1525 Insurance Claims Jobs - Page 48

We are Hiring hybrid WFH Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA Mumbai - Vikhroli) Process : Back office Process /UK Insurance Process Min 1yr to 4yrs exp. International BPO !!!Easy Selection and Spot Offer!!! Salary upto 7.5 Lacs + Incentives. Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Praveen / Sukhjit :7391077621 / 7391077622. Regards Dipika 9623462146

Process Overview* 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 a...

Responsibilities: * Lead claims processing from intake to resolution. * Ensure compliance with regulatory requirements. * Optimize processes, reduce TAT & improve SLA. * Manage team performance and development. Annual bonus

Role & responsibilities Job Description: Processing Membership / Claims transactions or a health care project in Chennai CDC5 location. User to be ready for work from office 5 days a week and should be based out of Chennai location. Should not have any arrears in academic semester. Should have WIFI connection in home. User should have good english written, understanding and communication skills. Should be strong in email drafting. Work Timings: 5 PM to 2:30 AM IST WFO/WFH: Work from office Qualification Any Graduation (BCom, BSC, BA, BBA Etc) except Computer science graduates.

Designation Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 3 years to 5 years Relevant Experience – 2 years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider Office Timings – UK evening shifts Working days- Mon-Fri Week offs – Sat & Sun Off

Designation Assistant Manager/Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 5years or 3years Relevant Experience 2years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider. Office Timings UK -US shifts Working days- Mon-Fri Week offs Sat & Sun Off If above skills sets matches your current & prior experience than kindly share your updated resume @ VrushaliD1@hexaware.com or connect me on whats app with your updated resume 899983...

Domain (Insurance) Job Title: Analyst/Senior Analyst (Administrator) Start Date (Provisional): 1 Month or less Contract Length: 1 Year initial with extensions Preferred Location: Powai, Mumbai Qualifications: Minimum Graduate Strong written and verbal communication Minimum 6 months of work experience in US Insurance Operations Work model: Hybrid (2-3 Months onsite) Shift timings: US or UK Shift What you need to have: Essential: Graduate in any field Flexible to work in any shifts as per business requirement Expected shift timing 2:30 PM to 11:30 PM or 6:30 PM to 3.30 AM Excellent command on written and oral communication. Play a key role in building and transitioning functional capability to...

About Us: We are seeking a dedicated and empathetic Customer Service Representative to join our Global Individual Health operations team at Cigna. As a leading provider of private medical insurance worldwide, we are committed to delivering exceptional customer experiences to our expatriate clientele. Responsibilities: As a key member of our Customer Service Team, you will be the first point of contact for our global customers, providing unparalleled support via telephone, live chat, or email. Your responsibilities include: Ensuring first contact resolution and responding promptly to customer inquiries. Adhering to operating procedures and regulations in line with policy terms and conditions....

Job description URGENT OPENING FOR MEDICAL OFFICER Workings Hours: 9 Hrs Work Mode : Office Key Responsibilities: Review and assess medical claims submitted by corporate clients against policy terms and medical guidelines. Analyze clinical documents such as medical reports, diagnostic tests, prescriptions, discharge summaries, and other relevant medical records. Verify the authenticity, appropriateness, and completeness of medical documentation related to claims. Provide medical expertise to determine the validity and admissibility of claims. Collaborate with claims processing and underwriting teams to resolve discrepancies or clarifications related to medical information. Identify potential...

Responsibilities: As a key member of our Customer Service Team, you will be the first point of contact for our global customers, providing unparalleled support via telephone, live chat, or email. Your responsibilities include: Ensuring first contact resolution and responding promptly to customer inquiries. Adhering to operating procedures and regulations in line with policy terms and conditions. Offering quality information regarding health benefits to customers. Monitoring turnaround times to ensure timely resolution of customer contacts. Building collaborative relationships with internal teams to optimize resources. Actively supporting team members and contributing to achieving operational...

Billing, Insurance, patient management Required Candidate profile BILLING, INSURANCE,

Billing, Insurance, patient management, also available in nursing and pharmacist Required Candidate profile BILLING, INSURANCE, Nurse, Pharmacy

Note: Candidates having below mentioned relevant skills should apply on the link. https://forms.gle/tyZf41YWk5QfcQnz8 1. Insurance Policy Management: Manage and renew project-specific insurance policies Evaluate and recommend appropriate risk coverage for ongoing and upcoming infrastructure projects. Coordinate with insurance brokers, underwriters, and legal teams for customized policy structuring. 2. Claim Placement & Settlement: Handle end-to-end insurance claim processes for incidents such as asset damage, construction site accidents, third-party liability, and natural disasters. Liaise with internal teams, loss adjusters, and insurers to ensure timely claim submission, documentation, and...

Roles and Responsibilities Manage claims from receipt to settlement, ensuring timely processing and quality delivery. Coordinate with internal teams (e.g., underwriting, customer service) and external parties (e.g., brokers, agents) for smooth claim handling. Conduct thorough investigations into claims, gathering relevant information and evidence to support decisions. Ensure compliance with regulatory requirements and company policies throughout the claims process. Maintain accurate records of all interactions related to claims management.

Hiring for SME - Property & Casualty Insurance(Only Immediate Joiners) with a leading International Outsourcing Company in Noida Location. Share CV Mohini.sharma@adecco.com OR Call 9740521948 Job Location - Noida Sector-135 Position - SME Skill - P&C Insurance Domain Shifts - US Night Shifts Work Type - Work From Office Only CTC - Max Upto 6.5 LPA Exp: Graduate with minimum 3.5 to 5 years of work experience ESSENTIAL SKILLS: Graduate with minimum 3.5 years of overall BPO experience Flexible to work in night shift timings Good Domain Knowledge Property and Casualty Insurance, Specially in Small Commercials, Personal line, Property, Homes, Auto, valuables etc. Excellent communication and inter...

Hiring for a Record Retrieval Specialist #Shift-Us Shift Timing #Location: Ahmedabad, Gujarat # Minimum 6 months of Experience Required in the International Voice process #Fluent English Required Meal Facility is also available

Urgent Opening for INTERNATIONAL VOICE PROCESS Min 6 Months to 3 Years of Experience in International Calling(HEALTHCARE) Location: Bellandur,Marathalli Bengaluru Job Type: Full-Time Mode: Work from Office Working days: 5 Working Days Mode of Interview: Virtual Notice period: Immediate Joiner to 20 Days Rounds of Interview: 1. HR Screening 2. Versant Round 3. Operations Manager round Job Summary: We are seeking a Patient support service - Voice to handle customer queries and Provide Assistance related to healthcare services. The role requires effective communication skills, attention to detail, and the ability to work in a fast-paced environment. Key Responsibilities: Handle inbound and outb...

He/She will be responsible for managing claims for all non-EB insurance products primarily. EB Claims knowledge is a plus.Need to be consistent and well versed with insurance claims. Mail cv- jagjeet@blissladder.com Call-9967529204

Experience of 2+ Year in healthcare accounts receivable, medical billing. Strong knowledge of healthcare billing processes, insurance protocols, (e.g., HIPAA). Understanding of US insurance types (PPO, HMO, Medicaid, Medicare), payer policies, Required Candidate profile Undergraduate/Graduate can apply. Should have proficiency in Typing (25 WPM with 95% of accuracy) Should be flexible with 24*7 shift. EV Callers - (3.5 – 6.5 LPA) AR Caller - (4 - 7 LPA )

Crucial role in managing the entire claims process — right from documentation and coordination to ensuring smooth and timely settlements.

Req ID: 323726 We are currently seeking a HC & Insurance Operations Senior Assoc. to join our team in Chennai, Tamil Ndu (IN-TN), India (IN). 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 abilit...

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. NTT DATA, Inc. currently seeks a BPO HC & Insurance Operations Senior Representative to join our team in "Chennai or Coimbatore " Position's General Duties and Tasks Required. In this Role you will be Responsible For - Read and understand the process documents provided by the...

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 Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals for this role include Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skil...

In this Role you will be Responsible For - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations - Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims. for this role include- 0 -1 Year of experience in any Healthcare BPO - University degree or equivalent that required 3+ years of formal studies - Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have - 1+ year(s) of...

Urgent Hiring for SME - Property & Casualty Insurance(Only Immediate Joiners) with a leading International Outsourcing Company @ Noida Location. Job Location - Noida Sector-135 Position - SME Skill - P&C Insurance Domain Shifts - US Night Shifts Work Type - Work From Office Only CTC - Max Upto 6.5 LPA Exp: Graduate with minimum 3.5 to 5 years of work experience ESSENTIAL SKILLS: Graduate with minimum 3.5 years of overall BPO experience Flexible to work in night shift timings Good Domain Knowledge Property and Casualty Insurance, Specially in Small Commercials, Personal line, Property, Homes, Auto, valuables etc. Excellent communication and interpersonal skills, with the ability to collaborat...