1525 Insurance Claims Jobs - Page 42

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient s insurance, proration to correct financial class and notation within patient accounts providing steps taken to resolve outstanding insurance balance on account. Work an average of 30-40 patient accounts per workday for assigned payor(s) Manages an average of 30-40 patient accounts per day, focusing on denial and zero-pay reporting. Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt Communicate effectively with insurance companies for payment of outstanding insurance balan...

Entity :- Accenture Strategy & Consulting Title :- Level 9 Ind & Func AI Decision Science Consultant Job location :- Bengaluru, Gurugram, Mumbai About S&C - Global Network :- Accenture Global Network - Data & AI practice help our clients grow their business in entirely new ways. Analytics enables our clients to achieve high performance through insights from data - insights that inform better decisions and strengthen customer relationships. From strategy to execution, Accenture works with organizations to develop analytic capabilities - from accessing and reporting on data to predictive modelling - to outperform the competition WHATS IN IT FOR YOU Accenture CFO & EV team under Data & AI team ...

About Us ata International Limited is a leading trading and distribution company that has served the industry for over six decades, exemplifying its core values of Pioneering, Integrity, Excellence, Unity and Responsibility. We have our footprints in over 29 countries across the globe operating in diversified verticals from trading and distribution to manufacturing and retail, which offers our employees a dynamic environment rich in opportunities. Guided by the common threads of Tata Code of Conduct, we foster a collaborative and inclusive work environment that encourages personal and professional growth thus laying a strong foundation for creating a world-class organization where employees ...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare belie...

As a hospital billing executive, you will be responsible for managing the billing process for patients receiving medical services at the hospital. You will work closely with insurance companies, healthcare providers, and patients to ensure accurate and timely billing. Responsibilities Review and verify patient billing information Submit insurance claims for reimbursement Follow up on outstanding payments and resolve billing issues Communicate with insurance companies and healthcare providers regarding billing matters Maintain accurate records of billing transactions Qualifications Bachelors degree in Healthcare Administration or related field Experience in medical billing and coding Knowledg...

We are hiring for Backoffice role Graduate/undergraduate both can apply Night Shift(9:30PM to 6:30AM) 6 months relevant exp is mandatory Salary 17752 CTC (In Hand16000 ) For Contact - 9682722482 Richa Mishra(HR)

We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims / Lability Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA ( Pune / Mumbai /Kochi Location) Process : Back office Process /UK Insurance Process Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Ali : 7391077622 / 7391077621 / 8888850831 Regards Dipika 9623462146

Responsible for working with medical TPAs to execute medical testing operations for SLIC managing tele/video calling operations for the Underwriting function for underwriting / fraud detection,medical test feedback, grievance,agent verification etc. Required Candidate profile Prior exp in Medical TPA management for LI sector Must have basic knowledge of Underwriting guidelines&norms Must be able to supervise a small team Must have a strong process orientation

Hiring Fresher's ! Job Description Manage day to day production and ensure SLAs are met Monitor analyses and report on trends in the key underwriting performance drivers Understanding of processing end-to-end underwriting cycle in clients application. Knowledge of up-stream and down-stream processes of underwriting and how they are linked with each other• Queue management effectively managing and monitoring the queue Perform deep dive audits and report out severity alerts process gaps• Root cause analysis on feedback received from internal or external audits Review departmental procedure manuals for completeness and report out any possible gaps Discuss process updates with operations and tra...

1.Oversee claims process - commercial insurance products (Fire, Marine, Property) 2.Interpret insurance policy language to determine coverage 3.Conduct investigations to establish facts and assess damages. 4.Identify potential fraudulent claims. Required Candidate profile Handles the process of managing commercial insurance claims, from initial notification to settlement.

Job Title : Insurance Executive Location : Gurgaon Note: This position is open to female candidates only as per our organizational requirements. Employment Type : Full-Time LUXURY CARS -INSURANCE or Claims and Endorsements A luxury automobile claims insurance executive manages insurance policies specifically tailored for high-end, luxury vehicles. This role involves: Managing claims: Investigating claims cases, alerting supervisors to discrepancies, and administering claims Updating clients: Keeping clients informed on the status of their claims Analyzing claims: Preparing analysis reports and claims activity reviews Maintaining documents: Filing and maintaining claims documents, and ensurin...

Consulting Skills, Client Knowledge, and Client Service: Prioritizes work as required to respond to client needs effectively UK pension/retirement/claims Healthcare / Customer support Participates & contributes in daily huddles and status meetings Required Candidate profile Excellent communication skills Excellent understanding of the organization's goals and objectives. Takes ownership and responsibility for work assigned.

Supervisor, Operations Designation : Team Leader Healthcare Contact Center (Member/Provider Services) Location: Bangalore, India Job Type: Full-Time Shift: Fixed Night Shifts We are looking for an experienced and dynamic Team Leader to manage and guide a team of healthcare contact center executives in our Member/Provider Services division The ideal candidate will have strong leadership abilities, excellent communication skills, and a proven track record in managing performance and driving results in a BPO environment This role involves overseeing day-to-day operations, ensuring high-quality service delivery, and supporting team members in achieving their goals In This Role You Will Supervise...

Job Description (IFD) Communicating with clients and understanding the investigation requirements. • Meeting with clients to discuss the nature of the investigation. • Conducting field investigations on appointed cases, insurance claims, or client requests. • Conducting in-depth research on various appointed cases. • Decide the extent and validity of a claim, and in so doing, prevent fraudulent claims by determining the claim's authenticity. • Gathering and analyzing evidence reports. • Conducting photographic and audio surveillance to gather evidence • Reviewing and solving cases by authenticating insurance claims. • Coordinating with agents to understand insurance claims matters. • Answeri...

Role and Responsibilities :- * End to End Claims Analyses * Verify Policy/Claims Documents * Claims Setup and Payment Processing * Claims Submission and Tracking * Correspond with involved Claim Parties * Develop and Maintain Claims communication * Maintain Records of Activities * Manage day to day production and ensure SLAs are met * Knowledge of up-stream and down-stream processes of Claims and how they are linked with each other * Analytical and Reporting skills on excel * Team player with a ready to learn approach * Excellent written and verbal communication * Contribute towards process improvements through brainwaves Qualifications and Experience: Any Graduate degree (B.Com. preferred) ...

INTERNATIONAL VOICE PROCESS US HEALTHCARE Location: Airoli, Mumbai Shift: Rotational (Predominantly Night Shifts) Work Mode: Work from Office Joining: Immediate Batch Starts: 7th July Role Overview: Join a leading US Healthcare BPO as a Customer Support Associate and be part of a dynamic international voice process team. This is a great opportunity for fresh graduates to start their career in a fast-growing industry. Eligibility Criteria: Graduate Freshers with excellent English communication skills Not eligible: Technical or Hotel Management degrees Experience Advantage: BPO experience with complete documentation Full-time students / Out-of-boundary candidates Not eligible Compensation & Pe...

Capable of handling customers service requests. Coordinate with insurance company and workshop for accident management. Provide Customers with technical information for the upkeep of the vehicle. Responsible for maintaining healthy relation.

Company: Marsh Description: Ensures timely and accurate production/processing of complex documents/information (includes report preparation) Maintains a basic understanding of the core aspects of relevant Insurance and related legislation (customer awareness) and strengthen established relationships Adheres to Company policies and performance standards Contributes to the achievement of Operations team Service Level Agreements (SLA) , Key Performance Indicators (KPI) and business objectives Marsh, a business of Marsh McLennan (NYSE: MMC), is the world s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries acro...

International Process Associate - US Healthcare Process - Night Shift Company Name - Sun Knowledge Inc (KPO) About Company - We are into Healthcare medical billing. No SALES/MARKETING involved. Interview Reference Code - " HR Sanskrity " - 9046450266 - WhatsApp/Call. Applicants need to write "HR SANSKRITY" on the top of their Resume/CV. Dress Code: Formals/ Smart Casuals Documents to Carry: your hard copy CV and Aadhaar Xerox should be attached to it. Roles and Responsibilities: This is the US Healthcare process. Candidates have to resolve queries and issues of Doctors and hospitals regarding medical Billing and Insurances. Desired Candidate Profile : Must have Excellent Communication in Eng...

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...

The selected candidate willbe responsible for managing the approval and rejection processes for cashlessclaims under TPA and MJPJAY schemes. This will involve close coordination withhospital doctors, wards, the billing team, and insurance companies. Key Responsibilities: Handle approval and rejection of cases within the TPA department. Coordinate with hospital doctors and wards to ensure the availability of cashless facilities for patients. Manage pre-authorizations, patient admissions, and discharges, especially in the absence of the respective TPA/MJPJAY team member. Collaborate with the in-house ward, ICU, IPCU, and billing team to ensure final cashless approval for patients. Resolve issu...

At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job is responsible for reviewing property claims tasks as per defined peril types basis from images/documentation received from the vendors. Damage details are shared virtually with the team and the primary responsibility for the team member is to accurately update the d...

At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. This job involved leading a team of Property claims processing specialists whose primary role involved in supporting the data entry updates with regards to pre-fill activity. As part of the role the teams review images and documentation received with regards on the claims and...

Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture 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 worlds 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 than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience whi...

Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture 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 worlds 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 than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while...