HC & Insurance Operations Associate

1. Having experience in claims adjudication2. Appeals & Adjustment process knowledge is mandatory3. Minimum 3+ yrs of experience is needed

Company Description ABOUT KGiSL (KG information Systems Pvt Limited):"KGISL is a premier specialty Business Process Outsourcing Solutions/Services Company With over 1000 professionals, supported by technology and implementation experts, making our hybrid onshore/offshore model global in scope and scale."Job Description Skill sets required: Candidate should...

Senior Product SpecialistQualification:Science / Engineering graduateResponsibility:Design & Implementation: ' Create detailed design document/technical specifications for select projects. Create efficient and quality code based on given specifications. Follow product standards quality assurance norms and guidelines. Conduct peer reviews during coding and...

Project ManagerEmployment Type: Full-timeLegal Entity: Bosch Global Software Technologies Private LimitedCompany DescriptionBosch Global Software Technologies Private Limited is a 100 PERCENT owned subsidiary of Robert Bosch GmbH, one of the world's leading global suppliers of technology and services, offering end-to-end Engineering, IT, and Business...

Product ConsultantQualification:Science / Engineering graduateResponsibility:Pre sales: ' Analyze RFP/RFI requirements in details. Participate in solution response teams to ensure functional viability. Participate in pre sales interactions with customers when showcasing solution etc.Product Consulting: ' Participate in requirements gathering sessions lead by...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer.Analyse the insurance request received from the customer and process as per standard operating procedures.Familiarize, navigate multiple client applications and capture the necessary information to process customer request.Clearing the enquiry from...

**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, co-pay, out of pocket, maximum inside limits...

**In this Role you will be Responsible For** - Processing member enrollment and change forms, including data entry - Aware of Medicare enrollment policies - Verifying proper completion of enrollment and change documentation. - Requesting and verifying information as needed to expedite enrollment. - Ensuring accurate and timely completion of transactions to...

**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, co-pay, out of pocket, maximum inside limits...

**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, co-pay, out of pocket, maximum inside limits...

**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, co-pay, out of pocket, maximum inside limits...

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, co-pay, out of pocket, maximum inside limits and...

**Roles and Responsibilities**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (Optional) - Knowledge in handling authorization, COB, duplicate process - Knowledge of healthcare insurance policy concepts including in network, out of network providers,...

**In these roles you will be responsible for**: - Ensuring accurate and timely completion of transactions to meet our or client service deliverables - Organizing and completing tasks according to assigned priorities - Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes...

**In this Role you will be Responsible For** - Processing member enrollment and change forms, including data entry - Aware of Medicare enrollment policies - Verifying proper completion of enrollment and change documentation. - Requesting and verifying information as needed to expedite enrollment. - Ensuring accurate and timely completion of transactions to...

Job Description 1) Handling Claims2) Payer Vertical knowledge Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal Services Mexico Read more Apply from local Career site Back to search results

Job Description 1) Handling Claims 2) Payer Vertical knowledge Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal Services Mexico Read more Apply from local Career site Back to search...

Job Description 1. Having experience in claims adjudication2. Appeals & Adjustment process knowledge is mandatory3. Minimum 3+ yrs of experience is needed Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal...

Job Description 1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra...

1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed

1. Having experience in claims adjudication2. Appeals & Adjustment process knowledge is mandatory3. Minimum 3+ yrs of experience is needed

1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed

The position includes taking care of the daily operational activities by supporting the operations manager with the enforcement of company policies and standards. Client Communication and followup, HR activities, Accounts Department Support,Social Media updations **Job Types**: Full-time, Internship Contract length: 3 months **Salary**: ₹12,500.00 -...

QualificationGraduation in any Stream - Min Experience1)Minimum 1 year experience relevant field is preferred. 2)Fresher may also apply. - AgeNot exceeding 35 years. - LocationKochi and Coimbatore - Major Responsibilities- Ensure the set of loan documents as per checklist is available for data entry. - Flawless preparation of loan documents with regard to...

LPG DOMESTIC CYLINDER USED 5 YEARS EXITED COUSTOMER SERVEY AND VERIFICATION OFFICERS WANTED MALE / FEMALE. FIELD WORK. LPG MANDATORY INSPECTION OFFICERS. **Job Types**: Full-time, Regular / Permanent, Fresher **Salary**: From ₹15,000.00 per month **Benefits**: - Cell phone reimbursement - Health insurance - Internet reimbursement Schedule: - Day...