1525 Insurance Claims Jobs - Page 38

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

Role & responsibilities Excellent communication written/verbal skills. Act as SME and as well as the point of contact for issue resolution on floor for participants. Maintain positive and proactive communications in delivery of assigned benefit plan for employees. Assist with routine and periodic benefit plan audits. Research and recommend plan changes as needed. Resolve queries using Root Cause Analysis / Quick Solver techniques Participates in identifying and implementing process improvement opportunities. Requirement Excellent communication skills and Interpersonal skill. 2+ years of experience required. Those willing to work in US Shift (night shift) may apply. Perks and Benefits Cab fac...

NTT Data Services is Hiring! Positions Overview 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 company s 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 For more than 30 years, our Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients that bring about real transformation for customers of all size...

Positions General Duties and Tasks In these roles you will be responsible for: Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include: Abi...

Job Description: Prepare ILAs, Final Survey Reports, and requirement letters. Maintain records of claim intimation, surveyor visits, document status, and report. Follow up with insured and internal teams to minimize TAT Update data in CMS software Health insurance Provident fund

Greetings from ReSource Pro! Job Title: Analyst, Service Delivey Working Experience: 2 - 7 years Department: US Property and Casualty (P&C) Insurance Minimum Qualifications: Any Graduation Purpose of the Position: Join our dynamic team at ReSource Pro India and elevate your career in the US Property and Casualty (P&C) Insurance sector. We are seeking passionate professionals to contribute to our innovative and forward-thinking environment. Key Responsibilities: Insurance Expertise: Mastery in Rating/Online Rating, Quoting, Submissions, and Endorsement tasks. Industry Knowledge: In-depth understanding of Lines of Business (LOBs) such as Workers Compensation, Business Owners Policies, General ...

Role Description: As a Revenue Cycle Management (RCM) Associate / Senior Associate at PDA E-Services Pvt Ltd , you will be an integral part of our US healthcare operations team, responsible for managing the end-to-end revenue cycle process for dental practices in the United States. Your primary focus will be to ensure accurate billing, efficient payment processing, timely insurance follow-ups, and effective resolution of revenue-related discrepancies. Company Profile: PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA) , a leading dental healthcare organization in the United States. Established in 2022 , we provide operatio...

We are hiring for a Senior Process Associate in Insurance Claims with 37 years of relevant experience. This is an excellent opportunity to join a reputed financial services firm and play a key role in managing claims, ensuring operational accuracy, and supporting risk management initiatives. Your Future Employer - A globally respected organization in the financial services space, known for its strong commitment to process excellence, innovation, and employee growth. Responsibilities - Manage end-to-end claims processes within the insurance domain Demonstrate strong understanding of banking and insurance services Communicate clearly and effectively with internal and external stakeholders Perf...

Billing work - Empanelled Medical Agencies Follow up with empanelled medical agencies for timely submission of bills. Coordinate with medical agencies to ensure smooth service delivery to the IIMA community. Verify bills received from medical agencies to ensure accuracy and compliance with contractual terms. Obtain necessary approvals from senior management to process bills. Send verified bills to the Accounts Office for payment processing. Medical Reimbursement Process - Collect medical reimbursement forms from IIMA staff. - Verify form details against supporting documents. - Calculate reimbursement rate as per CGHS, etc. in consultation with MO. - Send queries to users for clarification vi...

i. Review and verification of customer details for issuance of policy ii. Maintenance and updating of Master Policy Database and endorsements iii. Scrutiny of insurance claim documents prior to submission to the insurer iv. Coordinate with branch offices for timely submission of insurance claim documents. v. Coordinate with insurer for timely settlement of claim and submission of additional information or documents sought for processing of claims. vi. Monitor status of claims at various stages for completing necessary procedures as within the stipulated turnaround time. vii. Preparation of periodical reports for review. viii. Accounting of claim accounts as per the defined procedures. 1. Goo...

The ideal candidate for this role will have experience in managing TPA processes and insurance claims. Your strong communication and interpersonal skills will be essential in effectively coordinating with third-party administrators. Additionally, your ability to maintain accurate patient records and documentation will contribute to the smooth processing of claims. You should be detail-oriented with strong organizational skills to ensure all TPA processes are handled efficiently. Proficiency in using relevant software and systems related to TPA coordination is necessary for this position. Prior experience in the healthcare industry would be advantageous. A bachelor's degree in Healthcare Admi...

As a healthcare insurance coordinator, your responsibilities will include handling patient admission and discharge formalities related to insurance claims. You will be required to coordinate with Third Party Administrators (TPAs) and insurance companies for pre-authorization approvals and final settlements. It will be part of your role to verify and maintain insurance documents, ID cards, and policy details of patients while ensuring accuracy and compliance with regulatory norms. Your duties will also involve following up with TPAs for approvals, queries, and claim settlements, as well as ensuring the accurate and timely submission of medical records, bills, and discharge summaries to insure...

• 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 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...

1. Conducting surveys in field and assessment of loss. 2. Coordinating with insured for claim documents & processing. 3. Monitor the process flow of allotted claims from registration to settlement. 4. Coordinating with repairer on settlement and payment reconciliation. 5. Building relationship with internal and external customer Education - Diploma, BE -Mechanical/Automobile

"Get a exposure to work in Top Notch Global Health care organization as a intern" * Only BCOM,BBA , BA, BSC,BBM Graduates can apply ( NO BE/BTECH AND MBA/ POST GRADUATES * Only 2023,2024,2025 GRADUATES CAN APPLY ( Provisional certificate is mandatory) Position Requirements & Key Details: Contract Duration: 6-month contract with potential for conversion to a permanent role based on performance Rotational Shifts: Which include night shift( Candidate must open to work night shift based on business requirement) Transportation: Two-way company-provided transportation for all shifts Training: Comprehensive 3-week training covering domain knowledge and essential Excel skills Opening is for one of t...

Role:AR Analyst( Medical Billing background) Exp: 0.6-1 year Salary: 21k Must Have : Resolve issues related to unpaid medical claims, denied claims Review and appeal unpaid and denied claims. Shift:General Location: Chennai Regards Sowmiya 9600445623

Overview JOB Description of ARDM - Associate Recruitment Development Manager Develop marketing strategies and promote all types of new insurance contracts or suggest additions/changes to existing ones Breed productive relationships to create a pool of prospective clients from various sources by networking, cold calling, using referrals etc Evaluate business or individual customers needs and financial status and propose protection plans that meet their criteria Work with clients to deliver risk management strategies that fit their risk profiles Report the progress of monthly/quarterly initiatives to stakeholders Maintain bookkeeping systems, database and records Monitor insurance claims to en...

Overview Roles & Responsibilities: 1) Candidates Should have worked in hospital Insurance desk 2) Provide Medical opinion for health Insurance claims 3) Processing of cashless requests & Health Insurance claims document 4) Proficient with medical terms & system 5) Understanding of policy terms & system. 6) Understanding of Claims adjudication/ Claims Processing Tagged as: insurance Before applying for this position you need to submit your online resume . Click the button below to continue. Related Jobs RELATIONSHIP OFFICER IN BANK Bank Jorhat Full Time 2024-01-19

Summary: We at @Prudent Insurance Brokers, are seeking an experienced Employee Benefit-Claims Service Support professional for our International Business (IB) vertical. Employee Benefits Practice at Prudent is a strategic business unit dedicated to strengthening Prudents global brand in the international market. The individual will be responsible to Serve as primary point of contact for all employee claim queries etc. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and consultancy support for MNC clients who have their operations in India. Our team forms a bridge of trust between the expectations of senio...

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim Adhere to legal requirements, industry regulations and customer quality standards set by the company. Handle any complaints associated with a claim Claims Executive Requirements: A bachelor's degree in any discipline. At least 2-4 years' experience as a claims handler or a similar role. Excellent time management skills and organizational abilities. Top-notch client interaction skills. Ability to work in a high-pressure environment. A general understanding of insura...

We are seeking a competitive Insurance Agent to drive new business growth by engaging with potential clients. Your primary responsibilities will include selling, soliciting, differentiating, and negotiating insurance plans tailored to the specific needs of your assigned or potential customer base. Your main objective will be to cultivate strong, positive relationships to facilitate business expansion, achieve growth targets, and enhance our company's reputation. Your duties will involve developing marketing strategies, recommending new insurance contracts or modifications to existing policies, and establishing a network of prospective clients through various channels such as networking, cold...

Manage end-to-end claims process for corporate insurance policies (GMC, GPA, WC, Fire, etc). Coordinate with clients, insurers, and TPAs to ensure timely documentation and settlement . Track claim status and provide regular updates to clients. Analyze claim patterns and support clients with insights and loss mitigation strategies. Ensure service level agreements (SLAs) are met and maintain claim MIS reports. Assist clients during audits or investigations, where required. Requirements: Minimum 2 years of experience in corporate insurance claims handling. Strong understanding of Group Mediclaim , GPA , and WC policies. Excellent communication and client coordination skills. Organized, detail-o...

Role & responsibilities - manage risk across claims and underwriting processes. This leadership role requires close collaboration with multiple internal teams, including Claims, FWA, Retail Underwriting, Sales and Actuarial departments, to drive business performance, ensure regulatory compliance, and maintain effective governance. Monitor overall claims and underwriting portfolio performance by analyzing trends throughout Channels. Collaborate with Channel Heads and ground teams to define actionable plans for addressing unproductive or loss-making claims segments, fraud identification and prevention; etc. Lead initiatives to reduce claims costs, mitigate losses in unprofitable cohorts, and i...

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processin...