1489 Insurance Claims Jobs - Page 4

Medical Officer - Claims Processing Job Title: Medical Officer Claims Processing Location: IBC Knowledge Park, Bangalore (Work from Office) Department: Central Claims Operations Control Room Job Type: Full-time Salary: 3,00,000 3,60,000 per annum About the Role We’re hiring Medical Officers (Claims Processing) for our Control Room team at IBC, Bangalore. The role involves end-to-end medical claim processing with focus on accuracy, coordination, and timely resolution. You’ll work closely with multiple departments to ensure smooth claim operations and compliance with TAT standards. Key Responsibilities Process medical claims accurately within defined timelines. Review and validate claim docume...

We are looking for an experienced Dental Claim Billing Expert who has in-depth knowledge of Open Dental Software and Medicaid billing (DentaQuest) . The ideal candidate should have hands-on experience in handling end-to-end dental billing processes, including claim submission, payment posting, denial management, and patient billing. Key Responsibilities: Manage and process dental insurance claims accurately and efficiently. Work on Open Dental Software for billing, claim tracking, and payments. Handle Medicaid billing (DentaQuest) with complete understanding of payer rules and claim procedures. Ensure timely submission and follow-up of claims to minimize denials or rejections. Post payments,...

Manager / Assistant Manager Account Management - MediAssist Job Title: Manager / Account Management Company: Medi Assist Location: Bangalore CTC: 9 to 12 LPA Experience: 11 to 15 years Industry: Health Insurance / TPA / Healthcare Key Responsibilities:- Client Relationship & Strategy: Build and maintain long-term partnerships with insurers, corporate clients, and healthcare providers. Lead high-level review meetings and ensure strong relationship governance. Operations & Service Delivery: Oversee end-to-end account operations including claims, customer service, and issue resolution. Ensure compliance with TATs and SLAs. Performance Analysis & Reporting: Monitor KPIs, analyze client data, and...

Job description Role & responsibilities 1. Review First Notice of Loss (FNOL) entries and confirm document completeness 2. Collect supporting documents (e.g., police reports, invoices, photos) from brokers and insureds as required 3. Maintain and update digital records of claim files in internal platforms (FIS, CMS, etc.) 4. Identify missing documents or data inconsistencies and flag them for the onshore team 5. Maintain up-to-date claim checklists and logs 6. Categorize claims based on pre-defined triage criteria (Low, Medium, High exposure) 7. Perform quality checks on document uploads, file naming conventions, and tagging 8. Communicate professionally with brokers and insureds via email o...

Candidate Specification & Job Description: Excellent communication skills with 8+ years of work experience Individual contributor roles are acceptable Strong knowledge of insurance claims (General Liabilities, Auto/Motor & Direct) Candidates with experience in Subrogation total loss, admin team, Property & Casualty, or Health Insurance are not preferred Review and validate claims submissions for completeness and eligibility Capture claim details accurately in the system, ensuring proper documentation Coordinate with policyholders, agents, or brokers to obtain necessary supporting documents Evaluate claim merits based on policy terms and conditions Liaise with surveyors, investigators, hospit...

Medical Officer responsible for reviewing and assessing medical claims, verifying documents, coordinating with hospitals, and ensuring accurate claim decisions as per policy and clinical standards. BAMS/BHMS preferred with TPA or insurance experience

As a Chief Accountant at Welcare Hospital, you will be responsible for overseeing and managing the hospital's financial operations. Your role will involve ensuring compliance with accounting standards and regulations specific to the healthcare sector. Key Responsibilities: - Manage and oversee daily accounting operations, internal controls, and financial documentation - Prepare and analyze monthly/annual financial reports and statements - Ensure timely and accurate filing of statutory returns (GST, TDS, PF, ESI, etc.) - Coordinate with auditors, consultants, and regulatory bodies - Lead and mentor the accounts team to meet departmental goals - Assist in budgeting, forecasting, and cost contr...

Techwally is a professional services firm specializing in various IT solutions such as Workforce Management, Software Development, Cloud Management, Analytics, Application Integration, and Strategy and advisory. Established in 2018, Techwally focuses on providing high-value, industry-specific IT solutions to help clients develop efficient and innovative businesses. The research lab and expert staff at Techwally are well-equipped to tackle challenges in the digital ecosystem. As an AR Calling Medical Billing professional at Techwally in Hyderabad, your responsibilities will include: - Reviewing and resolving denied insurance claims - Following up on insurance claims - Ensuring compliance with...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Noida Sector 3 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 claims ...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more tha...

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 ...

Key Responsibilities: Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure accuracy in claims decision-making. Customer Interaction & Support: Communicate with policyholders, hospitals, and third-party administrators (TPAs) to explain claim decisions in a clear and professional manner. Handle escalated or complex customer service issues involving medical claims. Offer support and guidance on claim submission processes and documentation requirements. Compliance & Documentation:...

Job Title: Customer Success Specialist - Non Voice Process (Excellent Communication Required- Both Verbal and Written) Location: Chennai Contract: Permanent Grade: 1 Teleperformance is recruiting Customer Success Specialist for an International Process based in USA. Who we are: Teleperformance is a French MNC that offer Customer experience management services in more than 80+ countries, with more than 410,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment. Remuneration: (30% Hike from the Last Take Home) Up to 3.5 Lakhs Annual CTC. Based on the ...

Responsibilities: Client onboarding on our tech platform . Ensure compliance with regulatory requirements. Collaborate with stakeholders on risk mitigation strategies. Provide proactive client support Conduct data entry and analysis

Seeking a male candidate with TPA/investigation agency experience, expertise in Mediclaim investigation/verification, team handling, client communication, and TAT management. Focus on reimbursement and cashless claims. Strong leadership required.

Key Responsibilities : Casualty- Claims Processing - Insurance Claims. Claim processing team collects end-end data data. You will be responsible for developing and delivering business solutions that support the claims. Process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery.

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 ...

Role Overview: As a Radiology Billing & Coding specialist, your main responsibility will be to accurately perform medical billing and coding for a wide range of radiology services, such as X-rays, mammograms, ultrasounds, CT scans, and MRIs. You will play a crucial role in applying the correct codes to insurance claims to ensure maximum reimbursement. Key Responsibilities: - Accurately perform medical billing and coding for a comprehensive range of radiology services - Apply the correct codes to insurance claims to ensure maximum reimbursement - Prepare and submit insurance claims electronically, ensuring accuracy, completeness, and compliance with regulations - Maintain detailed records of ...

Role Overview: You will be responsible for ensuring the highest quality services are provided by efficiently managing the quality control processes. Additionally, you will oversee operations related to insurance claims to ensure smooth functioning. Key Responsibilities: - Maintain and improve quality control processes to uphold high service standards - Oversee operations related to insurance claims - Ensure smooth and efficient functioning of all aspects related to quality control Qualifications Required: - Must have a Master's degree in Hospital Administration or Social Work - Prior experience in a managerial position is preferred - Willingness to work in person at the designated location i...

Job Description Position Title, Responsibility Level Record Retrieval- Backoffice data entry operator Function Legal Support Services Reports to Assistant Manager Permanent/ Temporary Permanent Span of Control N/A Location NOIDA, C 59 Basic Function Responsibilities include managing order entry process related to record retrieval, ensuring efficient and accurate handling of client requests. This role requires strong organizational skills, attention to detail, and effective communication abilities. Essential Functions Computer literacy is essential, along with Comprehension skills Identify orders that cannot be processed without additional information, documentation, or clarification, and fla...

Back End Developer/ Full Stack Developer Hands on experience working with insurance claims modeling, preferably P&C. Good Knowledge of insurance terminologies. Knowledge of statistical distributions and their application. Experience on various statistical modeling techniques (Stochastic Modeling, Monte Carlo Simulation, Regression, etc Skilled in MS Office tools like, Excel, PowerPoint, etc Basic knowledge of VBA, Python. Strong problem solving and communication skills. Positive attitude to execute work with quality and flexible with changing priorities.

Basic Functions Employee will be involved in processing medical bills received from providers based out of US. Transaction processing requires special knowledge of healthcare terminologies and/or reasoning mindset. Productivity Accuracy Attendance Schedule Adherence Primary Internal Interactions Team: Assistant Manager / Lead Assistant Manager - Operations for reporting performance, clarifying concerns, and seeking feedback and support Manager for settling issues left unresolved by the Lead Assistant Manager / Assistant Manager Team members for seeking co-operation and clarification on process related matters and providing assistance and support when required SME/ Process Trainer for trainin...

International insurance claims processing for Member claims. Job Description Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-c...

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. Genpacts 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 thats shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services an...

Receive and review insurance claims and related documents. - Enter claim information into the claims management system. - Acknowledge receipt of claims and communicate with claimants regarding the status of their claims. Role & responsibilities Conduct a thorough survey to determine the validity of claims. - Collect and analyze evidence, including photographs, witness statements, and other relevant documentation. - Coordinate with surveyors and other professionals to assess damage and determine the extent of loss. Preferred candidate profile