629 Health Claims Jobs - Page 6

Key Responsibilities: 1. OPD & IPD Operations Management Supervise and streamline outpatient (OPD) and inpatient (IPD) services to ensure smooth patient flow and operational efficiency. Coordinate with clinical and non-clinical teams for timely and quality patient care. 2. Facility Management Oversee maintenance, cleanliness, safety, and functionality of all hospital facilities. Ensure availability of required medical and non-medical equipment. 3. Patient Satisfaction & Relations Monitor and improve patient satisfaction scores. Address and resolve patient complaints promptly and professionally. Implement patient feedback systems. 4. Hospital Operations & Administration Manage day-to-day hosp...

Hello Job Seekers, Greetings from ShiningstarsITPL !! We are hiring enthusiastic and detail-oriented professionals for our Claims Processing team in Bangalore. The role involves handling Property, Content Damage, Liability, and Injury claims with accuracy, compliance, and excellent customer service. Hiring for Claims Associate Location: Bangalore (Kundanhalli) Experience: Minimum 6 months (with all supporting documents) Qualification: Graduation Mandatory Salary: UPTO 4.2 LPA Shift: 9 Hours (5 Days Working) Cab Facility: Two-way cab available within 25 km radius Roles & Responsibilities Accurately capture and update claim files while maintaining compliance with company policies. Analyze fact...

1. General Insurance a Must. 2. Test Designing. 3. Test Execution. 4. Defect Management. 5. Understand client requirements, queries, issues and respond. 6. Providing Status as per set Governance to Lead &/or Client. 7. Raising Issues/Risks and providing Mitigation/Solution. 8. Candidate should have either Commercial (GC) or Health Claims Experience.

Medical Officer (MBBS/BAMS/BHMS) at Good Health Insurance TPA. Responsible for cashless request processing, claim review, ICD coding, and policy adherence. Freshers can apply. Strong medical knowledge and computer skills required. 91212 46809

Management Profile: Provider Management/Healthcare Purchasing Roles & Responsibilities: Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Ma...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

HIRING FRESHERS ALSO Role & responsibilities Medical Adjudication of Health Claims Identifying Frauds Adhering to SLAs and processing the claims within the TAT as per policy Support CRM, provider, sales and grievance team QUALIFICATION - MBBS, BAMS AND BHMS ONLY. Rest won't be considered. Work from Office only. Candidate should be comfortable with Roaster timings.

Looking for fresh BAMS, BHMS graduates to join our Claims Processing team. This role involves reviewing medical documents and helping process health insurance claims (cashless/reimbursement) as per policy guidelines.

1.Coordinate with insurance companies and third-party administrators (TPAs) for processing patient claims. ECHS/ESIC/CGHS 2.Ensure accurate and timely submission of insurance claims and necessary documentation.

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

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-...

Experience in Data Analytics. Should be good at Communication and Reports generation.

for Health Reimbursement Claims Processing doctor. Medical Evaluation and Documentation Examine claim documents and understand detailed clinical findings. Document diagnoses, treatment plans, and procedures done clearly. Ensure medical records are accurate and complete for claim submission. Certification and Verification Certify the necessity of treatments or procedures for insurance claims. Verify the authenticity of medical reports submitted for claims. Provide second opinions or independent medical examinations (IME) when required. Compliance and Ethical Oversight Ensure all documentation and certifications comply with regulatory and insurer policies. Prevent and report fraudulent claims ...

Job Description Job Role : Claims Processor Years of Experience :1-3 Yrs Preferred Location :HYD 3 Shift Timing (IST) :5:45 PM - 3:30AM Short Description Claims Processing for Optum Financial Services Shift should be 5.45 PM to 3.15 AM 100% Work From Office Hyd Location Engagement Duration (in Months): 6 Engagement & Project Overview For OFS-CDH(Consumer Driven Healthcare), the Claims Processor will review claims received through Service Now and enter them on Claims link for further processing through Wex Platform for members related to various employer plans customized through ERISA(Employee Retirement Income Security Act of 1974 (ERISA) and other Retiree Reimbursement Accounts, total Train...

Job Description Associate Claims (Non-Medical) Hiring for Freshers Job Title: Associate Claims Non-Medical Location: Bangalore 5 Days working Role Overview: We are seeking a dedicated and empathetic Associate Claims Executive (Non-Medical) to join our health insurance team. The role involves evaluating claims, reviewing documentation, determining coverage, and ensuring smooth and transparent claim settlement. The ideal candidate should have strong analytical skills, attention to detail, and excellent communication abilities to deliver a positive experience for policyholders. Key Responsibilities Claims Evaluation: Review and assess insurance claims to determine validity and payment eligibili...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Salary- 25k/month + other benefits Work Location-Gurgaon Contact No-9971006988 through whats app chat

We are hiring for Voice Process *Process : (Healthcare Voice Process)* Shift Window : 24*7 Shifts (any 9.5 hours working ) *Working Days : 5* Week Offs : Any two ( Rotational Weekoffs) *HSC/Grad* Voice Selects : Only ( Execellent Communication) *FRESHERS* *Salary - 23k* Rounds of Interview: HR Ops Voice Versant - Only 1 Attempt Score - 59 and above Typing - 30 wpm Note: *Its Work From Office* *Drug Test* *Immediate Joining* *All documents required* Batch Date -6th October Interested candidate can share CV On sangeetay1@hexaware.com

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Work location Vidal Health Insurance TPA PVT LTD Global Gopalan Tech Part, G-Block, Satya Sai Baba, Whitefield, Bangalore Contact No -9901837404 Contact Person Name ...

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 ...

About The Role Skill required: Claims Services - Claims Administration 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.Includes the administrati...

Manage MJPJAY desk operations, handle approvals, documentation, and claims, counsel patients on benefits, liaise with TPA/insurance, generate reports, and ensure smooth hospital workflow under scheme guidelines.

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Job Description Associate Claims (Non-Medical) Job Title: Associate Claims Non-Medical Location: Bangalore 5 Days working Role Overview We are seeking a dedicated and empathetic Associate Claims Executive (Non-Medical) to join our health insurance team. The role involves evaluating claims, reviewing documentation, determining coverage, and ensuring smooth and transparent claim settlement. The ideal candidate should have strong analytical skills, attention to detail, and excellent communication abilities to deliver a positive experience for policyholders. Key Responsibilities Claims Evaluation: Review and assess insurance claims to determine validity and payment eligibility. Documentation Rev...

Cognizant Walk-in drive for US Healthcare - Senior Claims Auditor with Amisys experience in Hyderabad Interview Date : 27th Sep 2025 (Saturday) Interview Time : 10:00 AM 1:30 PM Venue : Building 12A , 1st floor Raheja Mindspace IT Park, Mindspace Madhapur Rd, HITEC City, Hyderabad, Telangana 500081 Contact Person : Vamsi Krishna Preferred candidates Profile: Must be a graduate. Minimum 1 to 6 Years of experience in US Healthcare Claims audit process. Must have worked on Claims Audit, including adjustments, pricing processes, and experience in high-dollar , COB , and PDR workflows. Strong knowledge of root cause analysis techniques . Proficiency in error categorization , documentation , and t...