629 Health Claims Jobs - Page 4

Healthcare Process Team Management Voice & Chat Process E-Commerce Experience will be add on 24*7 Shift 5 Days Working Both Ways Cab Required Candidate profile AT LEAST 1 YEAR OF ON PAPER EXPERIENCE AS A TEAM LEADER BPO EXPERIENCE IS MANDATORY Good Communication Required

Will be responsible for leading & managing the overall operations & business development activities. This role requires strong leadership, operational excellence & client relationship skills to ensure smooth service delivery & business growth. Required Candidate profile Candidate MUST have experience in TPA *Operations Management *Business Development *Team Leadership *Compliance & Reporting *Client Relationship Management *Networking & Negotiation Skills

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: 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: Claims Services - Payer Claims Processing Designation: Health Admin Services 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.Business solutions that sup...

About The Role Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services 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.Includes the administration of...

About The Role Skill required: Reinsurance - Collections Processing Designation: Claims Management Manager Qualifications: Any Graduation Years of Experience: 13 to 18 years 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 uniq...

Department: Health Claims (Cashless) Location: Hyderabad 1, Indore 1 Reporting To: Chief Manager Health Management Team Key Responsibilities: Claims Assessment: Evaluate and process health insurance claims in accordance with policy terms and conditions. Medical Review: Identify and flag potential cases of medical abuse or discrepancies in treatment protocols. Admissibility Decision: Determine claim eligibility based on thorough review of medical documentation and policy guidelines. Tariff Adjudication: Review and authorize cashless approvals, ensuring alignment with applicable tariffs and negotiated rates. Stakeholder Coordination: Liaise effectively with internal teams, network hospitals, a...

Data reporting to Insurer authorities, Corporates, Brokers and TPA management. May13- till date Data interpretation, claim analytics, Fraud analytics, Loss and reserve analytics, trends, recommendations on the policy behavior are the key focused areas Publishing detailed analysis of specific corporate with respect to historical data available. Utilization patterns with respect to age, gender, Sum insured, relation, Location etc., Analyzing CTQs such as Average claim value, TAT, Morbidity ratio, Loss ratio etc. Impact analysis of implied disease sub limits, co-payments, room limits, savings etc. TAT reports: Establishes the FIFO movement of claims and the compliance of service delivery to cus...

Role & responsibilities Deliver end to end insurance claims processing services. Develop and deliver business solutions to improve insurance claims process. Qualification- Any Graduate (Degree) Shift Timings-Night shift Timings- 5.30PM-2.30AM 2 way cab Provided Location- Airoli, Navi Mumbai 2025 Passed outs only

Job Title: USA Medical Billing & AR Executive - For MEN Department: USA Medical Billing Reporting To: Manager Job Summary: We are looking for an ideal candidate who is interested in building a long-term career in the RCM (Revenue Cycle Management) field. Good English communication spoken, written, and comprehension is a must for this role. We value candidates who are serious about their growth, and we are committed to providing them opportunities to learn and grow with us. Skills: Medical Terminology, Communication Skills, Confident, Basic Computer Knowledge, Revenue Cycle Mangement, Medical Billing, Are you ready to launch your career or take the next step in your professional journey? We h...

Job Title: USA Medical Billing & AR Executive - For MEN Department: USA Medical Billing Reporting To: Manager Job Summary: We are looking for an ideal candidate who is interested in building a long-term career in the RCM (Revenue Cycle Management) field. Good English communication spoken, written, and comprehension is a must for this role. We value candidates who are serious about their growth, and we are committed to providing them opportunities to learn and grow with us. Skills: Medical Terminology, Communication Skills, Confident, Basic Computer Knowledge, Revenue Cycle Mangement, Medical Billing, Are you ready to launch your career or take the next step in your professional journey? We h...

Role & responsibilities Responsible for managing client relationships with key decision makers Subject matter expert for partners and internal staff for the assigned product Addresses the gaps identified between client requirement & the service provided Ensure that the service is delivered in accordance with the agreed service level agreement Act as a point of contact for any escalation or feedback from clients Collaborate with the other functional Group to evaluate the product performance and to recommend Refinements and improvements in service performance Establish and maintain on-going partner relationships and anticipate and resolve potential problems of the client Announcements of new u...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! HR Ananya 8884496986 (SEND CV ON WHATSAPP IF LINE IS BUSY) Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with inter...

Minimum Mandatory Skill Set Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Brief Job Profile Claims adjudication, Fraud and leakage control, Client/provider feedback, Team training and retention, Investigation Desired Competencies/ Skill Set MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry Health Insurance, TPA, Hospitals, Healthcare

Minimum Mandatory Skill Set Knowledge of Processing of claims, quality check and adherence to TAT, computer skills, excel. Candidate should be open to work in 24X7X365 shifts Brief Job Profile Claims adjudication, Fraud and leakage control, Client/provider feedback, Team training and retention, Investigation Desired Competencies/ Skill Set MS Excel and MIS skills, Candidate having work experience of claim processing, Investigation, computer skills. Preferred Industry Health Insurance, TPA, Hospitals, Healthcare

Role & responsibilities Claims processor Preferred candidate profile BDS,BHMS & BAMS Freshers

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 -...

Urgent requirement for Kolhapur:( Shahupuri) Freshers candidate required . Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Looking for Fresher candidates Fresher graduate Inward & Outward Operations Claims Lodging / filling Enrollment CBF Activities ssuring you of our consistently best services. Regards, Omkar Newale Sr. Executive - Talent Acquisition

Job description : Freshers with commerce educational background can apply. We are seeking graduates or qualified legal professionals to join our UK motor claims support team. This role involves assisting UK insurer clients with the technical handling and legal processing of motor insurance claims, particularly around liability resolution, litigation prep, and document review. Training in UK motor insurance law and procedural frameworks (e.g., RTA, OIC, MOJ Portal, Credit Hire Portal) will be provided Role & Responsibilities : Review motor accident claim files to assist in liability determination Draft and review case summaries, driver statements, and incident versions Support preparation of ...

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...

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-:2yrs- 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 determini...

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...

Role & responsibilities Process customer reimbursement claims and maintain turnaround time (TAT). Manage claims end-to-end, including client communication via email and phone. Collect claim details, issue forms, and verify coverage. Coordinate with internal teams and third parties to resolve claims. Update records, refer complex cases, and follow best practices. Ensure fair treatment and excellent service. Handle complaints and guide clients through claim procedures. Education & Experience Guidelines Education : Graduate in any discipline; proficient in MS Office. Experience : 35 years in health insurance claims. Preferred Skills : Insurance-related qualifications Strong analytical and task ...

Our hospital is empanelled under the Ayushman Bharat (PM-JAY) scheme. We are looking for competent and sincere professionals to strengthen our Ayushman Bharat Claim Processing Unit. 1 Position: Ayushman Claim Executive Salary: 25,000 35,000 per month Key Responsibilities: Manage patient registration and claim submission on the Ayushman Bharat TMS portal. Verify patient eligibility, Ayushman card, and Aadhaar-based authentication. Upload required documents such as discharge summary, reports, and photographs. Track and update claim status; maintain physical and digital records. Coordinate with district Ayushman officers, insurance partners, and internal departments for timely approvals. Qualif...