work Location: Pune (Sahyadri Park) 1 +Years of experience in any International Insurance and Good Communication skills Position Summary: Associates will be responsible for handling and undertaking rule-based transactions with a small element of decision making, preset performance criteria and ensure data entry & information processing in accordance with process documents, procedures manuals and /or as per the agreement and compliance requirements. Associates may be engaged in emai...

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

Job Summary Provides first line of support and problem resolution for selected products and services. Job Requirements Answering inbound customer service calls. Providing entry-level troubleshooting and redirecting phone calls when appropriate. Identifying order issues and determining appropriate course of action for effective resolution. Obtaining initial loss information from customers and beginning claims processing. Addressing minor coverage issues and resolving minor complaints. Ensuring all customer communication is clearly documented. Education Typically requires no previous professional experience.

Qualifications - 1 . Masters degree in business administration . 2. Proven experience as a Business Analyst in the insurance or financial services industry, with expertise in broking placement processes. 3. Strong analytical skills with the ability to interpret complex data and make strategic recommendations. 4. Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse teams. 5. Proficiency in business analysis tools, project management software, and Microsoft Office Suite. 6. Knowledge of industry standards, regulations, and best practices related to broking and claims processes. Responsibilities: 1 . Business Process Analysis: o Conduct comp...

We are currently seeking a HC&Insurance Operations Associate to join our team in Chennai, Tamil Ndu (IN-TN), India (IN). """ Checks for completeness and appropriateness of source data. Involved in fact finding, information search and data gathering. Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required Ability to analyze and process transactions based on rules. Able to integrate knowledge as a skilled specialist. Possess strong domain knowledge in Healthcare and Insurance domain. """

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & 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 Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custome...

Checks for completeness and appropriateness of source data. Involved in fact finding, information search and data gathering. Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required Ability to analyze and process transactions based on rules. Able to integrate knowledge as a skilled specialist. Possess strong domain knowledge in Healthcare and Insurance domain.

Hi, Hiring, for Credit Control for Delhi Location please find the job details as below: Job Profile : Credit Control Experience :1 years Location : Delhi Salary Budget : Upto 3.7 lac Key responsibilities and accountabilities Maintain an accurate record of all commission payments owed to the agent and received from clients. Generate bills for commission earnings, ensuring accuracy in sales figures rates, and terms of agreements. Process payments from agents, ensuring commissions are received on time. Reconcile system documents v/s manual documents submitted by agents during hisab. Regularly reconcile accounts to ensure all commission payments are correctly logged and accounted for. Resolve an...

Role Overview: The Insurance Claims Coordinator is responsible for managing the end-to-end process of employee medical claims, from documentation collection to final settlement. This role ensures timely renewals, accurate records, and effective coordination with employees and insurers to maintain a smooth claim experience. Key Responsibilities: Claim Documentation: Collect and verify required documents from employees for initiating medical insurance claims. Claim Processing: Handle the entire claims process, from submission to final settlement. Liaise with insurers and third-party administrators (TPAs) to track claim status and resolve issues. Claim MIS (Management Information System): Maint...

Handle Provider Chat queries and meet client SLA 5*10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

Handle Provider Chat queries and meet client SLA 5*10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

Reporting to - Director / Manager Role: Asst. Manager will be responsible for all business delivery & performance as per set SLA parameters of Disability claim process in healthcare & insurance domain. And must understand the business delivery, maintain & publish metrics with multiple stakeholders; brief and deliver all in-house process delivery & requirements, apart from coordinating with onshore partners as and when required. As a Asst. Manager, you will be the contact point for all team members, and will be responsible for supervising, managing and motivating team members daily basis. You should also be able to act proactively to ensure smooth team operations and effective collaboration. ...

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

Candidate will be responsible for handling dental insurance claims, verifying patient eligibility, processing claims from various insurance providers, and ensuring smooth communication between patients, providers Required Candidate profile Experience in dental insurance claims processing or similar roles. Working on claims from various insurance providers Proficient in dental software Send profiles recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience. • Experience using PECOS, processing enrollment with Medicaid, and using CAQH • Excellent communication skills

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Send CV recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Experience in ECW software must

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings. Apply now! Initial 3 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Experience in ECW software must

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

Join our team as an AR Follow-Up/Calling Specialist! Manage accounts receivable, ensure timely insurance claim follow-ups, and optimize reimbursements in a dynamic healthcare RCM environment. Immediate openings available. Apply now! Required Candidate profile Experienced AR Callers or AR Follow Up. Proficiency in AR calling, denials resolution. Immediate joiners preferred. Send CV recruitment1.hipl@gmail.com Initial 1 Months Work from Office.