646 Health Claims Jobs - Page 22

*Process* Bagic (Insurance Sales Process) Need - *Fresher or Experience with Good Eng comms* Qualification - *Min HSC* Experience - *Fresher / min 6months experience in motor Insurance* Salary - 16k inhand Week off - *Rotational off* Timing - *10am - 7pm* Job location - *Ghansoli Mahape*

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-q...

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-q...

Experience: 1 - 4 Years Location: Pune, Mumbai, Kolhapur, Akola, Jalgaon, Latur, Nagpur, Satara, Solapur Notice Period: Immediate to 30 Days About HDFC ERGO HDFC ERGO General Insurance is one of Indias leading private general insurance companies. As a joint venture between HDFC Ltd. (Indias premier financial services conglomerate) and ERGO International AG (the primary insurance arm of Munich Re Group, Germany), HDFC ERGO combines financial strength with deep insurance expertise to serve millions of customers across India. We are committed to delivering innovative insurance solutions and exceptional customer service. About the Role We are looking for a passionate and result-oriented Assistan...

Role & responsibilities Job Description: Processing Membership / Claims transactions or a health care project in Chennai CDC5 location. User to be ready for work from office 5 days a week and should be based out of Chennai location. Should not have any arrears in academic semester. Should have WIFI connection in home. User should have good english written, understanding and communication skills. Should be strong in email drafting. Work Timings: 5 PM to 2:30 AM IST WFO/WFH: Work from office Qualification Any Graduation (BCom, BSC, BA, BBA Etc) except Computer science graduates.

Roles and Responsibilities Provide health coaching services to patients, focusing on patient care and counseling. Assist doctors in managing patient relationships and ensuring effective communication between patients, families, and medical professionals. Support healthcare operations by coordinating with various departments to ensure seamless delivery of healthcare services. Collaborate with health management teams to develop strategies for improving patient outcomes through data-driven decision making To schedule your interview Call or send your CV through WhatsApp (number mentioned below) HR Ashwini : 9923656681

Job Responsibilities : Building and maintaining strong relationships with key customers and serving as a point of contact for client inquiries and escalations. Applying medical knowledge to resolve the queries and providing guidance. Grievance redressal, handling escalations and identifying the fraudulent claims Responding to customer inquiries via phone calls and emails and resolving customer complaints and concerns. Assisting clients in understanding and navigating the claims process. Collecting and verifying claim documents and coordinating with internal teams and external partners (e.g., TPAs) for claim processing. Tracking claim status and ensuring timely resolution. Maintaining accurat...

Crucial role in managing the entire claims process — right from documentation and coordination to ensuring smooth and timely settlements.

Job Title: Associate - Claims Operations Care.fi is a new age Health fintech startup in Gurgaon, offering smart financing and claim management solutions to hospitals. With a focus on driving efficiencies through technology, Care.fi provides seamless financing and revenue cycle management solution for healthcare providers. The company has strong institutional investor backing and founders with over 20 years of experience in the industry. About the Role Department: Claims Processing / Operations Reports to: Team Lead / Operations Manager Location: Gurugram, Haryana Work Schedule: 6 Days Working We are seeking a diligent File Dispatch Associate with strong medical billing know-how and hospital ...

We are Hiring at Knack RCM! Join our growing team of passionate professionals! Knack RCM is currently hiring for the role of Insurance Verification DME Billing. Minimum Experience Required: 6 months Location: Mohali Punjab Industry: US Healthcare / Revenue Cycle Management (RCM) If you have prior experience in DME (Durable Medical Equipment) billing and a keen eye for detail, wed love to hear from you! Key Responsibilities: Verify patients' insurance eligibility and benefits using online portals or by calling payers. Ensure accurate and complete documentation of insurance details in the system. Obtain prior authorizations and pre-certifications when required. Communicate with patients, insur...

Roles and Responsibilities Provide health coaching services to patients, focusing on patient care and counseling. Assist doctors in managing patient relationships and ensuring effective communication between patients, families, and medical professionals. Support healthcare operations by coordinating with various departments to ensure seamless delivery of healthcare services. Collaborate with health management teams to develop strategies for improving patient outcomes through data-driven decision making.

Skill Required -PROFICIENCY IN EXCEL IS A MUST JOB RESPONSIBILITIES Building and maintaining strong relationships with key customers and serving as a point of contact for client inquiries and escalations. Responding to customer inquiries via phone calls and emails and resolving customer complaints and concerns. Providing proactive support and guidance on claim processes to improve the client experience. Assisting clients in understanding and navigating the claims process. Collecting and verifying claim documents and coordinating with internal teams and external partners (e.g., TPAs) for claim processing. Tracking claim status and ensuring timely resolution. Providing accurate and timely info...

Company: Sutherland Global Services Job Title: Senior Claims/Insurance Executive Position Level: L2 Employment Type: Full-Time Work Model: Brick & Mortar (On-site) Process Type: Blended Process Package: 4.0 4.5 LPA (Based on Experience & Skills) Experience Required: Minimum 2 years of relevant experience in Insurance or Claims Processing Preference will be given to candidates with Motor Claims experience Key Responsibilities: Handle end-to-end claims processing and insurance operations within a blended process model Ensure accurate and timely resolution of insurance claims in line with company policies and procedures Liaise with internal teams, clients, and insurers to gather and verify requ...

1 To investigate and verify insurance health claims 2 Required to work on computers and make calls to our clients 3 discuss cases with patients and doctors. We provide full training

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...

Role & responsibilities HEAPS is a health tech platform and Software as a Service (SAAS) provider which leverages advanced data analytics, artificial intelligence and machine learning to revolutionize healthcare delivery and payments model by building a Healthcare Network and a Value Based Care” model. Responsibilities: Provide patients with the psychosocial support needed to cope with chronic, acute or terminal illnesses Communicate with patients suffering from various ailments post discharge to understand the status of their health and counsel them To enroll new patients into the system once they call in Role & responsibilities Preferred candidate profile

Role Responsibilities: Resolve customer queries and complaints through calls and chat Explain health plans, insurance coverage, and services clearly Maintain professionalism and empathy in all customer interactions Utilize medical knowledge to assist customers effectively Key Deliverables: Achieve timely and accurate resolution of healthcare-related queries Maintain updated records of customer interactions and issues Support seamless communication across voice and chat channels Ensure compliance with healthcare service and insurance guidelines

Role Responsibilities: Resolve customer queries and complaints through calls and chat Explain health plans, insurance coverage, and services clearly Maintain professionalism and empathy in all customer interactions Utilize medical knowledge to assist customers effectively Key Deliverables: Achieve timely and accurate resolution of healthcare-related queries Maintain updated records of customer interactions and issues Support seamless communication across voice and chat channels Ensure compliance with healthcare service and insurance guidelines

Role Responsibilities: Resolve customer queries and complaints through calls and chat Explain health plans, insurance coverage, and services clearly Maintain professionalism and empathy in all customer interactions Utilize medical knowledge to assist customers effectively Key Deliverables: Achieve timely and accurate resolution of healthcare-related queries Maintain updated records of customer interactions and issues Support seamless communication across voice and chat channels Ensure compliance with healthcare service and insurance guidelines

Key Responsibilities: Verify patients' insurance eligibility and benefits using online portals or by calling payers. Ensure accurate and complete documentation of insurance details in the system. Obtain prior authorizations and pre-certifications when required. Communicate with patients, insurance companies, and internal teams as needed. Handle insurance-related queries efficiently and in a timely manner. Follow-up with insurance companies for updates on pending verification or authorizations. Maintain confidentiality of patient information at all times.

We are hiring a dedicated and detail-oriented Insurance Claim & Survey Coordinator to handle claim processing and in-house claim evaluation for both Health Insurance and Motor Vehicle Insurance . The candidate will be responsible for guiding clients, assessing claim documents, and coordinating with insurers to ensure quick and hassle-free claim settlements. Key Responsibilities: Handle end-to-end processing of health and motor insurance claims . Collect, verify, and organize all claim-related documents including medical reports, bills, accident descriptions, repair invoices, FIRs (if required), and policy documents. Act as an in-house surveyor to evaluate claim documentation for accuracy and...

Hiring For US Healthcare Voice Process Good Communication Skills required Graduate Freshers Grad/UG with 1-2 yrs exp can apply. Salary 16k-23k Inhand Both side cabs Fixed Night shifts 6:30P.M - 3:30A.M Sat/Sun Off Call/WhatsApp Arsha 9810963815 Required Candidate profile Candidate must have good communication skills. Must be comfortable with Night shifts. Technical Graduates are not eligible for this role. Perks and benefits Fixed Shifts Fixed Sat/Sun Off Both side cabs

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

Position Overview: Clients business problem to resolve: At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. Clients Business problem to solve? Our Client is one of Leading Health Plan in US providing services in Florida state , NTT are getting into contract with Client to manage End to End Claims Administration services. Our NT...

Hi Candidate, We are hiring for Any Graduate Experienced 1-2 yrs for Viman Nagar - Pune Roles and Responsibilities: - Process Associate: - Work profile would be for insurance related process. All processes are non-voice and back end operations Employee will be interacting only with clients and not customers using computers and internet extensively. Working on web-based applications Viewing and capturing details on system Using computers and internet extensively non-voice and back end operations provide excellent customer service to clients Are good team players, independent, meticulous, pro-active, attentive to details, self-motivated and able to adapt in new challenges Resolve all vendor qu...