641 Health Claims Jobs - Page 12

Dear Candidates, We have an Urgent Opening for RCM as AR Caller at Marol Naka, Andheri East. If interested, please share your updated biodata/resume on ta.manager@prodocssolution.com Freshers are Most Welcome!!! Good Communication Skills required This Job is Work from Office!!! Candidates preferred form Western Suburb Please find the Job Description & shift timing for your reference. 70% Calling & 40% Desk work Basic Typing speed 15 wpm to 30 wpm Basic Computer Knowledge - Copy Paste/Create Folder/Note Pad/ C drive & D drive etc. Age Criteria: - 18 to 40 Years Qualification: - 12th passed, Graduate or above Shift Timings: - 01st Shift Timing: - 06.00PM to 03.00AM 02nd Shift Timing: - 08.00 P...

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...

Key Responsibilities MIS & Reporting Policy Renewals Quotations & Proposals Market Research Client Support Cross-Team Collaboration Qualifications: Graduate in Insurance or related field. Freshers are preferred or maximum 1 year experience Provident fund

Immediate Hiring Freshers Only Customer Service Associate | US Healthcare Voice Support Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working Eligibility: Freshers / Recent Pass-outs Job Overview Kickstart your career in US Healthcare Voice Support ! An excellent opportunity for freshers with strong English communication skills to begin their journey in the BPO industry. Key Responsibilities Handle inbound & outbound customer calls. Resolve queries with professionalism & accuracy. Maintain call records & follow SOPs. Achieve performance metrics (Quality, Accuracy, CSAT). Communicate effectively & actively listen to customers. Work in rotational shifts. Upsell/cross-...

Claims specialists provide a vital administrative and customer support role related to the accurate and timely processing of insurance claims, mainly Health insurance claim. They are involved in all phases of the process, from the initial intake of a claim through the final payout to the individual and/or service provider. In this capacity. Claims specialists often function as a liaison, facilitating communications between the insured party and the insurer, service provider or other parties that may be involved. The regular duties performed by insurance claim specialists include Communicating with clients (the insured), insurers, service providers or other parties. Examining insurance claims...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

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 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...

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 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...

Urgent Hiring Subject Matter Expert (SME) Operations Claims Adjudication (US Healthcare) Location: Indore, Coimbatore, Bangalore Notice Period: Immediate joiners or candidates with less than 30 days notice preferred Department: Claims Operations Experience: Minimum 3.6 years in US healthcare claims adjudication Role Summary: We are seeking a Subject Matter Expert (SME) Operations for US healthcare claims adjudication . The SME will act as the process authority , supporting operations teams in handling complex claim scenarios, resolving escalations, and ensuring process adherence. This role involves mentoring team members, driving operational excellence, and partnering with stakeholders to de...

Urgent hiring for Team leader operations for claims adjudication from US Healthcare. Looking for immediate joiners or less than 30 days' notice period. Interested folks can reach out to below mentions contact persons. Job Title: Team Leader Claims Adjudication Location: Indore, Coimbatore, Bangalore Department: Claims Operations Reports To: Manager Claims Adjudication Role Overview: The Team Leader Claims Adjudication is responsible for supervising a team of claims processors/adjudicators to ensure accurate and timely adjudication of healthcare/insurance claims in line with policies, compliance requirements, and service-level agreements (SLAs). The role involves performance management, proce...

MBA Finance / CA / Actuarial background 1-2 years of experience in UW should be good. Should be based out of / willing to move to Bangalore Immediate Joiner preffered

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Role Summary Key Accountabilities/ Responsibilities Stakeholder interfaces Experience Education

Fortis Hospital Mohali is hiring Head TPA on urgent basis, interested candidates can share resume at baljinder.singh@fortishealthcare.com immediate joiner will be given preferance

WANT A GOOD WORK LIFE BALANCE Fixed shifts and fixed weekend off Collection Voice Process Sutherland is seeking highly proficient * Claims associate in Bangalore. If you have the right experience and expertise, this could be an excellent career opportunity for you. Position Details: Minimum 2 yeras of experience in claims. " Location: Kundan halli Bangalore Work Schedule: *FIXED SHIFTS AND FIXED Saturday & Sunday off* Compensation: Competitive salary with a significant hike on your last drawn salary, plus attractive incentives and transport allowance Work Mode: On-site Eligibility Criteria: Bachelors degree or college Diploma. Experience in P&C, Healthcare Claims dealing with damage, liabili...

Job Responsibilities and Expectations - Assist in onboarding new individual and corporate clients by collecting and verifying documentation. - Support the BD team in preparing customized health insurance proposals and quotations. - Maintain accurate records of client interactions and proposal submissions. - Coordinate with underwriting and policy servicing teams to ensure timely processing of new applications. - Respond to basic client queries related to product features, benefits, and application status. - Ensure compliance with Hong Kong Insurance Authority (IA) guidelines during client interactions. - Assist in scheduling meetings and presentations for BD executives. - Generate reports on...

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...

A hospital billing executive manages a healthcare facility's billing operations, focusing on accurate claim submission, patient invoicing, and insurance coordination to ensure timely payments and regulatory compliance . Key duties include patient registration, medical coding (ICD-10/CPT), submitting insurance claims, resolving payment discrepancies, and maintaining patient billing records. This role requires strong attention to detail, proficiency with medical billing software, knowledge of healthcare regulations, and excellent communication skills to work with patients, insurance providers, and hospital staff. Role & responsibilities PMC Card preparation &visit to PMC weekly for fund alloca...

JD Subject Matter Expert (Claims Handling) Job Location Gurgaon, sector 44 Work exp 3+ yrs (from medical/ travel insurance industry) Salary – 30k-35k per month Key Responsibilities: Serve as the go-to expert for operational processes, tools, and best practices within the organization. Analyze existing operations workflows and recommend improvements for increased efficiency, accuracy, and cost-effectiveness. Support process transitions, onboarding, and training by sharing domain knowledge with internal teams. Collaborate with business units to develop and maintain Standard Operating Procedures (SOPs). Ensure compliance with internal policies and regulatory requirements. Provide insights and r...

Designation - Assistant Vice President Job Location - Bangalore Skill - Claims Operations Leading Service Delivery Practitioner who can help design and articulate the Claims Operations to the Gold Standard. Ideal candidature would be 18-20+ YEARS OVERALL EXPERIENCE WITH MIN 10- 12 YEARS IN US HEALTHCARE CLAIMS OPERATIONS in a Senior Service Delivery Leadership Role. 18-20+ Years experience in healthcare BPO/BPM organisation Team Management with preferable span of control of 800+ FTE ( multi location) Experience & Competencies expected from the Role: 18-20+ years of overall experience as a Strong and capable leader that is self-motivated and driven to win the confidence and trust of her/his p...

Key Responsibilities Lead the creation and execution of nutrition strategies aligned with business goals and public health priorities. Partner cross-functionally with R&D, Marketing, Regulatory, and Legal teams to provide expert nutrition guidance. Act as the subject matter expert on nutrition science, public health trends, and regulations impacting nutrition labeling and health claims. Develop and deliver scientific communication materials and represent the company in external engagements with health professionals, industry panels, and regulatory bodies. Monitor and interpret emerging nutrition science, dietary guidelines, and regulatory changes to inform strategic decision-making. Mentor a...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity. Maintain accurate records of all interactions with policyholders, agents, and other stakeholders throughout the claims process. Identify areas for improvement in processes and implement changes to increase efficiency.

Kindly Mention "Thrisha HR" on top of your resume Role & Responsibilities: Claims Specialists are responsible for accurately reviewing and processing claims for Flexible Spending Accounts and Health Reimbursement Arrangements in accordance with IRS regulations and specific employer plan rules. Claims Specialists spend their entire day working through the automatically fed claims queues within OnBase in the designated order to ensure turnaround times are met for our clients. Preferred Candidate Profile A candidate with claims adjudication experience is preferred. Freshers are also encouraged to apply. (Should have provisional / Consolidated certificate) The candidate should be flexible with w...

Role: Voice Program Specialist - Benefit Verification US Healthcare Tenure: 6 Months Fixed Contract Extendable based on Performance (No Bond) Client: Top Clinical Research & Development Company Shift: 6PM-3AM Cabs: 2 Ways Provided Location: Bengaluru 56001 Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement Graduation is Mandatory Total 1.5 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare. Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process. HIPAA Compliance Knowledge Preferred If Only Suitable then share your Resume to nnithin@astonca...