272 Health Claims Jobs - Page 9

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 completeness. Coordinate with clients, garages, hospitals, and insurance companies for claim updates, approvals, and follow-ups. Verify vehicle repair estimates and bills submitted by garages/workshops. Ensure proper documentation for accidental damage , third-party liability , and theft claims under motor insurance. Review and cross-check health insurance documents for cashless and reimbursement claims. Maintain updated records of all claims, communication, and settlement timelines. Keep clients informed about claim status, required documents, and company procedures. Support in claim negotiations with insurers when discrepancies arise. Key Requirements: Diploma in Automobile engineering preferred Experience in insurance claims or surveyor roles is a strong advantage. Familiarity with Health and Motor Insurance claim processes , forms, and documentation. Basic understanding of vehicle repair invoices, parts cost evaluation, and insurance estimation. Strong communication and coordination skills. Good knowledge of MS Office, especially Word, Excel, and Email communication. Organized, reliable, and capable of managing multiple claims at a time.

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 NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction. Positions General Duties and Tasks: NTT are getting into contract with Client to manage End to End Health Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction. Requirements for this role include: Must have strong Health Claims End to End Domain Knowledge. Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Ability to work independently; strong analytic skills. Detail-oriented, ability to organize and multi-task. Ability to make decisions. Required computer skills: Must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Problem Solving Reviews structured problems. Selects and applies appropriate standards/guidelines. Probes beyond the stated situation. Identifies underlying issues and consider possible alternatives. Job Duty Differentiators: Supervises processes and/or claims processing teams ensuring highest quality of service is provided. Includes the distribution of work, calculation and communication of productivity and quality results and review of audit appeals. Monitors production goals of team and reports results and issues to higher-level leadership. Assists team with escalated claims processing issues. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

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 queries and requests coming via e-mails / Tickets within the agreed SLA Viewing and capturing details on system Skills: Business Communication Written & Verbal Good written and verbal communication. Analytical skills (including but not limited to - Eye for detail, Interpretation of documents) Basic MS Office Skills (especially, Excel and Word)

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Excellent MS Office knowledge, Good Typing speed (35 words per minute). Candidate should be open to work in 24X7X365 environment. Preferred candidate profile Reimbursement billing & Registration, data handling, Error resolve, working on mail and condonation with RM Team. Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Preferred Location Ahmedabad, Bangaluru Chandigarh, Chennai Dehradun, Hyderabad Indore, Kochin Kolkata, Mumbai Nagpur, Noida Surat, Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred Location Indore Surat Mumbai Nagpur Chennai Bangalore Kochi Kolkata Noida Hyderabad Vishakapatnam Chandigarh Vadodara

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, Healthcare

Minimum Mandatory Skill Set Computer Operations, Computer proficiency, MS Excel, Communication in English & Hindi, Open to work in shifts. Brief Job Profile Generic job profile includes document processing, Data entry process, Maintaining trackers, Escalate issues as required within organization and follow up to ensure timely resolution. Desired Competencies/ Skill Set Working knowledge of MS Excel with data entry speed and accuracy, ability to communicate in English and Hindi effectively, Insurance / Health Insurance Knowledge. Should be open to shift duties. Preferred Industry Health Insurance, TPA, BFSI, 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

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, and engagement programs, we offer transportation facility to all its employees. (Subject to hiring zone) -There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. -All employees are covered under insurance program. Interested candidates can share their resumes via whatsapp on 9773714088