8 Insurance Plans Jobs

As a Claims Specialist in this full-time position located in Pune with a notice period of immediate joining, you will be responsible for accurately entering Patient Demographic information based on medical records. Your duties will include ensuring that Charge Entry is carried out in accordance with the procedures outlined in the records. You will also be expected to apply your knowledge of medical billing concepts, Federal and commercial insurance plans, including HMO, PPO, and POS guidelines. Furthermore, your role will involve handling WC/Auto claims in compliance with specific insurance guidelines. As part of your responsibilities, you will be required to verify all EFT deposits and scanned checks. Your attention to detail and adherence to protocol will be crucial in ensuring the accuracy and efficiency of the claims processing procedures.,

At EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. Working as part of the Consulting team, you will take part in engagements related to a wide range of topics. Some examples of domains in which you will support our clients include the following: - Proficient in Individual and Group Life Insurance concepts, different types of Annuity products, etc. - Proficient in different insurance plans - Qualified/Non-Qualified Plans, IRA, Roth IRA, CRA, SEP - Solid knowledge of the Policy Life cycle including Illustrations/Quote/Rating, New Business & Underwriting, Policy Servicing and Administration, Claims Processing, and Disbursement (Systematic withdrawals, RMD, Surrenders) - Understanding of Regulatory Changes & Taxation and demonstrated ability in Insurance Company Operations - Experience in creating business process maps, WBS for conversion strategy, and conducting Due-Diligence and Assessment projects - Proficiency in requirements gathering, writing BRDs and FSDs, conducting JAD sessions, and defining optimal future state operational processes - Proficient in technology solution architecture, data migration, data analytics, and data governance principles - Collaborative team player with the ability to work closely with stakeholders and technical teams Industry certifications (AAPA/LOMA) will be an added advantage. Experience with COTS products such as FAST, ALIP, OIPA, and wmA is preferable. We expect you to work effectively as a team member, build good relationships with clients, and collaborate frequently with other EY professionals. EY exists to build a better working world, helping to create long-term value for clients, people, and society while building trust in the capital markets. EY teams in over 150 countries provide trust through assurance and help clients grow, transform, and operate across various domains.,

You will be responsible for AR calling and medical billing in the US healthcare industry with 4-8 years of experience, based in Pune. Your expertise in US medical health and billing will be crucial, with an open salary budget for the ideal candidate. Candidates from BPO or back office backgrounds, accustomed to night shifts, are preferred. Your role will involve handling various aspects of medical billing, including verifying eligibility, obtaining prior authorizations, and following up on submitted claims. A strong understanding of different insurance plans is essential. Basic knowledge of Revenue Cycle Management (RCM) is required to excel in this position. Previous experience in AR calling is a must for this role, ensuring smooth operations and effective communication with stakeholders.,

As an Operation Manager & Team Lead in Healthcare Process, you will be responsible for leading a high-performing team dedicated to maintaining service quality and compliance in healthcare support operations. Your role will involve overseeing QA and training functions to ensure that customer interactions align with TELUS's standards of care, privacy, and professionalism. Your primary responsibilities as an Operation Manager will include managing end-to-end healthcare operations such as claims, eligibility, RCM, and prior authorizations. You will be tasked with driving performance to meet SLAs, collaborating with US healthcare clients, ensuring compliance with HIPAA and data security standards, forecasting staffing needs, implementing process improvements, and mentoring team leads and supervisors. As a Team Lead, you will supervise a team of associates handling US healthcare processes, monitor team performance against KPIs, provide coaching and feedback, manage daily workflows and client expectations, ensure adherence to HIPAA guidelines, support process training and onboarding, and report team metrics to Operations Managers. To be successful in this role, you must have a minimum of 3-7 years of experience as an Operations Manager or 2 or more years as a Team Lead in the Health and Welfare domain. You should possess a strong understanding of US healthcare benefits, insurance plans, and regulatory compliance, along with excellent presentation, facilitation, and communication skills. Proficiency in MS Office tools is essential, and experience in a BPO/KPO setup, virtual training tools, instructional design knowledge, and training certifications are preferred. If you are a dynamic and compassionate leader with a passion for continuous improvement and a focus on quality and compliance in healthcare operations, we encourage you to apply for this challenging and rewarding role.,

The mission at Zocdoc is to empower patients by providing them with the ability to easily access and book in-person or virtual healthcare services across all 50 states, spanning over 200 specialties and more than 12,000 insurance plans. By offering patients the freedom to choose their healthcare providers, Zocdoc aims to shift the dynamics of the healthcare industry to a more consumer-centric model, where businesses compete for customers rather than the other way around. This approach is envisioned to drive up the quality of healthcare services while bringing down costs. As a 17-year-old leader in the healthcare marketplace, Zocdoc recognizes that there are still significant challenges to address in the industry. The company is committed to solving important and complex problems through the collective efforts of a team that values thoughtfulness, drive, and collaboration. Zocdoc is continuously looking for individuals who share this vision and are interested in contributing to the future of healthcare. Even if there isn't a current job opening that aligns with your interests, Zocdoc encourages you to reach out and express your career aspirations. The company is dedicated to engaging with individuals who are passionate about improving healthcare and may consider suitable roles based on your profile. Zocdoc, established in 2007, is a prominent digital health marketplace that facilitates patients in finding and booking healthcare services conveniently. Millions of patients utilize Zocdoc's platform monthly to discover nearby, in-network providers, compare options based on verified patient reviews, and schedule appointments online. Healthcare providers leverage Zocdoc's Marketplace to connect with new patients, optimize their schedules, and enhance the overall patient experience. Grounded in the mission of empowering patients, Zocdoc operates based on six core values and is supported by renowned investors. The company believes that it is only at the beginning of its journey towards achieving its ambitious objectives.,

The mission of Zocdoc is to empower patients by revolutionizing the healthcare industry. Patients often face challenges such as outdated insurance directories, long wait times, surprise bills, and lack of choice. Zocdoc aims to change this by providing a leading healthcare marketplace that allows patients to easily find and book in-person or virtual care across various specialties and insurance plans. By giving patients the ability to see and choose their healthcare providers, Zocdoc aims to shift the power dynamic in healthcare, making it more consumer-centric. As a 17-year-old company and a leader in the digital health marketplace, Zocdoc is committed to solving complex problems with a team of thoughtful, driven, and collaborative individuals. The company is continuously growing and looking for individuals who are passionate about improving the future of healthcare. Even if there isn't a specific job opening that aligns with your interests at the moment, Zocdoc encourages you to reach out and share your career goals. This way, they can consider you for potential roles that may be a good fit in the future. Zocdoc operates as a digital health marketplace that connects patients with healthcare providers. Millions of patients use the platform each month to find nearby, in-network providers, compare options based on patient reviews, and book appointments online. Healthcare providers leverage Zocdoc's Marketplace to attract new patients, fill appointment openings, and enhance the overall healthcare experience. Founded in 2007 with a commitment to empowering patients, Zocdoc's daily work is guided by six core values. The company is privately held and supported by prominent investors, with ambitious plans for the future of healthcare.,

You are invited to walk in for an exciting opportunity as a Team Lead, Customer Experience Analyst (QA) & Process Trainer for the Healthcare Voice process at TELUS Digital. As the Team Lead, you will play a crucial role in ensuring service quality and compliance within our healthcare support operations, overseeing both QA and training functions to uphold TELUS's high standards of care, privacy, and professionalism. In this hybrid leadership role, you will lead a team of QA Analysts and Process Trainers, supporting team goals through effective delegation, performance coaching, and mentoring. Collaboration with cross-functional teams such as clinical, compliance, operations, and digital product will be essential to drive alignment and process excellence. Your responsibilities will include monitoring and evaluating customer interactions to ensure adherence to healthcare regulations, clinical accuracy, and empathetic service delivery. You will develop healthcare-specific QA scorecards and evaluation frameworks, delivering insights to identify trends, training needs, and areas for service improvement. Calibration sessions with QA and Ops leadership will be conducted to ensure consistency. Additionally, you will be responsible for creating and delivering training programs for healthcare support agents, aligning training content with TELUS Health's compliance, digital tools, and updated workflows. Maintaining knowledge bases, process documentation, and SOPs, as well as tracking training effectiveness and agent performance metrics post-training will be part of your regular duties. To be successful in this role, you must have a minimum of 1 or more years of experience as a Process Trainer/Quality Analyst/Team lead in an International Voice Process Health and Welfare domain. Strong knowledge of US healthcare benefits, insurance plans, and regulatory compliance is essential, along with excellent presentation, facilitation, and communication skills. Proficiency in MS Office (Excel, PowerPoint, Word) is required. Preferred skills include prior experience in a BPO/KPO setup, exposure to virtual/remote training delivery tools, instructional design knowledge, and training certifications such as TTT and CPTM, which are considered an added advantage. If you are passionate about making a difference in the healthcare industry and possess the necessary skills and experience, we encourage you to attend the walk-in interview on 18th July 2025, between 2:00 PM to 7:00 PM IST at TELUS Digital, DLF World Tech Park, 7th Floor, Tower B2 & B3, Sector 30, Gurugram, Haryana 122001.,

Requirements and skills : Proven working experience as an Insurance Agent or relevant experience Familiarity with all types of insurance plans (automobile, fire, life, property, medical etc) Basic computer knowledge and statistical analysis Proven ability to work with goals Demonstrated ability to communicate, present, influence and sell effectively Experience in delivering client-focused solutions and in creating long-lasting relationships Graduate Location: Kolkata,Ahmedabad,Nashik,Pune,Bengaluru,Chennai,Baroda, Delhi