Assistant Manager-Application Development-Business SME EXL Talent Acquisition Team

2.0 - 6.0 years

0 Lacs

noida, all india

On-site

As an Assistant Manager Statistical Reporting, your role involves supporting the preparation, validation, and submission of insurance statistical reports to regulatory bodies like NAIC, NCCI, and state Departments of Insurance. You will play a crucial part in ensuring compliance with regulatory standards and contributing to data quality, process improvement, and cross-functional collaboration. **Key Responsibilities:** - Assist in the preparation, validation, and timely submission of insurance statistical reports - Ensure compliance with regulatory standards set by NAIC, NCCI, and state Departments of Insurance - Contribute to improving data quality and process efficiency - Collaborate with ...

Posted 2 weeks ago

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Audit Associate Trivium

2.0 - 6.0 years

0 Lacs

nagpur, maharashtra

On-site

As a Premium Auditor at Trivium, you will be responsible for conducting virtual audits on Workers Compensation and General Liability policies for various insurance companies. Your main purpose will be to gather data from the insureds" place of business and compile it into a concise report for the carrier, ensuring accurate premium bases for policies. Your job duties will include performing E-audits or virtual audits through email or phone communication with the insureds/clients. You will need to examine and compile data from various financial records and present it in a detailed report. As a qualified applicant, you will be in charge of scheduling and managing your own appointments and workl...

Posted 3 months ago

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Hiring For Manager & Sr. Manager- Medical Audit Virtuoso Staffing Solutions

6.0 - 11.0 years

10 - 12 Lacs

New Delhi, Gurugram, Delhi / NCR

Work from Office

Roles and Responsibilities Conduct medical audits for high-value claims, including inpatient and outpatient services. Review NCCI guidelines to ensure accurate coding and compliance with US healthcare regulations. Analyze CPT codes to identify discrepancies and optimize claim processing. Collaborate with internal stakeholders to resolve issues related to claims adjudication. Develop expertise in dollar value claims handling, focusing on accuracy and efficiency. Desired Candidate Profile 6-11 years of experience in Medical Audit or Claims Auditing/Audition role. Strong understanding of CPT, ICD-10-CM/PCS, HCPCS Level II codes; knowledge of anesthesia codes (G0152) preferred. Experience workin...

Posted 4 months ago

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Hiring General Surgery Coder / Hyderabad / Chennai Coronis IT

2 - 7 years

3 - 8 Lacs

Hyderabad, Chennai

Work from Office

We are looking for Experienced General Surgery Coders to join our growing team. The ideal candidate will have a strong background in surgical procedure coding across various specialties, including but not limited to general surgery, orthopedics, cardiovascular, and more. Role & responsibilities : Review and analyze medical records to assign appropriate CPT, ICD-10-CM, and HCPCS codes Ensure coding accuracy and compliance with official coding guidelines and payer requirements Work with clinical staff for clarifications and documentation improvement Maintain productivity and quality standards Preferred candidate profile Minimum 1 years of hands-on experience in surgical coding Certified Profes...

Posted 6 months ago

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Clinical Policy Review Analyst | MNC | Hyderabad | WFO | V3 Staffing

3.0 - 8.0 years

7 - 7 Lacs

hyderabad

Work from Office

Greetings of the day ! Our reputed MNC Client is hiring for Clinical Policy Review Analyst role: Job Description: As a Clinical Policy Review Analyst, you will be responsible for providing in-depth clinical coding analysis of professional and facility claims, maintaining up-to-date clinical guidelines, and ensuring compliance with industry standards. Key Responsibilities: - Provide clinical coding analysis of professional and facility claims routed to the Clinical Policy Review queue - Maintain current industry knowledge of claim edit references, including AMA, CMS, NCCI, and other relevant guidelines - Conduct research on coding scenarios and provide data-driven insights and business recomm...

Posted Date not available

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