Process Developer, Insurance Claims

Job Title: Executive - Claims and Insurance Handling (GMC Data)Location: Noida Office (for projects across India)About Varahe Analytics: Varahe Analytics is one of India's premier integrated political consulting firms specializing in building data-driven 360-degree election campaigns. We help our clients with strategic advice and implementation, combining...

Position- Senior Software Engineer / Technical Analyst / Technology SpecialistExperience –3 to 12 yearsJob Location – Greater Noida, Mumbai, Pune, Bangalore & HyderabadMandate Skill:-· Candidate should have strong experience on Duck creek· Candidate should have strong experience on Claims V10, V11 and V12.· Hands-on experience in Claims Configuration...

Position Summary Metrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the sub-contractor, comes in Metrefer/Dental Claims Operations queue Work queues that have claims route to GOSC can be defined by the type...

Position SummaryMetrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the sub-contractor, comes in Metrefer/Dental Claims Operations queueWork queues that have claims route to GOSC can be defined by the type of edit...

Position SummaryBasic Function Backend support needed to manage & validate claims for NIGO which are transactions rejected by BOT & routed to Trust portal. Report utilized to locate claims that qualify to have a satisfaction callback performed, calls and answers are tracked and sent to appropriate leaders for review. Create and route tasks to NIGO teams...

Job Title: Field Officer (Health Claim Investigator)Location: Noida-Ghaziabad & FaridabadSalary:15k+ 6K (Travel) + IncentiveReporting to:Area Manager (Back Office)Summary of Main Responsibilities:Investigation of health and PA claims:Insured visit, Hospital Visit, Doctor visit, collect evidences of genunity of claim or evidences of fake claims. Collect past...

Job Description: Approval and authorization of motor claims of Branch which includes theft, high value repairs & alternate mode of settlement as per the financial authority. Oversee processing of motor OD claims & ensure performance in conformity with the benchmarks set by the company. Review of claims Review all repudiation cases pertaining to...

Division Insurance Job posted on Apr 13, 202 Employee Type Full Time Experience range (Years) 5 years 7 yearsGroup Company: Jakson LimitedDesignation: Support Insurance (SI)Office Location:Position description: Responsible for evaluating and ensuring timely settlement of claims (fixed assets) for JAKSON Group.Primary Responsibilities: Register the claim on...

Position SummaryMetrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the sub-contractor, comes in Metrefer/Dental Claims Operations queueWork queues that have claims route to GOSC can be defined by the type of edit...

Job Title - Assistant Insurance Coordinator. Job Location - Noida, Uttar Pradesh. Job Description Role Summary The Insurance Coordinator – APAC is part of the Legal & Compliance Function at WSP and will be in WSP India (Bengaluru or Noida). The role would be reporting to the Head of Legal Compliance & Ethics - India and supporting the Assistant Company...

IntroductionSpartan Technology Services and Solutions Private Limited is a subsidiary of IBM (International Business Machines) Corporation. IBM is a global brand and has its presence in 170 countries and operates through multiple locations across globe.Spartan Technology Services and Solutions Private Limited is an integral part of IBM Business Process...

SUMMARYESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Ensure claims are adjudicated / adjusted as per the guidelines Responsible for timely request and followup of any/all required additional information for proper claim adjudication Operate within company regulations regarding HIPAA, fraud, confidentiality, and private health information...

Job Title Assistant Insurance Coordinator.Job Location Noida, Uttar Pradesh.Job DescriptionRole SummaryThe Insurance Coordinator – APAC is part of the Legal & Compliance Function at WSP and will be in WSP India (Bengaluru or Noida). The role would be reporting to the Head of Legal Compliance & Ethics - India and supporting the Assistant Company Secretary,...

Experience: 2 years of work experience in US Health Claims processing preferably in claims adjudicationKnowledge and skills (general and technical)Technical Skills Computer navigation skills Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy) Working knowledge of MS Excel and MS Word. Process Specific Skills Knowledge of Insurance principles...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, copay, out of pocket, maximum inside limits and...

Job Title: Long-Term Disability Claims Analyst This position is responsible for structuring Long-Term Disability (LTD) claims based on claim receipt date. The role involves supporting the claim adjudication team, setting up initial claims, identifying potential recurrent claims, and verifying coverage using various systems. Additionally, the job requires...

Position SummaryBackend Profile - All the claims which cannot be processed by the sub-contractor, comes in Metcor queue. Work queues that have claims route to GOSC can be defined by the type of edit that requires resolution (eligibility, plan, provider or code related). Claims are researched and reviewed for approval, non-payment, referral or request for...

Experience : 10 + year exclusive insurance experience in a large global company with Min Size of USD 5 Bio and sizeable presence in U.S. and Europe markets or with global brokerMust have 1. Thorough Exposure and deep connects with Indian and International insurance placement including reinsurance, contract negotiations, liability policy structuring .2. Good...

Key Responsibilities : Develop and customize Duck Creek claims solutions according to business requirements. Design, develop, test, and implement Duck Creek claims applications and integrations. Collaborate with business analysts and stakeholders to understand requirements and translate them into technical solutions. Provide technical guidance and support to...

With a startup spirit and 115,000 + curious and courageous minds, we have the expertise to go deep with the world's biggest brands—and we have fun doing it We dream in digital, dare in reality, and reinvent the ways companies work to make an impact far bigger than just our bottom line. We're harnessing the power of technology and humanity to create...