2028 Claims Processing Jobs - Page 9

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 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 in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for? Contract conversion Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

US Voice process HSC/Graduates with minimum 1 year specifically in denial managment/AR collections Salary - 25k in hand Follow IBU transport boundaries Regards, Recruitment Team Required Candidate profile Excellent communication skills Rounds of Interview- HR, Amcat,typing,Ops Amcat SVAR - 55 Typing speed- 40 words per minute; 90% accuracy 24*7 rotational shifts; 5 days working, 2 rotational week offs

About The Role Skill required: Insurance Services - Life Insurance Designation: Function Delivery Analyst Qualifications: Chartered Accountant Years of Experience: 3 to 5 years Language - Ability: English - Advanced 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 in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com 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 model that can meet the unique needs of each market segment.Insurance is a legal agreement between two parties the insurer and the insured, also known as insurance coverage or insurance policy. The insurer provides financial coverage for the losses of the insured that s/he may bear under certain circumstancesThe Life Insurance team focuses on developing and delivering solutions related to life insurance or life assurance-contracts between policy owners and insurers. The team works in the area of international life insurance where they review medical claims, medical onboarding, pension, and retirement schemes. The role may require having a good understanding of medical underwriting, intake process, medical records management, and medical records review. What are we looking for? Account ReconciliationsFinancial AnalysisInsurance StrategiesInvestment BankingInvestment ManagementAbility to perform under pressureAbility to work well in a teamAdaptable and flexibleAgility for quick learningCollaboration and interpersonal skills Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Qualification Chartered Accountant

Hiring for US Healthcare Voice process -Thane Location - Work from office THANE LOCATION Rounds : HR-Amcat- Writex-Ops- Typing Quality: C2 HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Required Candidate profile Comms skill - Excellent Assessments - Amcat - SVAR score of 69 mandatory Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5days of working. Any 2 Rotational week offs

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Excellent communication skills required Typing speed: 40wpm accuracy 95 Amcat svar : 55 Required Candidate profile Hsc/Graduate with minimum 1 year experience in denial management/AR collection - Medical billing mandatory Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops

Hiring for US Healthcare Voice process -Thane Location - Work from office HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Assessments - Amcat - SVAR (Spoken English & Grammar) score of69 mandatory Required Candidate profile Comms skill - Excellent Salary - Upto 35k in hand Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5 days of working. Any 2 Rotational week offs

HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Comms skill - Excellent Assessments - Amcat - SVAR (Spoken English & Grammar) score of 69 mandatory Required Candidate profile Salary - Upto 32k in hand Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5 days of working. Any 2 Rotational week offs

Any Grad / Ug With Excellent Comms With Claims / Back Office Exp Preffered Salary 33K CTC + Upto 7K Incentives Rounds HR / Ops / Versant Voice US B2 Shifts & Offs 5.5 Days Working With Rotational Shifts & Offs Required Candidate profile Cabs 180 RS* Number Of Night Shifts For Males & One Sided Cabs For Females In Odd Hours Versant US Voice Versant B2 DOJ immediate

Any Grad / Ug With Excellent Comms With Claims / Back Office Exp Preffered Salary 33K CTC + Upto 7K Incentives Rounds HR / Ops / Versant Voice US B2 Shifts & Offs 5.5 Days Working With Rotational Shifts & Offs Required Candidate profile Cabs 180 RS* Number Of Night Shifts For Males & One Sided Cabs For Females In Odd Hours Versant US Voice Versant B2 DOJ immediate

Hiring for US Healthcare Voice process -Thane Location - Work from office HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Assessments - Amcat - SVAR (Spoken English & Grammar) score of69 mandatory Required Candidate profile Comms skill - Excellent Salary - Upto 35k in hand Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5 days of working. Any 2 Rotational week offs

Job description * Claim Review and Processing: Reviewing claims for accuracy, completeness, and adherence to insurance policies and regulations. Verification and Eligibility: Verifying patient eligibility and insurance coverage. Discrepancy Resolution:Investigating and resolving any discrepancies or issues related to claims. Documentation and Record Keeping: Maintaining accurate and up-to-date records of processed claims and documentation. Education : Minimum Graduate in any field. Experience : Prior experience in healthcare claims processing, medical billing, or a related field (2 years to 3 years) Salary - 4.75 LPA Location - Gurgaon ( Work from Office ) Shifts - 24*7 *Immediate joiner Only*

Role & 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 nonavailability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. Preferred candidate profile: BAMS, BHMS graduates ONLY. Work from Office only. Interested candidates share resume to Mail : livya.jennifer@mediassist.in Whatsapp : 9008118597

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Hsc + minimum 6 months any exp Grad fresher (hard copy of final year marksheets mandate) Or Grad + min 6 months any exp Required Candidate profile Salary 20k- 24k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .

Candidates should have their own system and internet connection Configuration required Windows 10 Processor - i3/ i5 RAM - 4 GB or more Internet Speed - 10mbps Rounds of Interviews - HR - Medical Test - Email Test - Amcat - Ops Required Candidate profile Qualification: Graduation in Zoology or Biology Location: Thane site 24*7 rotational shifts, 5 days working - 2 rotational week offs Salary - Upto 20k in hand

UK Health Care Process Nature of Work : Claim Processing/ Backend Candidates should have their own system and internet connection Configuration required Windows 10 Processor - i3/i5 RAM - 4 GB Speed - 10mbps rotational shifts, 5 days working Required Candidate profile Rounds of Interviews - HR - Medical Test - Email Test - Amcat - Ops

This Opportunity is with a leading Insurance company for their office in Pune location Role: Claim operations Experience: 3 Years Job Description: ESSENTIAL RESPONSIBILITIES: Describe the essential responsibilities in order of importance: Begin each responsibility with an action verb. Claims Reporting Evaluate claims to ensure sufficient information is available for loss reporting. Submit claims to carriers and confirm receipt along with adjuster assignment. Manage claims intake queues, including new claims and exceptions. Ensure compliance with offshore reporting criteria for claims processing. Cross-verify reported claims and maintain accurate documentation. Claims Acknowledgment Send acknowledgment emails for claims information received via calls with insurance carriers. Follow special handling instructions for specific claims categories Maintain accurate records in systems such as Epic, Outlook, and DMS. Skills : 1.Excellent communication skills (Interpersonal, verbal, Presentation written & Email) 2.Able to work with Supervisor and virtual teams with collaborative efforts 3.Ability to prioritize, manage and deliver on multiple projects simultaneously 4.Strong bias towards action, flexible, resourceful and able to operate effectively within a Dynamic and fast paced environment 5.Positive Attitude, team Player, Self-Starter, initiative driven, ability to work independently 6.Identification of process gaps and steps to mitigate with optimum accuracy 7.Compile and present reports on customer service activities and performance metrics 8.Collaborate and maintain strong inter-team relationships Interested Candidates can share their CV's at BhagyashreeS @topgearconsultants.com

Timings - 10 am - 7 pm. Monday to Saturday Communication - Fluency in speaking and email/whatsapp comms. Verbal proficiency in English and Hindi mandatory. Comms expectation - Interaction with Customers and Partners (TPA/insurers) Required Candidate profile Kindly share the profiles from Indian Insurance background. Preferred TPA - Mediassist, Vidal Health, FHPL, Paramount,MD india Preferred insurers - Acko, Digit, Care, ICICI Role type - claim handler

Batch date - Immediate joining Requirement - HSC with mandatory 6 month experience on paper/ grad fresher Nature Of Job - Voice Salary up to 17-18k in hand 24*7 Shifts in training and (2 rotational week offs) One time home drop facility Required Candidate profile • Transport Boundaries Kalyan - Sion GTB - Seawoods Bandra - Borivali • Interview Rounds: HR, Amcat, Typing and Ops

Ready to work 24*7 Excellent English required Near Thane location only candidates required Excellent comms skills

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Hsc + minimum 6 months any exp Grad fresher (hard copy of final year marksheets mandate) Or Grad + min 6 months any exp Required Candidate profile Salary 20k- 24k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .

Coding profile Indent- 6 Location- Thane Eligibility criteria- HSC/Graduate - minimum 1 year coding experience mandatory Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - 35k Follow Thane IBU boundaries