646 Health Claims Jobs - Page 21

International Process Associate - US Healthcare Process Company Name - Sun Knowledge Inc. (KPO) About Company - We are into Healthcare medical billing. No SALES/MARKETING involved. Interview Reference Code - HR Sara - 6292238499 - (WhatsApp) Interview Date Starts From : 20th June 2025. Dress Code - Formals/ Smart Casuals Carry your hard copy CV and Aadhar Xerox should be attached to it Roles and Responsibilities Candidates have to resolve queries and issues of Doctors and hospitals regarding medical Billing and Insurances. Desired Candidate Profile Must have Excellent Communication in English. (Both Oral and Written) Should Have Good Interpersonal & Analytical Skills Must be well organized a...

Responsibilities: * Lead claims settlements and operations on-site * Ensure compliance with HIPAA & insurance ops standards * Manage health claims of our patients from start to finish * Collaborate with stakeholders on claim resolution

Role & responsibilities Basic requirement Basic understanding of Microsoft applications (Excel, Word, etc.). Preferably, a basic understanding of health insurance. Good communication skills in Marathi, Hindi, and English. Flexibility to work in shifts. Preferred Skills: Familiarity with insurance policies and procedures related to claims. Previous work experience in health claims or investigation departments. Experience in using Microsoft applications for data analysis and reporting.

Role & responsibilities To process transactions in line with the defined process on simple/medium/high complex tasks and achieve operational goals and standards as defined by the organisation. Complete the action required on the demand within the required TAT ensuring the required level of accuracy & compliance requirements

We are Conducting Mega Job fair for Top 10 Companies for AR calling. Chennai, Noida, Bangalore & Hyderbad. Job Title: AR Caller (Accounts Receivable Caller) Department: Revenue Cycle Management / Medical Billing Location: Bangalore / Hyderabad / Chennai / Noida Job Type: Full-Time. Experience: 0 to 10 years Job Summary: We are seeking an AR Caller to follow up on outstanding insurance claims and ensure timely reimbursement. The ideal candidate will be responsible for calling insurance companies (payers) to verify claim status, resolve denials, and secure payment for services rendered. Key Responsibilities: Call insurance companies and follow up on pending claims. Understand and interpret Exp...

Key Responsibilities: Process and analyze medical claims from US healthcare providers and insurance companies. Understand various insurance policies, terminologies, and healthcare workflows (training provided). Handle denials, rejections, and resubmissions as per payer requirements. Ensure accuracy in data entry and maintain quality standards. Communicate effectively with team leads and follow-up on claim status or escalations. Maintain confidentiality and HIPAA compliance standards. Meet daily/weekly targets and productivity goals. Requirements: Bachelors Degree (Only – BCom, BBA, BA, BCA, are eligible to apply) Excellent written and verbal communication skills in English. Basic knowledge o...

Process cashless and reimbursment claims (Should have knowledge of processing retail policies of National/United/New India/Oriental insurance companies.

Role & responsibilities Ensure team members are visiting the customers place as per the schedule Monitor the team members activity in terms of volumes (documents collected) Review the queries received from the customer and the responses from the team members Help team members in resolving escalationsfrom customers Review the reports sent by the team members and take necessary actions (issues with respect to claim registrations) based on the report. Coordinate with front end team and help in getting the claims registered Conduct weekly/monthly one on one review with the team membersto understand their concerns and help simplify the process Review the claims dump along with front end team and ...

Job Title: Insurance Desk Executive TPA Coordination / Claims Specialist Location Options: KIMS Hospital, Nashik Survey No. 571/1A/1, Plot No. 63, Mumbai Agra Highway, Nashik, Maharashtra – 422001 KIMS Hospital, Thane West – Queens St, near Brentford Cooperative Society, Hiranandani Estate, Thane West, Maharashtra – 400615 Organization: Ayu Health Hospitals Experience Required: 0–2 years (Freshers are welcome to apply) Preferred Gender: Male Candidates Preferred Location: Candidates residing near hospital locations will be given preference About Ayu Health: Ayu Health is one of India’s fastest-growing healthcare networks, dedicated to making high-quality healthcare accessible and affordable ...

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English. CTC – Upto 3.5 LPA.

SUTHERLAND IS HIRING- CLAIMS SPECIALIST Interested candidates can share your resume to lilly.prisicilla@sutherlandglobal.com POC: Lilly 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 : " 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: Bachel...

Tele Callers – 05 Team Leader – 01 Compliance Officer – 01 knowledge of IRDA regulations insurance broking compliance Underwriter – 01 from the insurance industry Claims Executive – 01 Position relevant experience in insurance claims. Required Candidate profile JOB LOCATION WAGHOLI ,PUNE . TELECALLERS ,TEAM LEADER ,COMPLIANCE OFFICER ,UNDERWRITER ,CLAIMS EXECUTIVE ALL HAVING EXPERIENCE IN LIFE & HEALTH INSURANCE SECTOR EARLY JOINING NEEDED Perks and benefits PERKS & BENEFITS AS PER INDUSTRY STANDARDS

JOB DESIGNATION-Process Associate JOB LOCATION- Jaipur JOB DESCRIPTION- Checking Claim status/patient eligibility with Insurance companies in the USA over the phone. CANDIDATE REQUIREMENTS/QUALIFICATION/SKILLS Graduates in any Discipline (other than BTECH pursuing) Good Command over English (Oral & Written) Good Analytical Skills Computer Savvy Good Listening Skills Flexible to work in night Shifts BENEFITS 1. Salary - Best in Industry & Annual salary revision upon completion of 1 year. 2. Excellent learning platform with a great opportunity to build career in Medical Billing. 3. Quarterly Rewards & Recognition Program. 4. Performance-based monthly incentives. 4. Five days working : Monday -...

Please take some time to review the JD and the project information, as they will give you a deeper understanding of the role and responsibilities. If you have any questions or need further clarification, do not hesitate to reach out to us. We are here to provide you with all the support and information you need during this process. Client- Optum Position: Quality Analyst Location: Hyderabad Location: Optum Global Solutions, (Avans)Phoenix Info city Private Ltd, Site 4, 1st floor, SEZ, Hitec City, Hyderabad, 500081. Interview Process: Face to Face Contract base Job Payroll will be Joulestowatts Business Solutions experience: 6months to 3Year Location Hyderabad Work module Work from office Cab...

Role & responsibilities Conduct regular audits of inbound calls and customer service emails to assess quality, accuracy, and adherence to standard operating procedures. Identify communication gaps, process deviations, and compliance breaches. Maintain detailed records of audit findings and share trend analysis reports weekly/monthly. Collaborate with team leads/managers to coach and guide staff on improving customer interactions. Assist in designing quality monitoring formats and audit checklists. Help develop training content and support refresher sessions based on audit insights. Recommend process and communication improvements based on audit observations. Ensure data privacy, accuracy, an...

We are hiring freshers or experienced medical officer to process the health insurance claims in TPA or Insurance companies. Educational Qualification: MBBS / BAMS / BHMS / BPT / MPT / BDS / Pharm D.

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on varsha.kumari@mediassist.in Thanks & Regards Varsjha Kumari Email - varsha.kumari@mediassist.in

We are currently hiring for Medical Underwriting for a global Bank India, Location Bangalore . Experience: Medical Underwriting, Life insurance, Life policies, Life insurance Underwriting. Role: Medical Underwriting Job type: Permanent What you will do: Candidate should have sound medical/technical underwriting knowledge to process Life and Health Insurance applications & proposals (Underwriting). He/she should have good decision-making ability referring to standard guidelines and principles. Productivity is the key KPI for this process and PL should engage in full time production. As a process lead, he or she should handle team queries, give expert opinion for the TM, cascade the process up...

We will count on you for : Daily Work Management and delivery of schemes Written and Verbal communication with onshore business partners Process reporting and training Ensuring compliance of all internal and client policies Providing timely updates to AM and Onshore counterparts Driving Process improvements Assist in analyzing and evaluating Benefits data files. Review data to identify issues and discrepancies and provides resolution of errors. Maintains operation systems and tools and provides system support. Performs daily operational assignments and activities, including data analysis, system support and reporting. What you need to have? Graduate with minimum 1 year experience overall Str...

Job Summary Join our dynamic team as a PE-Ins Claims specialist where youll leverage your customer service skills and domain knowledge to enhance our claims processing efficiency. This hybrid role offers a unique opportunity to work in a rotational shift environment providing comprehensive support in the Property & Casualty Insurance sector. Your contributions will directly impact our service quality and customer satisfaction. Responsibilities Assist in processing insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with team members to analyze and verify claim information for accuracy and completeness. Utilize customer service skills to address inq...

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-: 6m- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determinin...

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 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...

Please Note - We are looking B. Pharma for this profile. Role & responsibilities Conduct live video streaming sessions with hospitals, patients, or insured members for claim verification. Facilitate real-time validation of treatment, hospitalization documents, and patient identity. Coordinate with claims adjudication team to ensure all required inputs are collected during the call. Identify and report suspicious or incomplete information during live interactions. Maintain call logs, notes, and outcomes in the internal claims processing system. Ensure compliance with data privacy and confidentiality norms during video interactions. Escalate technical issues or critical cases to the relevant t...

Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes