Claims Manager
3 months ago
Role Purpose
The purpose of the Claims Role is to effectively manage the claims process for clients, ensuring a smooth and fair settlement of claims. The role involves reviewing and validating claims, liaising with insurers, advocating for clients' interests, and guiding them through the claims process to achieve a satisfactory outcome.
Key Expectations of the Role
1. Claims Processing and Documentation:
Accurately review and process claims in adherence to established protocols and guidelines.
Ensure all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records.
2. Client Advocacy and Communication:
Act as the main point of contact for clients during the claims process, providing timely updates and information.
Advocate for clients' interests and rights, ensuring a fair and just settlement of claims.
3. Settlement or Compromised Settlement:
Engage in substantiating the claim to the insurers to secure optimal claim settlements for clients. Ensure that settlements are fair and appropriate, considering policy terms, legal requirements, and clients' expectations.
4. Conflict Resolution and Customer Service:
Address client concerns, disputes, and inquiries related to claims in a professional and timely manner.
Facilitate conflict resolution and maintain positive client relationships throughout the claims process
-
Insurance Claim Resolution Specialist
2 weeks ago
Coimbatore, Tamil Nadu, India Starworth Global Solutions Full time**Job Title:** Insurance Claim Resolution SpecialistWe are seeking an experienced Insurance Claim Resolution Specialist to join our team at Starworth Global Solutions.**Company Overview:** Our company, Starworth Global Solutions, is a leading provider of innovative solutions for healthcare organizations. We pride ourselves on delivering exceptional service...
-
Sr. AR Caller
8 months ago
Coimbatore, India Starworth Global Solutions Full timeJob description:Ar Caller/ Sr CallerNeed Immediate JoinersSkills: AR Caller / RCM / Denial ManagementCall Insurance companies on behalf of physicians and carry out further examination on outstanding Accounts ReceivablesPrioritize unpaid claims for calling according to the length of time it has been outstandingCall insurance companies directly and convince...
-
Senior AR Caller Specialist
2 months ago
Coimbatore, Tamil Nadu, India Starworth Global Solutions Full timeJob Title: Senior AR CallerAt Starworth Global Solutions, we are seeking a highly skilled and experienced Senior AR Caller to join our team.Job Summary:The Senior AR Caller will be responsible for resolving outstanding accounts receivables by communicating with insurance companies on behalf of physicians.Key Responsibilities:Call insurance companies to...
-
Coimbatore, Tamil Nadu, India Waveonline LLC Full timeAbout the Role:We are seeking a highly skilled US Healthcare Revenue Cycle Operations Specialist to join our team at Wave Online Infoway. In this role, you will be responsible for managing denials and analyzing claim statuses for outstanding balances.Key Responsibilities:Review and resolve AR claims by identifying denial reasons and implementing corrective...
-
Billing Executive
6 months ago
Coimbatore, India Dr. Aravind's IVF Full time**Position Overview**:The Hospital Billing Executive plays a vital role in ensuring accurate and timely billing processes for medical services provided to patients. This role requires a strong understanding of healthcare billing procedures, insurance protocols, and attention to detail to ensure that billing operations are carried out efficiently and...
-
Hc & Insurance Operations Associate
6 months ago
Coimbatore, India Hashmap Full timeNTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the...
-
General Manager
3 months ago
Coimbatore, India Cheran Group Of Companies Full timeJob Description:The General Manager Project is required to manage the interface with all key stakeholders of the Projects being handled by him / her. He/she plans, directs and coordinates the activities of designated projects to ensure that project objectives are accomplished within the agreed schedule and budget. Responsibilities and key activities...
-
Ar Caller
6 months ago
Coimbatore, India Rusan Medisys Private Limited Full timePerforming outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. - Manage A/R accounts by ensuring accurate and timely follow-up. - Responding to customer requests by phone and /or in writing to ensure timely resolution of unpaid medical insurance claims. - Understand the client requirements and specifications of the...
-
Guidewire Solutions Expert
7 days ago
Coimbatore, Tamil Nadu, India Tata Consultancy Services Full timeTata Consultancy Services is a leading global IT services company with a strong presence in the insurance industry.We are seeking an experienced Guidewire Claim Center Lead (Integrator, Configurator) to join our team. This role requires 3+ years of experience in configuring and customizing Guidewire applications, as well as proficiency in Gosu development,...
-
Java With Selenium
4 weeks ago
Coimbatore, India 2coms Full timeLooking For Java With Selenium With Cucumber Framework Professionals For Global IT MNCGreetings From 2COMS Group!Location: Chennai / Bangalore / Coimbatore / Hyderabad / Pune / Noida / KolkataExperience: 5+ yearsMust-Have: The candidate should have 4 years of relevant experience in Java With Selenium & Cucumber FrameworkJob SummaryWe are seeking a senior...
-
Insurance Officer
6 months ago
Coimbatore, Tamil Nadu, India Vedanayagam Hospital pvt ltd Full time**Job Title: Medical Insurance Officer** **Job Overview**: As a medical insurance officer, you will be responsible for managing all aspects of medical insurance claims, billing, and reimbursement processes within our organization. Your role will ensure that medical claims are processed accurately and efficiently, following all relevant regulations and...
-
Process Executive
6 days ago
Coimbatore, Tamil Nadu, India Cognizant Full time**Job Summary** **Responsibilities** - Execute claims adjudication processes efficiently and accurately to ensure timely resolution of claims. - Utilize UiPath for automating repetitive tasks and improving process efficiency. - Collaborate with team members to identify process improvements and implement solutions. - Ensure compliance with company policies...
-
Financial Analyst
4 weeks ago
Coimbatore, Tamil Nadu, India Snaphunt Full timeAbout the RoleThis is a key position that offers a wealth of learning opportunities, allowing you to develop your skills and expertise within a company with a strong track record of performance.The successful candidate will be responsible for managing a breadth of tasks, including processing invoices and expense claims, resolving payables-related issues with...
-
Ar Caller
6 months ago
Coimbatore, Tamil Nadu, India Sharp Info Solutions Pvt Ltd Full time**Responsibilities**: - Contacting insurance companies via phone calls and online portals to follow up on pending claims and ensure timely reimbursement for healthcare services. - Possessing a strong understanding of the medical billing process to accurately assess and address issues related to claim denials, rejections, and underpayments. - Taking...
-
Junior Officer
2 months ago
Pappanaickenpalayam, Coimbatore, Tamil Nadu, India GKNM HOSPITAL Full timeCollects and processes information for health insurance claims. They also resolve billing problems, investigate pending claims, and answer customer questions Manages the billing and reimbursement process. They identify payment methods for patients, correlate insurance coverage with services, and manage financial and medical records Liaises with insurance...
-
Talent Management Specialist
3 weeks ago
Coimbatore, India Kotak Life Full timePosition Title: Talent Retention and Management SpecialistLocation: Mumbai, HO (Goregaon)Reports To: Talent COE LeadAbout the Role:Are you passionate about creating breakthrough employee retention programs and create outstanding employee experiences? Do you thrive at the intersection of innovation, collaboration, and strategic impact? Join us as an Talent...
-
Ar Assoaciate
6 months ago
Coimbatore, India Vega Intellisoft Full time**Job Opening Details** **back to list** - Job Title: **AR Assoaciate** - Job Description: - "Nature of the Job: - Responsible for calling insurance companies in the US to collect the pending claims - Handling patients billing queries and updating their account information. - What we are looking for: - Key Skills: - Good Communication and Analytical...
-
Supplier Quality Manager
4 weeks ago
coimbatore, India McCormick & Company Full timeRole Summary: Reporting to the global or regional Supplier Quality leader, the Supplier Quality Managerexecutes, implements, maintains and improves the Supplier Quality Program for their determined region and/or supply base through engagement, assessments, and food safety and quality systems leadership. For low to medium risk suppliers, this individual will...
-
Procurement Manager
2 months ago
Coimbatore, India meviveinternational Full timeCompany Brief:Mevive International is one of the leading suppliers & exporters of the finest quality food ingredients ranging from Spices & Seasonings, Dehydrated Vegetables, Dried Leaf Ingredients, Spray Dried Ingredients, Specialty Super Foods products. We are a prominent name when it comes to Quality and Customer Satisfaction at genuine pricing. We are a...
-
Hc & Insurance Operations Associate
6 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeNTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the...