3165 Claims Processing Jobs - Page 50

H.Sc / Graduate freshers with good communication. US healthcare Exp will be an advantage. Knowledge of basic computer operations. Willingness to work in the late evening and night shifts. Courteous with strong customer service orientation. Good listening and speaking skills. Typing speed 30/90% Work from office only Mandatory Skills: Commercial.

Position Description: Your future duties and responsibilities Job Title:Guidewire ClaimCenter Developer Position: Guidewire ClaimCenter Developer Experience:4 +yrs Category: Softare Development Main location: Chennai/Bangalore Position ID: J0725-0622 Experience: 4+ years Location: Chennai/Hyderabad/Bangalore Your future duties and responsibilities: As a Senior Lead in the Guidewire Configuration Stream of work, the role would expect you to be hands- on in delivering the following; Requirement Elicitation Have a clear understanding of Client requirement(s) and have a technical perspective aligned with Guidewire OOTB flow Prepare Unit test(gunits), Technical Design Documentation Customizing th...

We are seeking an experienced and dynamic professional to lead our Claims Operations team for US Healthcare Will be responsible for managing end-to-end claims processing operations, driving service excellence, ensuring compliance with client SLAs and regulatory standards, and leading high-performing teams in a fast-paced BPO environment Manage day-to-day operations of the claims processing department, including adjudication, adjustments, rework, and quality control Serve as the primary point of contact for client operations teams Conduct regular client calls, business reviews, and performance reporting Must Have Skillset Looking for candidates with good experience in Claims - managing a larg...

Location: Ahmedabad Profile: US Voice Process (AR Caller , Dental Billing , Medical Billing ) Shift: Night shift Salary for Freshers : 20,000 Experienced : Upto 40K(Relevant in RCM Process ) Benefits: 1 way Cab Working Days: 5 days

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...

Job Title: Term Insurance Operations Specialist Experience: 1 - 3 Years in insurance operations Education: Any Graduate Location: Gurugram About the Role: As a Term Insurance Operations Specialist, you will be responsible for ensuring a smooth post-payment customer journey by managing documentation, medical scheduling, and verification processes. You will coordinate with insurers, underwriters, TPAs, and internal stakeholders to drive timely case issuance while meeting monthly issuance targets with minimal TAT and high FTR rate. This role demands strong communication, stakeholder management, and process improvement skills, along with a basic understanding of insurance underwriting and profic...

Role & responsibilities We are hiring for the position of Trainee Process Consultant for our International Voice Process in the US Healthcare sector. As a Trainee Process Consultant, you will be responsible for processing claims, handling customer inquiries, and ensuring customer satisfaction through timely and accurate resolutions. BTECH NOT ALLOWED REACH OUT TO HR SUSMITA - 9903486610 Preferred candidate profile - Process claims according to established guidelines and procedures. - Maintain customer satisfaction ratings by adhering to client SLAs. - Utilize company policies to resolve customer issues efficiently. - Input and update customer records in the company platform. - Ensure quick a...

Company Profile At Edify Insurance Brokers Pvt Ltd, our Client Service team is the engine that drives our customer satisfaction and query solutions. We are seeking a qualified Client service - manager to help our clients in claims and any other query solution through their own skills. Our ideal CS manager has to have indepth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Objective of this Role One stop solution for all client queries and requirements Represent our company, wi...

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim

Cognizant Walk-in drive for Senior Claim Adjudicator - US Healthcare in Coimbatore location Interview Date : 13th Sep 2025 (Saturday) Interview Time : 10:00 AM 12:30 PM Venue : Cognizant, CCC Campus, CHIL SEZ Campus, CHIL SEZ IT Park, Saravanampatti, Keernatham Village, Coimbatore-641035 Building Details : Food court 2 nd floor South End Contact Person : Govindaraj S / Raguvaran R Preferred candidates Profile: Must Be a graduate. Minimum 1 to 4 Years of experience in US Healthcare Claims adjudication process (Payer side) Must have experience into End to End claims processing (Candidates with only denial claims experience are not eligible) Experience in AMISYS tool is an added advantage Must ...

Responsibilities: * Manage health claims from submission to payment * Ensure compliance with regulatory requirements * Collaborate with medical providers on claim resolution * Review insurance policies and procedures

Job Description: Analyze the claim submission process and how to create batches & submit claims. Should know all types of rejections. Should be aware of Eligibility rejections. Medicare & Medicaid Payer guidelines. Different payer website knowledge. Must have knowledge of Scrubber edits.CMS 1500 OR UB04 Billing. Should be aware of the basic RCM cycle. Must be aware of the Secondary claim process. Knowledge on different Clearing Houses. Required Skills: Min one year of experience in relevant skills Ability to communicate effectively Good analytical skills Contact: HR Revati Mobile: 7219717605 Email: hr@mdcsglobal.com

Communicate with customers for their insurance claims and explain the process Follow up for and verify insurance claim documents Assist customers with claim filing process and keep the claim status updated Follow up with TPA / insurers for smooth and timely claim settlement Track claims on the insurers portal. written & verbal communication/ claims knowledge/18*7 claims service policy.

What will youressential responsibilities include Driving the delivery of AXA XL Digital Factory application with appropriate stakeholders.Working with the all stakeholders and strategic vendor to drive the optimal and scalable delivery digital factory model. Provide management oversight, strategy and direction to digital delivery squads within the customer journey. Provide high-level organization goals and objectives. Collaborates with business stakeholders on opportunity identification issue resolution and governance. Control and manage budget for the GT spend within your span of control. Ensure the scope of services, organization model, and key processes required to deliver services are pr...

Position: Medical Officer (Doctor) - TPA for Insurance and Risk Analysis Location: Gurgaon Job Type: Full-time About Policybazaar For Business Policybazaar, the flagship platform of PB Fintech Ltd., is Indias largest online insurance marketplace, acclaimed by Frost & Sullivan. Established in 2008, Policybazaar has revolutionized insurance with unmatched awareness, choice, and transparency. Introducing Policybazaar for Business, a dedicated service designed to meet the unique insurance needs of enterprises. Launched in 2021, it offers a robust portfolio of 15+ business insurance products tailored to diverse sectors, scales, and risk profiles. Policybazaar for Business aims to fortify Indias f...

Job Summary: The Business Analyst will play a key role in supporting finance and management information (MI) systems for an insurance company. The individual will bridge the gap between business operations, finance, and IT, ensuring the successful implementation and optimization of finance-related systems and management reporting tools. The role involves gathering business requirements, facilitating communication between stakeholders, and analyzing data to improve decision-making processes within the insurance domain. Key Responsibilities: Requirements Gathering: Collaborate with stakeholders (finance teams, insurance operations, and IT) to gather, document, and translate business requiremen...

Job Summary: The Business Analyst will play a key role in supporting finance and management information (MI) systems for an insurance company. The individual will bridge the gap between business operations, finance, and IT, ensuring the successful implementation and optimization of finance-related systems and management reporting tools. The role involves gathering business requirements, facilitating communication between stakeholders, and analyzing data to improve decision-making processes within the insurance domain. Key Responsibilities: Requirements Gathering: Collaborate with stakeholders (finance teams, insurance operations, and IT) to gather, document, and translate business requiremen...

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 Description Position: Auto Claim Adjuster Job Title: Auto Claims Adjuster Department: Claims Reports to: Claims Manager Location: Bangalore Employment Type: Full-time Roles & Responsibilities : Dealing with Insurance Companies for Auto claims only Dealing with Location Managers for paper formalities Maintaining In-House location, Insurance companies etc. Coordinating with parent company representatives Skills & Qualifications : 1 - 3 years SOLID experience with insurance company Claims Dept or Brokerage dealing with AUTO claims / Auto Insurance only Knowledge of LOCAL Auto insurance regulatory laws Good Communication & Negotiation Skills (writing and speaking) Time flexibility requiremen...

As a Claims Adjudicator in the US Healthcare industry, your role will involve adjudicating US Healthcare claims under close supervision. You will be supporting other claims representatives, examiners, and leads while following process instructions to process claims efficiently. It will be your responsibility to ensure that the monthly assigned production targets are met and maintain internal and/or external accuracy standards. You will also be required to review errors marked by the Quality team and suggest a proper rebuttal version post checking the DLPs. The job may require you to work in 24x7 shifts. Qualifications Required: - Minimum Qualification: Graduate (Any discipline) - Experience:...

As a Trainee Process Consultant in the International Non-Voice Process / Back Office in Navi Mumbai, you will be required to: - Learn and follow professional standards, procedures, and U.S. insurance policies. - Process claims accurately as per defined guidelines. - Ensure adherence to service levels, quality checks, and audit parameters. Qualifications required for this role: - Bachelor's degree in any field. - Excellent communication skills. - Strong attention to detail and accuracy. Join this dynamic team where you can enhance your skills and contribute to the successful processing of insurance claims.,

R1 RCM India is proud to be a Great Place To Work Certified organization which clearly states the culture and employee centric approach. Great Place To Work (GPTW) partners with more than 11,000 organizations annually across over 22 industries and assesses organizations through an employee survey on key parameters such as trust, pride, camaraderie, and fairness; and this certification puts us in the league of leading organizations for great workplace culture.R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. With over 30,000 employees globally, we are about 14,000 strong in...

What this job involves: Analysing cash/amount received in the bank deposits and making the application against the tenant accounts Analyse and research tenant ledgers history against the over/short payments. Query handling working on all queries received and keeping a close tab on any pending queries that could be resolved and following up on the rest. Contact accountants and Property teams whenever necessary to determine the proper payment application. Research and analyse duplicate and erroneous payments. Escalate unresolved issues/concerns. Assist in training new employees as needed. Working on different process-related and ad-hoc reports Keeping all the process-related documents intact o...

What this job involves: Analysing cash/amount received in the bank deposits and making the application against the tenant accounts Analyse and research tenant ledgers history against the over/short payments. Query handling working on all queries received and keeping a close tab on any pending queries that could be resolved and following up on the rest. Contact accountants and Property teams whenever necessary to determine the proper payment application. Research and analyse duplicate and erroneous payments. Escalate unresolved issues/concerns. Assist in training new employees as needed. Working on different process-related and ad-hoc reports Keeping all the process-related documents intact o...

What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement ini...