646 Health Claims Jobs - Page 5

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...

Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon Chennai (Tamil) Kochi (Malayalam) Interested candidates can directly share their resumes on simranbagga@policybazaar.com or 9311501270

Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon Chennai (Tamil) Kochi (Malayalam) Interested candidates can directly share their resumes on simranbagga@policybazaar.com or 9311501270

Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon , Kochi, Bangalore & MumbaiRole & responsibilities Preferred candidate profile

Role & responsibilities Verify the accuracy and completeness of claim documents, including medical records and billing information Handle customer inquiries related to claims status and provide resolution. Maintain and update claim records in the system. Identify discrepancies, fraudulent claims, and escalate cases as necessary.

Job Description: Ayushman TPA Head (5 Years Experience) Position: Ayushman TPA Head Department: Billing / Claims / Ayushman Bharat Experience Required: Minimum 5 years in TPA or Ayushman Bharat claim management Key Responsibilities: Oversee all Ayushman Bharat scheme operations, including patient registration, pre-authorization, and claim submission. Coordinate with TPA officials, insurance companies, and empaneled hospitals for smooth claim processing. Verify treatment packages, patient eligibility, and documentation as per NHPM guidelines. Ensure timely claim submission, query resolution, and settlement tracking. Maintain records and prepare daily, weekly, and monthly MIS reports. Train bi...

Pre-Authorization - Health Insurance (Hong Kong) Processor Role Job Responsibilities and Expectations Review and validate pre-authorization requests for medical services and procedures. Ensure completeness of documentation submitted by policyholders and healthcare providers. Verify eligibility and coverage based on policy terms and conditions. Coordinate with internal claims and underwriting teams for complex cases. Input and update pre-authorization decisions in the claims management system. Communicate authorization outcomes to providers and insured members. Ensure compliance with Hong Kongs Insurance Authority (IA) regulations and internal SOPs. Identify and escalate potential fraud or ab...

We have vacancy for the post of TPA manager. Qualification - BAMS/BHMS Experience - 2 to 10 yrs. as TPA Manager Job description - Act as the primary liaison between the hospital and various TPAs, insurance companies, and corporate clients. Handle empanelment and renewal of contracts with TPAs and insurance companies. Ensure smooth coordination for pre-authorization, approval, and discharge processes. Resolve disputes or issues related to pending approvals, denials, or short payments. Supervise TPA executives/coordinators in the billing or insurance desk. Train staff on TPA procedures, documentation standards, and claim follow-up. Conduct regular performance reviews and ensure efficient team ...

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