629 Health Claims Jobs

Hiring for US mortage voice process Grad with minimum 1 year insurance voice experience Excellent comminication skills ONLY US Shift TWO OFFS L2- 33K 1 year + exp L3- 40K 3 + Year experience CALL NOW 9226639337 / 9049078453 Kharadi, Pune

Payroll Company: Teamlease Digital Role & responsibilities: Accurately enter insurance data into the database Maintain Insurance Company database Maintain quality score Perform other duties as assigned Observe professional standards of conduct, including attendance, professional behaviour, and dress code. Required Candidate Profile: - Adaptable and flexible -Knowledge of excel basics - Ability to perform under pressure - Problem-solving skills - Detail orientation - Ability to establish strong client relationship -Comfortable with Night Shifts -Good Communication Skills -Stability Shifts- Night Shifts Mode of work- Work from Office Perks and benefits: -5 days working. -Apart from development...

careers@manavatacancercentre.com ---------------------------------------------------------------------------------------------------- WALK IN INTERVIEW: 12 NOON - 6 PM WHATSAPP HR BOT: +91 93094 59794 ---------------------------------------------------------------------------------------------------- I.] THE SUCCESSFUL CANDIDATE SHOULD KNOW THE PROCESS OF: II.] CLAIM PRE AUTHORISATION / QUERY REPLY / FINAL AUTHORISATION III.] DOCUMENTATION OF FILES / DISPATCH OF FILES / FOLLOW UP WITH INSURANCE COMPANIES. IV.] TRACKING OF CLAIMS / MS EXCEL / MS OFFICE ---------------------------------------------------------------------------------------------------- 1. WE ARE THE LARGEST CHAIN OF CANCER HOS...

Dear Candidate, We are looking for experienced TPA Manager for our unit Rama Hospital at Noida sector 61, UP location . Eligibility: Must have proven experience in TPA related work end to end processing till the payment recovery and settlement. Should have good experience in TPA empanelment of various companies. Only candidates from same profile will be considered. Should have strong exposure in depth and experience of managing whole TPA department of any big hospital. What We Offer . Opportunity to work with one of the leading healthcare groups in the region with attractive salary package. How to Apply: Email your CV to: arshadhasan.hr@ramahospital.com WhatsApp your details to: 7275254108 R...

Role & responsibilities Organize, file, and archive large volumes of physical and digital documents, including insurance applications, policies, claims forms, medical records, and legal contracts. Review and audit documentation for completeness, accuracy, and adherence to company policies and industry regulations. Accurately enter client and policy data into insurance management systems and databases, ensuring all records are up-to-date. Assist the claims department by collecting necessary documentation, verifying facts of loss, and ensuring all required paperwork for claim settlement is complete and accurate. Collaborate with insurance agents, underwriters, claims adjusters, clients, and ot...

We are looking for an Insurance Desk Executive with 1 year of hospital experience in handling cashless and reimbursement claims. The candidate will be responsible for coordinating with insurance companies and TPAs to ensure smooth claim processing.

1. Ensure customer satisfaction of the highest order for all medical projects and services as assigned by the organization. 2. Maintain and continually improve the quality of medical service delivery. 3. Ensure that there is alignment and cooperation between medical team and operations team for seamless execution of designated projects and services. 4. Scrutiny of medical documents and adjudication of the international travel insurance policy holders. 5. Assess the eligibility of international travel insurance related medical claims and determine financial outcomes. 6. Determine accuracy of medical documents. 7. Processing the case as per policy terms & condition of the respective insurance ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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 world's 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 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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 world's 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 countr...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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 world's 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 co...

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Oversee all general and group medical insurance policies, timely renewals, and prompt premium payments. Work closely with HR, Finance, and insurance providers for employee coverage updates, premium settlements, and receipt of policy documents. Required Candidate profile Graduate with experience in handling General Insurance policies in large corporates are preferred. Must have very good relation with service provider for competitive quotations. Age : 34-46 yrs .

1. General Insurance a Must. 2. Test Designing. 3. Test Execution. 4. Defect Management. 5. Understand client requirements, queries, issues and respond. 6. Providing Status as per set Governance to Lead &/or Client. 7. Raising Issues/Risks and providing Mitigation/Solution. 8. Candidate should have experience in Health Claims.

Role & responsibilities Team management: Supervise and guide a team of claims processors, delegating tasks, setting performance goals, and conducting regular performance reviews. Claim processing oversight: Monitor and manage the day-to-day workflow, ensuring claims are processed accurately, efficiently, and in a timely manner. Quality assurance: Review claims submissions to ensure they are compliant with policy terms, conditions, and relevant healthcare regulations. Problem-solving: Investigate and resolve complex and escalated claims issues, including discrepancies, in an accurate and timely manner. Training and development: Provide training and support to team members to enhance their ski...

Must be MBBS certified or have 2+ yr exp with Claim processing and be a BHMS Shift - UK Shift Female - 3-9 from office (9pm-12pm from home) Male - 3pm-12 work from office CTC upto 8.5 LPA

Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture 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. Visit us at www.accenture.com What would you do Embedding digital transformation in healthcare operations...

Fortis Hospital Mohali is hiring Head TPA, Interested candidates can contact at 7015298971 for more details or share resume at baljinder.singh@fortishealthcare.com

Greetings From Scorelabs Inc ! Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Qua - BAMS , BHMS & MBBS Freshers Are also Welcome ( If they Interested in Claims) Required Candidate profile Handle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and insurance officers for clarification or denials. Hr Mounika - 8688334476

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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.The administration ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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.The administration of h...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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.The administration ...

About The Role Skill required: Claims Services - Claims Administration Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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.Includes the administrati...

About the Role We are looking for experienced and detail-oriented professionals to join our Claims Case Management Team . The role involves reviewing and analyzing health insurance claims, ensuring accuracy, compliance, and cost-effectiveness while maintaining a strong customer-centric approach . You will collaborate closely with hospitals, TPAs, and internal teams to identify irregularities, prevent financial losses, and uphold the integrity of the claims process . Key Responsibilities 1. Claim Review & Analysis Assess claims for admissibility, medical necessity, and identify irregularities or overbilling. Conduct root-cause analysis using claims data, treatment records, and clinical guidel...

Interested Candidates may connect with Ms.Tanya Singh-9259503718 (11am-5pm) About the Role: We are seeking a highly motivated and experienced individual with a medical background to join our dynamic team as a Medical Claims Call Center Representative. In this role, you will be the frontline of our customer service, handling inbound calls related to medical claims and rejections. Your primary focus will be to provide exceptional customer service while resolving inquiries and concerns effectively, ensuring a positive experience for every Niva Bupa member. Key Responsibilities: Answer incoming customer calls promptly and professionally. Assist customers with navigating medical claims, including...