1511 Insurance Claims Jobs - Page 28

Greetings From Scorelabs Inc ! Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Should Have Exp In 1-4 years of in claims Required Candidate profile Handle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and insurance officers for clarification or denials. Hr Mounika - 8688334476

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 a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the ...

We are seeking a talented individual to join our Bengaluru team at Marsh India Insurance Brokers Pvt Ltd. This is a hybrid role that has a requirement of working at least three days a week in the office. We will count on you to: Handling daily insurance related queries from client. Support with internal and external co-ordination for ongoing and any future claim Supporting individual plant team with technical queries related to insurance or route the queries to proper channel internally for appropriate response to client With resource stationed at clients office, we have added benefit in relationship management with client Support during routine endorsements Following up with client on propo...

Job Title: Advisor / Sr Advisor Job Location: Vikhroli Job Range: 1 Years to 5 Years Max Work Style: Hybrid Shift Timing : 6:30PM Onwards Note: Candidate who have worked in night shift are eligible for this role Role & Responsibility Deliver as per the KPIs defined for the role. To always maintain set SLA Accuracy/quality, TAT standards prescribed by the Business Unit. Manage volumes and delivery expectations as per business requirement Being apt in managing time sensitive work with high level of eye for detail and in collaboration with colleagues across geographies Active engagement with stakeholders to ensure effective delivery of service to our clients Schedule adherence and punctuality T...

Role Summary: The Insurance Relations, Quotation & Claims Specialist will be responsible for managing coordination with insurance companies, obtaining competitive quotations, maintaining insurer relationships, and overseeing claims coordination for clients. This role ensures clients receive the best coverage options and smooth claims support, while working closely with the business development and client servicing teams. Key Responsibilities: Coordinate with insurance companies to obtain competitive quotations based on client requirements. Evaluate quotations and ensure they meet client expectations on coverage and pricing. Maintain strong professional relationships with insurers and underwr...

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...

We’re looking for a dynamic Claims Manager to handle end-to-end claims across health, motor, property, and more.ou’ll be the bridge between clients, insurers, TPAs, and internal teams ensuring smooth, timely settlements and top-notch service.

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 a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the ...

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...

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose the relentless pursuit of a world that works better for people we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. Inviting applications for the role of Process Associate P&C Claims roles for Bengaluru location Responsibilities: Ability to draw accurate data selection...

Job Description ( CRM - Client Servicing) Communicating with clients via phone calls, emails, or in-person . Identifying and resolving client queries Maintaining a detailed and accurate record of all client details and communications Building and maintaining long-lasting business relationships with clients Ensuring to respond to client queries in a professional and timely manner Assisting in the hiring process and providing necessary guidance to the team members and new recruits Providing clients with relevant information on the products and services offered by the company Identifying and making promotional/marketing offers to potential clients Achieving the monthly/yearly revenue targets Pe...

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. Interested candidate can share their resume to varsha.kumari@mediassist.in

HIRING International Voice Process (Night Shift) Location: Mumbai (Airoli) – Work from Office Shift: Rotational (Night Shift Allowance Applicable) Joining: Immediate Joiners Preferred Role Customer Support – US Healthcare (International Voice Process) Eligibility Education: 12th Pass / Graduate Freshers Welcome (BBA, BA, B.Com, BMS, BAMS, B.Pharma, MBA, B.Sc. – Chemistry/Biotech) Skills: Excellent English Communication (mandatory) Experience: Freshers OR 1+ Year International Voice Experience Your Impact Handle US healthcare customer calls Provide first-time accurate resolutions Meet SLA targets (CSAT, Handle Time, Service Level) Maintain quality & documentation standards Contribute to proce...

The Medical Biller role at Nirvando Med Billing is a full-time on-site position where you will be responsible for managing medical billing processes. Your key tasks will include handling denials, working with ICD-10 codes, processing insurance claims, and managing Medicare billing. To excel in this role, you should possess a strong knowledge of Medical Terminology and ICD-10 codes, along with experience in handling denials and insurance claims. Familiarity with Medicare billing procedures is essential, as well as having excellent attention to detail and accuracy in billing processes. Strong analytical and problem-solving skills are crucial, along with exceptional organizational and time mana...

Company Name: Saint-Gobain India Group Designation: Manager Insurance Years of Experience: 5 to 9 years Location: Mumbai/ Chennai Job Description: The Insurance Manager will act as the central point of contact for all insurance-related activities across Saint-Gobain businesses in India. This role is responsible for managing employee insurance programs, ensuring timely renewals, optimizing claims processes, and maintaining strong relationships with TPAs and brokers. The ideal candidate will ensure the insurance program remains efficient, employee-centric, and aligned with business goals. Key Responsibilities Policy & Coverage Management Manage addition and deletion of employees across all bus...

JOB DESCRIPTION Designation/ Role: Trainee Department : Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: Good verbal and written communication Skills. Able to build rapport over the phone. Strong analytical and problem-solving skills. Be a team player with positive approach. Good keyboard skills and well versed with MS-Office. Able to work under pressure and deliver expected daily productivity targets. Ability to work with speed and accuracy. Medical billing AR or Claims adjudication experience will be an added advantage. Experience 01-year experience US calling process will be an added advantage. Job Description The jo...

We are looking for a skilled and energetic Voice and Process Trainer to join our Healthcare BPO team. The role includes training new hires, conducting refresher sessions, and delivering soft skills and voice training, especially related to healthcare processes. Qualifications & Skills: Graduate in any discipline Minimum 3 years of experience as a Voice and/or Process Trainer in a Healthcare BPO Good knowledge of U.S. healthcare systems like insurance claims, RCM, and provider/payer processes Strong English communication skills (spoken and written) Experience in accent training and call coaching Preferred Competencies: Energetic and confident trainer with strong people skills Able to train di...

Claims operations On monthly basis, monitor key performance parameters such as Claims settlement TAT Claim Settlement Ratio Efficiency ratio, etc. ; Track deviations against set targets and identify reasons for deviations Closely monitor and control the high ageing open claims, including co-insurance claims Review the reserve revisions for Non Motor claims in the zone Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly To keep liaison with other departments Co-ordinate with Surveyor/Investigator Recommend head office to empanel service provider, after taking market feedback. Appoint appropriate surveyor and o...

Ready to shape the future of work? At Genpact, we dont just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re 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 anadvanced technology servic...

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 : NAMinimum 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 ...

We are seeking a Claims Manager General Insurance to join our growing team at Absolute Insurance Surveyors. The ideal candidate will manage client accounts, oversee the insurance claims survey process, and ensure accurate and timely reporting. Key Responsibilities: Independently manage client accounts, maintaining excellent client relations and satisfaction Oversee end-to-end claims handling from loss notification to final report submission Coordinate with field surveyors and internal teams to ensure timely assessments Respond to client inquiries, provide policy clarification, and manage expectations Review claim documentation and support accurate claim evaluation Ensure compliance with IRDA...

As an Experienced Medical Biller at our healthcare facility, you will play a crucial role in ensuring accurate processing and timely reimbursement of medical claims. Your attention to detail and strong understanding of medical billing processes, insurance claims, and healthcare coding standards will be key in maintaining the financial health of our organization. Your responsibilities will include reviewing and processing medical claims with precision, submitting claims electronically to insurance companies, and resolving any claim denials, rejections, or appeals promptly. You will also be tasked with verifying patient insurance coverage, obtaining necessary authorizations, and communicating ...

Need 0 to 2 years of experience into US Insurance/Claims. Responsible for Policy administration of Market Insurance Policies. Candidates must possess good communication skills. Open to work in Night Shift.

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 WORK FROM OFFICE ONLY Thanks & Regards Ronojoy Bagchi ronojoy.bagchi@mediassist.in 8050017356

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718