1511 Insurance Claims Jobs - Page 27

About Moove Moove is on a mission to make the world more productive and successful by redefining access to auto finance and vehicle ownership. Our starting point is a technology-enabled lending model to radically transform the availability of auto finance and vehicles for on-demand mobility marketplaces. By doing so, Moove is creating sustainable jobs for entrepreneurs in the mobility sector. About the Role As a Maintenance Executive at Moove , you will be an integral part of our operations, ensuring the optimal functioning and upkeep of our assets. Your role will involve overseeing maintenance schedules, conducting inspections, and coordinating repairs to guarantee the safety and reliabilit...

Role & responsibilities Should be able to make calls to US Insurance companies to get information about the medical claims Properly ask questions to insurance company about the denied claims and record the answsers in notes Responsible for follow-up of all claims worked to fetch money Inform correctly the message provided by the insurance company on the claims Preferred candidate profile Must be a gruaduate and have good communication skills in English Should be able to work in India Night shift Should be flexible and adpatable to the work and working enviornment Should be proactive to the situations Willing to join immediately Willing to relocate the place where the office is situated Thoro...

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Ass...

As a member of the Bernhard Schulte Shipmanagement (BSM) team, you will be part of one of the world's leading third-party ship managers. Our multinational, family-owned business values a culture of togetherness, where caring for and learning from each other is fundamental to our success. Embracing diversity with over 80 nationalities and a wide range of expertise, we continuously innovate and elevate industry standards. The BSM family comprises over 20,000 seafarers and 2,000 shore-based staff across 30 locations globally. Together, we oversee a fleet of more than 600 vessels, facilitating safe and efficient cargo trading worldwide while prioritizing environmental integrity, vessel safety, a...

You will be joining Techwally, a prominent professional services firm that excels in various fields including Workforce Management, Software Development, Cloud Management, Analytics, Application Integration, and Strategy and advisory. Since its establishment in 2018, Techwally has been dedicated to providing valuable, industry-specific IT solutions that focus on efficient consulting practices. By understanding the specific needs of each industry, we help our clients build, develop, and operate innovative and streamlined businesses. Our team of experts and our advanced research lab are fully equipped to tackle a wide array of challenges within the digital landscape. As an AR Calling Medical B...

Draft and compile regular and ad-hoc reports detailing case progress, legal claims, insurance data, policy updates, and risk assessments. Data Analysis: Analyze claim-related data and summarize findings in an understandable format for internal team. Required Candidate profile have good communication, good written skills.

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Ass...

You are an experienced Billing Specialist (Cardiology) with a minimum of 5 years of expertise in cardiology billing. You possess a deep understanding of medical billing, coding, insurance claims, and revenue cycle management specific to cardiology. Your role involves accurately processing cardiology-related claims (CPT, ICD-10, HCPCS codes), verifying insurance eligibility, and ensuring timely submission to insurance providers. You must maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations while collaborating with physicians, administrative staff, and insurance providers to resolve billing discrepancies. Utilization of EHR/EMR systems (e.g., Epic, Athe...

AM/DM - Claims - Commercial Lines - Non-Motor - 2-6 Years - Bangalore Location - Bangalore & Mumbai An exciting opportunity for professionals with 26 years of experience in Non-Motor Claims (Property, Fire, Engineering, Miscellaneous, Workmen Compensation). This role demands strong analytical, communication, and customer service skills to handle claims effectively, detect fraud, and ensure timely resolution. Your Future Employer - A leading and one of Indias fastest-growing digital-first general insurance companies , revolutionizing the insurance industry through technology, customer-first service, and innovative products. Responsibilities - Handle and process Non-Motor claims (Property, Fir...

Job Title: Executive Assistant to the Managing Director Location: Baner, Bhandarkar Road and Camp, Pune (Baner - 4 days , Bhandarkar Road - 1 day & Pune Station - 1 day) Job Type: Full-Time/Part-Time Summary: The Executive Assistant will provide high-level administrative and secretarial support to the Managing Director at our company. The role requires managing both business and personal tasks such as managing calendars, organizing corporate and personal travel, managing communications, and handling all aspects of meetings and events. This position calls for a highly organized and flexible individual with outstanding follow-up capabilities, which are crucial to ensure the effectiveness and t...

Kindly Mention "Thrisha HR" on top of your resume Role & Responsibilities: Claims Specialists are responsible for accurately reviewing and processing claims for Flexible Spending Accounts and Health Reimbursement Arrangements in accordance with IRS regulations and specific employer plan rules. Claims Specialists spend their entire day working through the automatically fed claims queues within OnBase in the designated order to ensure turnaround times are met for our clients. Preferred Candidate Profile A candidate with claims adjudication experience is preferred. Freshers are also encouraged to apply. (Should have provisional / Consolidated certificate) The candidate should be flexible with w...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insuranc...

Work From Office NON-VOICE PROCESS Location: Jaipur Min 6 Months Experience Mandatory in US Medical Billing Rotational Shifts Salary up to 26k CTC Incentives HR Manish (7062933674) HR Jatin (9672625299) Required Candidate profile Min 6 Months needed in US Healthcare or Medical Billing

Opening for Us HealthCare Process 24/7 RO 2 RO Wkoff Location- Thane, Navi Mumbai, Mumbai HSC-Graduate fresher and Exp both will do Salary :-21k to 38k Interested Candidates Email- sujata@careerguideline.com and WhatsApp/Call:7738115585/9136620160

Criteria: > Shift Timings: Night Shifts form 5:00PM to 3:00 AM /Work from the office & hybrid Good and fluent in Communication Skill [No Mother tongue influence] Transportation: Two-way company-provided transportation for all shifts Looking for Immediate joiners only MBA and B. Tech Graduates are not eligible (ONLY BA/BCOM/BBA/BBM/BSC Graduates Can Apply) Position Requirements & Key Details: • Contract Duration: 6-month contract with potential for conversion to a permanent role based on performance Training Comprehensive 3-week training covering domain knowledge and essential Excel skills Job Description: Analyze insurance claims in accordance with standard operating procedures Resolve routi...

Experience: 20+ years in IT service delivery, 5+ years in insurance domain. Should have managed multiple large projects / programs. Education: Bachelors degree; PMP, ITIL, Agile certifications preferred. Domain Knowledge: Expertise in insurance processes and regulations. Technical Skills: Familiarity with IT transformation tools / strategy, cloud solutions, and Agile/Waterfall methodologies. Soft Skills: Strong communication, Customer facing, problem-solving, leadership and account management abilities."

AM/DM - Claims - Commercial Lines - Non-Motor - 2-6 Years - Bangalore Location - Bangalore & Mumbai An exciting opportunity for professionals with 26 years of experience in Non-Motor Claims (Property, Fire, Engineering, Miscellaneous, Workmen Compensation). This role demands strong analytical, communication, and customer service skills to handle claims effectively, detect fraud, and ensure timely resolution. Your Future Employer - A leading and one of Indias fastest-growing digital-first general insurance companies , revolutionizing the insurance industry through technology, customer-first service, and innovative products. Responsibilities - Handle and process Non-Motor claims (Property, Fir...

Manage Daily Operations: Supervise all body shop activities including estimating, repair work, painting, and quality control. Team Supervision: Lead and support technicians, painters, and estimators; manage work schedules and productivity. Customer Service: Communicate with customers about repairs, timelines, and costs; resolve complaints professionally. Insurance & Estimating: Work with insurance companies and use systems like CCC ONE or Audatex to create accurate repair estimates. Quality & Safety: Ensure repairs meet OEM and dealership quality standards and comply with safety/environmental regulations. Workflow & Efficiency: Optimize repair processes to reduce cycle time and increase outp...

To efficiently and compassionately process death claims by verifying documentation, ensuring compliance with policies and regulations, and providing timely support to beneficiaries during a sensitive time Claims processed within defined turnaround time (TAT) Zero non-compliance issues in adherence of regulatory compliance Identification and escalation of suspicious claims Timely and accurate collaboration with the legal team on disputed or complex cases Effective coordination with underwriting, finance, and customer service teams High accuracy in verifying and recording claim details with minimal rework Timely and accurate claim settlements to avoid interest penalties Detection and preventio...

You are invited to join Welcare Hospital as a Chief Accountant with the responsibility of overseeing and managing the financial operations of the hospital. We are looking for a highly qualified individual with extensive experience in healthcare finance and a deep understanding of accounting standards and compliance requirements specific to the healthcare sector. To be considered for this position, you should hold a qualification of M.Com, ICWA, CA Inter, or CA, along with a minimum of 5 years of accounting experience in the healthcare/hospital sector. It is essential that you possess a sound knowledge of hospital billing systems, insurance claims, TDS, GST, and statutory compliance. Proficie...

Greetings from NTT DATA, Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes perfor...

You are a detail-oriented and responsible Finance Officer needed to manage the financial activities of a healthcare facility. Your role involves overseeing billing, budgeting, reporting, and ensuring compliance with financial standards while supporting day-to-day financial operations of the hospital. Your key responsibilities will include preparing budgets, financial reports, and monthly/annual statements. You will monitor hospital expenses, suggest cost-effective practices, oversee patient billing processes for accuracy, coordinate with departments for procurement and expense tracking, handle TDS, GST, statutory filings, and maintain compliance with financial regulations. Additionally, supp...

Role: Voice Program Specialist - Benefit Verification US Healthcare Tenure: 6 Months Fixed Contract Extendable based on Performance (No Bond) Client: Top Clinical Research & Development Company Shift: 6PM-3AM Cabs: 2 Ways Provided Location: Bengaluru 56001 Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement Graduation is Mandatory Total 1.5 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare. Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process. HIPAA Compliance Knowledge Preferred If Only Suitable then share your Resume to nnithin@astonca...

Min 4+ yr exp in credentialing package upto 7L grad/ug 24*7 shift 1 side cab Strong communication skills (verbal & written Both) Familiarity with CAQH, PECOS & insurance enrollment portals. DM- yashika.imaginator@gmail.com / 7289094130 Required Candidate profile * Strong understanding of the US healthcare credentialing process & payer requirements. * Ability to manage multiple tasks & meet deadlines in a fast-paced environment. * Proficient in MS Office

Key Responsibilities: Review and process insurance claims submitted by policyholders, providers, or third parties. Verify the accuracy and completeness of submitted claims and supporting documents. Investigate and validate claims using internal systems and guidelines. Coordinate with internal departments (e.g., underwriting, customer service) for clarification or additional information. Maintain accurate and organized records of all claims and transactions. Communicate claim decisions to stakeholders clearly and professionally. Escalate complex or disputed claims to senior team members or supervisors. Meet individual and team KPIs such as turnaround time, accuracy rate, and productivity. Ens...