1511 Insurance Claims Jobs - Page 11

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing ...

We are looking for Duty Medical Officer who has experince in Insurance Sector. Experience : Minimum of 1 year in Insurance Qualification : MBBS Interested kindly contact 7358189600

We will count on you to: Developing digital / web based data analytics products for multinational clients groups. Also, generate efficiency & productivity by automating the internal processes for the business . Strong skills in concept building and creating Art of Possible for Analytics using data, latest market trends and technology to drive business outcomes. Strong Data Management skills by gathering data from multiple source systems, clean, consolidate and transform into key insights. Exploratory Data Analysis, Reporting key metrics and analyze disparate data sets togetherfor patterns and insights. Performing Quality Assurance (QA) on datasets such as data accuracy, data logics and data ...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis Good to have skills : Insurance Claims, Guidewire BillingCenter BAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various stakeholders to gather requirements, ensuring that the applications meet business needs, and overseeing the development pr...

About Client Hiring for One of the Topmost Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / US Healthcare Insurance Qualification : Any Graduate and Above Relevant Experience : 3 to 8 Years Must Have Skills: 1. US Health insurance 2. Excellent Verbal and Written Communication Skills (Internal & External stakeholders). 3. Active Listening and Comprehension Skills Consulting Skills Communication, questioning, report writing, and presentation. 4. Proficiency in Microsoft Office Suite. 5. Time Management & Organizational Skills. 6. Attention to Detail High accuracy in documentation. 7. Healthcare Processes. Good Have Skills : US Healthcare Insurance Roles and Respon...

Designation Team Leader /Assistant Manager- Training Qualification BUMS/BAMS/BHMS/BDS/BSc Nursing/BPT Experience - 0-5 years in Claims Training or Claims Operations (Fresher are most welcome) Location - Noida, Bangalore and Mumbai Reporting to - Head L&D Responsibilities Deliver training sessions to new recruits and existing employees on Insurance, Health Insurance Fundamentals, Claims and Claims Processing, Matrix, On-Job Training Workshops, Audit Errors, refresher programs , etc. Conduct post-training quizzes, capture and maintain attendance, training duration, and assessment scores. Maintain and publish training reports on a Weekly, Monthly, and Yearly basis . Create presentations on new ...

Roles and Responsibilities Manage insurance claims from receipt to settlement, ensuring timely and accurate processing. Conduct thorough analysis of claim documents, including medical records, police reports, and other relevant documentation. Identify potential fraud risks and take necessary actions to mitigate them. Collaborate with internal stakeholders, such as adjusters, attorneys, and medical providers to resolve claims disputes.

Location Mumbai Vikhroli Reporting to Team Leader / Assistant Manager About Willis Towers Watson Willis Towers Watson (NASDAQ: WLTW ) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 39,000 employees in more than 120 territories. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas the dynamic formula that drives business performance. Unlock y...

Role & responsibilities • Answer incoming customer calls in a professional and timely manner. • Assist customers with inquiries including medical claims and rejections. • Provide accurate and detailed information about claim procedures, documentation requirements, and coverage. • Investigate and resolve customer concerns, ensuring high levels of customer satisfaction. • Collaborate with internal departments, such as claims processing to address and resolve complex issues. • Maintain thorough and up-to-date knowledge of products, medical billing codes, and claim processes. • Document customer interactions and update customer records accurately in the system. • Identify and escalate critical o...

Hiring General Insurance Underwriters & Claims Specialists (non-medical) for Kochi office on offshore basis for UAE insurer. 1–5 yrs exp, insurance qualification a plus. Attractive salary. Send CV: otzifc@gmail.com / 8301075904

Responsibilities: Register claims with complete, accurate details Update claims tracker regularly Collect and follow up on required documents Prepare monthly & quarterly claims reports Coordinate with teams for data accuracy & issue resolution

Medcare Hospitals Medical Centres is looking for Technician - Medical Records to join our dynamic team and embark on a rewarding career journey. Record Management: Collect, organize, and maintain patient medical records in both electronic and paper formats. Ensure that records are complete, accurate, and up-to-date.Data Entry: Enter patient information into the electronic health record (EHR) system, including demographics, medical history, test results, diagnoses, treatments, and other relevant data.Confidentiality: Safeguard patient privacy and confidentiality by adhering to strict HIPAA (Health Insurance Portability and Accountability Act) regulations and facility-specific policies.Record ...

Manage daily operations, ensuring the efficient processing of policies and claims. coordinate with depart. implement process improvements, and ensure compliance with regulations. Additionally, the role reqs identifying oper challenges.

About Company: INTECH Insurance Surveyors And Loss Assessors Pvt Limited is India's most preferred and trusted Insurance Survey and Loss Assessment Company has always been at the forefront in providing a wide gamut of loss adjusting and claims management services across various disciplines across India. Roles & Responsibilities: Conduct inspections and investigations to verify losses, ownership, and policy compliance. Assess damage, determine liability, and prepare accurate survey and claim reports. Advice insured parties on safety, loss minimization, and compliance measures. Resolve queries from insurers/insured, ensuring transparency, neutrality, and timely closure. Consult experts when re...

Key Responsibilities: Adjudicate medical, dental, and vision claims using the Facets platform. Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules. Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA). Identify discrepancies or issues in claims data and take corrective actions. Apply plan benefit designs and provider fee schedules during claim review. Collaborate with cross-functional teams including customer service, provider relations, and medical management. Participate in audits and quality checks to ensure process accuracy. Maintain confidentiality and compliance with data protection ...

About The Role Project Role : Product Owner Project Role Description : Drives the vision for the product by being the voice of the customer, following a human-centered design approach. Shapes and manages the product roadmap and product backlog and ensures the product team consistently deliver on the clients needs and wants. Validates and tests ideas through recurrent feedback loops to ensure knowledge discovery informs timely direction changes. Must have skills : Insurance Claims Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Product Owner, you will drive the vision for the product by being the voice...

About The Role Project Role : Product Owner Project Role Description : Drives the vision for the product by being the voice of the customer, following a human-centered design approach. Shapes and manages the product roadmap and product backlog and ensures the product team consistently deliver on the clients needs and wants. Validates and tests ideas through recurrent feedback loops to ensure knowledge discovery informs timely direction changes. Must have skills : Insurance Claims Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Product Owner, you will drive the vision for the product by being the voice...

Role: Senior Executive - Account Management Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. NOTE: Must have TPA or Insurance work experience for min 1-2 yrs

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Role & responsibilities Looking for Immediate Joiner (IC Role) Shift timings- 05:30 PM to 02:00 AM (Night Shift) Life Claims Adjudicator: The Individual Insurance Claims department plays a crucial role with our clients as we offer them financial help when they most need it. We are looking for a motivated individual who is eager to learn to hold the position of Claims Adjudicator. The position offers the possibility to progress internally through our career ladder. Life Claims Adjudicator Role summary: The Claims Adjudicator is responsible for the assessment of claims for individual insurance. Main Accountabilities: Assess the documentation received for a claim in order to reach a decision De...

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...

You are a detail-oriented TPA Insurance Billing Executive responsible for managing and coordinating insurance claims and billing processes with third-party administrators. Your role involves ensuring timely claim submissions, following up on approvals, and handling reimbursements in compliance with healthcare regulations. Key Responsibilities: - Process and submit insurance claims to TPAs accurately and promptly - Coordinate with patients, insurance companies, and hospital departments - Verify patient eligibility, coverage, and pre-authorizations - Follow up on pending and rejected claims to ensure resolution - Ensure compliance with hospital and insurance billing policies Qualifications: - ...

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...