646 Health Claims Jobs - Page 9

Key Responsibilities 1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance. Ensure timely submission and processing of claim documentation. Liaise with insurers to expedite claims approvals and settlements. 2. Coordination & Communication Serve as the single point of contact for all internal and external stakeholders regarding claims. Coordinate with RMs, Partners, and clients to gather necessary claim documents and information. Work closely with the Product and Insurance Operations teams to resolve claim queries. 3. Process Excellence Monitor claim progress and proactively follow up with insurers to avoid delays. Maintain and upda...

Role & responsibilities The Program Specialist serves as the primary contact for patients and healthcare providers, helping them access prescribed therapies by resolving insurance and operational barriers. This role involves handling inbound/outbound calls, verifying insurance coverage, processing patient applications, coordinating prescriptions, and documenting all interactions. Specialists must communicate clearly, follow SOPs, and maintain a calm, professional demeanor while supporting multiple healthcare programs.

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...

Open Positions (US Healthcare – Claims Adjudication Process_ Team Leader – Operations Quality Specialist Subject Matter Expert (SME) Quality Team Leader Process Trainer Assistant Manager Experience : 4 Years into US Health care Location : Coimbatore

- Monitors, evaluates and/or audits a sampling of inbound and/or outbound calls. - Participate in internal quality audits designed to improve overall contact quality. Please call/whatsapp @ 8453399504 / 9387861694 / 8723051470 / 6002281943 Required Candidate profile - Should have atleast 1 year experience as QA in International BPO. - Should have knowledge about 7 QC tools. - Healthcare Experience (Mandatory).

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facility # Working- 5 days # Week - Fixed off # Fluent English # Saturday, Sunday fixed off # Freshers & Experienced both can apply

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facility # Working- 5 days # Week - Fixed off # Fluent English # Saturday, Sunday fixed off # Freshers & Experienced both can apply

Location: Ahmedabad (On-Site) # Medical Record Retrieval Process Shift Timing: US Shift Working Days: 5 Days Working Salary - Freshers: 25,000K CTC/month Experienced :35,000K CTC/month Good Communication Required

Location: Ahmedabad Role: RECORDS RETRIEVER Night Shift 5-days working Salary for Freshers is 23K CTC Experienced in Records Retriever 32K CTC Increment after 3months Retention Bonus after 1 year 25K Attendance Bonus 1500

Ahmedabad #Salary: Up to 3.6 LPA #US Shifts #CareerGrowth #RecordRetrieval #MedicalRecords #USShifts(Night) #JobOpening #Manage medical/legal record requests, ensure timely retrieval #5 days #Fixed off #Fluent English

Vertical - Insurance/Claims Education - Only Graduates Experience - Min 2 Years experience into Claims/Insurance or Health Care Boundary Limits - 20Kms from Office location - Kundalahalli Process - Blended Shifts - Rotational Shifts with Rotational Weekoffs 2 Way Transport will be provided for all shifts Salary - 4.5LPA - 5LPA

Immediate Hiring | US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 2.4 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately and follow up when needed Sugge...

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...

Greetings from Niva Bupa! Job Location- Noida Sector-59 Department- Customer Servicing 6 Days working Must be a BPT graduate. JOB SUMMARY: Answering customer who are disputing over claim rejection or claim related query, also able to provide relevant information to the customer, floor support for team for any query related medical documents, Walk-in customer for claims. KEY RESPONSIBILITIES: Handling of claim rejections/ claim related query over calls and emails Floor support Walk-in customers Interested candidate can share their CV on 7430802568 or consultant.anjalijha@nivabupa.com with a subject "CV for Claim Adjuticator"

Job Title: TPA Manager Location: Miri Piri Institute of Medical Science & Research, Shahabad Markanda, Kurukshetra (Haryana) Hospital Strength: 420+ bedded upcoming super-specialty hospital & upcoming medical college (100 MBBS seats) Position Overview We are seeking an experienced and detail-oriented TPA Manager to lead and manage all Third-Party Administrator (TPA), insurance, CGHS, ECHS, and Ayushman cases. The role involves overseeing pre-authorization, billing, claims settlement, and ensuring smooth coordination between patients, TPAs, and hospital departments while maintaining compliance and accuracy. Key Responsibilities Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases....

Role & responsibilities International healthcare Process. Requirements: Candidates with a minimum of 2 years of experience in Claims/Insurance/Health Care will be considered for the role Good English Communication Skills (Written & Verbal) Willingness to work in 24/7 rotational shifts Graduates/Postgraduates can apply Must be comfortable working from office Immediate joiners only No virtual interviews In-person interview process Outstation candidates are not eligible Transport Policy: Two-way cab facility provided only for night shifts Cab service available within 20 kms radius from office location Registration Link: https://smrtr.io/sCc_C Location Office: Sutherland Global Services, Centenn...

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 3.6+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Depu...

We are hiring Part-time / Freelance Field Executives – Insurance Investigation for Bihar Locations: Begusarai, Bhagalpur, Bihar Sharif, Darbhanga, Gaya, Madhubani, Muzaffarpur, Nawada, Purnia Required Candidate profile Visit places to check insurance claims. Collect and write down information clearly. Talk to patients, hospital staff, and others. Make sure the claim details are true and correct.

We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication •Degree in BAMS, BHMS, BSMS, or MBBS (strictly required)

We are hiring Part-time / Freelance Field Executives (Verifiers) for – Bihar Locations: Begusarai, Bhagalpur, Bihar Sharif, Darbhanga, Gaya, Madhubani, Muzaffarpur, Nawada, Purnia Flexible hours | Attractive payout per visit Must have 2-wheeler phone Required Candidate profile Interested candidates send your resume at hr1@gravityintegrates.in with subject line “Application for Field Executive – [City Name]”

TATA AIG General Insurance Company Limited is looking for Senior Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the companys culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the emp...

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 ...

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-...

ROLE & RESPONSIBILITIES Preauthorization claim processing Manage the Turnaround time. Quality adjudication with Errorless Rotational basis shift (8 AM to 10:30 PM) WFO only QUALIFICATION & EXPERIENCE: BHMS/BAMS/BUMS/BDS/BPT 1-2 years Experience Knowledge of insurance field Strong medical knowledge Fresher also can apply KEY COMPETENCIES & SKILLS REQUIRED MS office Communication Medical knowledge/disease knowledge Note- Interested candidates can share their resume at vishali.massey@nivabupa.com

We are hiring for International Healthcare Customer Support. Role & responsibilities : Handle outbound calls related to healthcare services within the US healthcare system. Proactively reach out to members to provide support, resolve issues, and ensure a positive experience. Identify and address varying levels of member complexity and communicate effectively. Ensure strict compliance with HIPAA regulations and other healthcare-related guidelines. Resolve member inquiries efficiently and professionally, escalating complex cases as required. Preferred candidate profile Proven experience in outbound voice processes, preferably in the US healthcare sector. Strong verbal and written communication...