Claims Associate

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...

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...

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...

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...

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...

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 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 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...

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...

Backend Profile Scrutinizing dental claim documents & settlements Process claims as per the set healthcare guidelines Follow HIPPA guidelines Accurate processing of Dental claims Good understanding of ICT & CPT Codes Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket Able to learn, adapt, implement process guideline into...

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...

Job Information:Job Opening - Lifecycle StatusVerified***Number of Positions2***Zip/Postal Code201305***CityNoida***IndustryIT Services***CountryIndia***State/ProvinceUttar Pradesh***- Job Description: We are looking for an associate to perform a variety of Operations tasks provided by the management or requested by our internal department. An Associate's...

As a Patent Associate specializing in Mechanical Engineering, you will be responsible for assisting clients in protecting their inventions by drafting, prosecuting, and managing patent applications related to mechanical innovations. You will work closely with inventors, attorneys, and patent examiners to secure intellectual property rights for novel...

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...

About Local Marketing Sales ConsultantThe Local Marketing Sales Consultant is responsible for the local partner communication and implementation of client marketing programs. It is both an inbound, outbound and consultative sales role fostering a relationship with our local affiliates.Responsibilities Keeping accurate records of conversations and affiliate...

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...

About BrandMuscleBrandMuscle is the leader in brand-to-one marketing. A pioneer in distributed/local marketing, BrandMuscle serves more than 300 of the world's top brands with a team of nearly 800 can-do professionals in six offices globally and embedded within 75 client locations. The BrandMuscle integrated marketing platform enables marketing leaders and...

Disputes Investigations Specialist Function : Operations India: Noida With a startup spirit and 90,000+ curious and courageous minds, we have the expertise to go deep with the world's biggest brands—and we have fun doing it. Now, we're calling all you rule-breakers and risk-takers who see the world differently and are bold enough to reinvent it. Come,...

About Brand MuscleBrand Muscle is the leader in brand-to-one marketing.A pioneer in distributed/local marketing, Brand Muscle serves more than 300 of the world's top brands with a team of nearly 800 can-do professionals in six offices globally and embedded within 75 client locations.The Brand Muscle integrated marketing platform enables marketing leaders and...

About BrandMuscleBrandMuscle is the leader in brand-to-one marketing. A pioneer in distributed/local marketing, BrandMuscle serves more than 300 of the world's top brands with a team of nearly 800 can-do professionals in six offices globally and embedded within 75 client locations. The BrandMuscle integrated marketing platform enables marketing leaders and...