Claims Specialist

Job Description: Responsible for adjudication the US healthcare Claims. Reviewing claims processing policies and guidelines. Reviewing Physician/Hospital contract for correct payment method. Reviewing the proper precertification for the claims. Analyzing historical claims for member and provider for correct adjudication. Adhere to all client and company...

Job Description:- Position- Duckcreek Claims Testing Role - Senior Test Engineer / Test Analyst /Test Specialist Job Location - Greater Noida, Mumbai, Pune, Bangalore & Hyderabad Job Timing-  12:00 pm to 8:30 pm  Mandate Skill-  Duckcreek Claims, Dot Net & Dot net Framework. Knowledge of Duck Creek Claims System and other corresponding workflow...

Job Description Position -Senior Test Engineer / Test Analyst / Test Specialist / Test Lead Skill - Guidewire, Manual / Function testing, Policy / Billing / Claims, & Insurance-P&C Job Locations - Greater Noida, Pune, Bengaluru, & Hyderabad Guidewire QA : Test lead having Guidewire experience Essential: 7+ years test...

Job Summary: As a Claims Specialist I at Chase, you will focus on delivering business results, providing unique solutions to customers, and showcasing your communication, negotiation, and decision-making skills. You will need to demonstrate resilience and adaptability in a fast-paced environment, navigate multiple technologies, and adhere to regulatory...

Job Description 5+ years of engineering work in the Duck Creek Claims Integration Developer. Having good knowledge of customization of Claims module. Should have sound knowledge of Dot Net and Duck Creek interfaces. Good Knowledge in Duckcreek Suite preferred experience with DCOD implementation; DevOps hands on experience required...

Company DescriptionSalesDuo, Inc. is a US-based full-service Amazon agency located in Bengaluru. We specialize in providing tailored solutions for Amazon advertising, A+ and brand page design, account management, SEO, EDI automation, and shortage claims & chargebacks resolution.At SalesDuo, you will work in a high growth early-stage environment with...

Inviting applications for the role of Process Associate, Insurance DomainIn this role, Manage own work in process and support team efforts to ensure that individual, team and office goals are met of performing quality auditsShould be responsible for weekly/monthly reporting to both internal management and client stakeholders.Responsibilities· Manage day to...

Description : Mission Statement Strategic and Operational Procurement Specialists to deliver accurate and timely Procurement activities of GPG-AC Products, collaboration with local & global suppliers, data management and reporting. Ensure execution in accordance with Company Procurement policies. Your responsibilities Contributes to...

Company Description SalesDuo, Inc. is a US-based full-service Amazon agency located in Bengaluru. We specialize in providing tailored solutions for Amazon advertising, A+ and brand page design, account management, SEO, EDI automation, and shortage claims & chargebacks resolution. At SalesDuo, you will work in a high growth early-stage environment with...

Job Description Summary Retiral Specialists are responsible for managing the day-to-day Retiral Function with respect to Provident Fund/Superannuation Fund/Gratuity Fund/NPS. They should have a good knowledge on the latest updates with respect to retiral management and hands on exposure on day to day working on the operational part of Retiral work...

Inviting applications for the role of Process Associate, Insurance DomainIn this role, Manage own work in process and support team efforts to ensure that individual, team and office goals are met of performing quality auditsShould be responsible for weekly/monthly reporting to both internal management and client stakeholders.Responsibilities· Manage day to...

Job Purpose: This position is for a skilled Interior Fit Out Specialist who possesses a strong background in interior design, project management, and construction, with a focus on delivering high-quality interior fit-out projects. They will collaborate with clients, architects, and construction teams to ensure that interior spaces meet design specifications,...

Data and Analytics Specialist  Location: Bangalore Department: Business Excellence  Org Unit: Enabling Advanced Analytics  About Swiss Re  Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide...

Category SpecialistTake your next career step at ABB with a global team that is energizing the transformation of society and industry to achieve a more productive, sustainable future.At ABB, we have the clear goal of driving diversity and inclusion across all dimensions: gender, LGBTQ+, abilities, ethnicity and generations. Together, we are embarking on a...

Quality Control SpecialistTake your next career step at ABB with a global team that is energizing the transformation of society and industry to achieve a more productive, sustainable future.At ABB, we have the clear goal of driving diversity and inclusion across all dimensions: gender, LGBTQ+, abilities, ethnicity and generations. Together, we are embarking...

Data and Analytics Programming Specialist Location: Bangalore Department: Business Excellence  Org Unit: Enabling Advanced Analytics  About Swiss Re  Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and...

Experience : 3-6 yrs Level : Consultant Location : Bengaluru/Hyderabad/Mumbai/Chennai/Pune/Gurgaon/Kolkata Education: • B.E./B. Tech/M.C.A./M.Sc (CS) degree or equivalent from accredited university ROLE QUALIFICATIONS Skills / Project Experience: Must Have: • 2-3 years of hands-on experience in Guidewire Configuration / Integration • Should have...

Job Description Overview: As an Inside Sales Team Agent, you will play a crucial role in engaging our international customers to claim their profiles and ensuring accurate representation of their information on our platform. You will be responsible for reaching out to customers via phone calls and emails, persuading them to claim their...

About the team "Generate leading insights to handle, steer and anticipate our business" is our Analytics team's vision. The Enabling Advanced Analytics Team is a team in Business Excellence and part of P&C Re Operations and is accountable for development and maintenance of P&C Re Operations Analytics landscape. We support the pre and post-bind...

Key Responsibilities :- Utilize Python programming skills to perform data analysis and derive actionable insights in the healthcare domain.- Conduct commercial analytics, including market trend analysis, competitor analysis, and pricing optimization, using Python-based tools and techniques.- Perform patient analytics to identify patterns, trends, and...