Claims Manager

**Designation: Quality Claims Executive** **Location: Neelankarai, ECR** **Job Roles & Responsiblities** Summary: As a Quality Executive specializing in Claims Analysis, you will play a pivotal role in ensuring the accuracy, efficiency, and compliance of claims processing within our organization. Leveraging your analytical skills and attention to detail,...

**Job Summary**: **Primary Accountabilities**: **Claims Management**: Accurately and promptly prepare, file, and handle default claims (FHA, VA, USDA, and conventional). **Documentation Review**: To guarantee completeness and adherence to investor and insurance criteria, review and confirm all essential documentation for claim submissions. **Default...

Role Summary Essential Responsibilities Utilizes and participates in the more complex full system development life cycle, per current Thryve SDLC standards. Takes a lead role in collaborating with customers, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on...

**Healthcare (Medical) Claims Examiner** Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. We are seeking to add an experienced Claims Examiner to our rapidly growing organization! A career at SDS is both challenging and rewarding. With over 500 colleagues across the globe, we've created an open and...

**Position description - Purpose** Shell Trading & Supply has a global portfolio of crude oil, refined products, LNG, chemicals natural gas, electrical power and CO2. Trading offices are located in the US, Canada, UK, Singapore, The Netherlands, Japan, Barbados, Dubai and Russia, with many other downstream entities situated across the globe. We are...

Job Description: **Position: Guidewire Claim Center - Freelancer** **Job Type**: Part Time we are looking for experienced **Guidewire Claim Center **who are interested to work with us. **Responsibilities**: - Collaborate with clients to understand their business requirements and objectives related to Guidewire ClaimCenter implementation. - Configure and...

**Roles & Responsibilities of Cashless / Claims - Medical Officer / Doctor**: - Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. - Get fully trained and understand claims software, functionality and validations. - Verify whether the claim falls within the coverage/ scope of the health insurance policy. -...

Shell Trading & Supply has a global portfolio of crude oil, refined products, LNG, chemicals natural gas, electrical power and CO2. Trading offices are located in the US, Canada, UK, Singapore, The Netherlands, Japan, Barbados, Dubai and Russia, with many other downstream entities situated across the globe. We are interested in attracting people to our...

Job Description:Set, articulate and execute the role and processes of key support areas across the organization.Ensure consistency in all aspects of process and procedures.Coordinate consistent data reporting for key support area and ensure all reporting is accurate and timely.Manage and lead a staff in key operational support functionsDeliver on operational...

Claims Processing Representative (US Night Shift) Includes insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Workers compensation claims by the Revenue Specialists. Primarily interacts by phone with outside parties. **Responsibilities**: - Contacting Employers, Insurers...

Overview: The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and...

About Us: - Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and...

**Job Summary** **Responsibilities** - Process healthcare claims accurately and efficiently to ensure timely adjudication. - Review and analyze claims data to identify discrepancies and ensure compliance with industry standards. - Collaborate with team members to resolve complex claims issues and provide support as needed. - Maintain up-to-date knowledge of...

Job Openings at Wave Online InfowayPosition : AR Analyst – US Healthcare RCMExperience : 1 to 3 years in Medical BillingMode : Work from Office / Work from HomeShift : Day / Mid shiftNo. of Openings : 15Job Essentials :Strong experience in Denials ManagementSkilled in taking actions for denials and analyzing claim statuses for outstanding balancesReview...

**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...

The ideal candidate will have experience in all stages of the sales cycle. They should be confident with building new client relationship and maintaining existing ones. They should have evidence of strong skills and possess good negotiation skills.Responsibilities:1- Build relationships with prospective clients.2- Maintain consistent contact with existing...

**Summary**: As an AR Caller Trainee in Acurus you have to Initiate telephone calls to insurance companies requesting status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up. **What you'll do**: - Review AR claims, understand the denial reason, call the...

**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...

**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...

ROLES AND RESPONSIBILITIES: Act as a liaison between insurers, medical offices, and patients Handle confidential information and abide by HIPAA laws and other medical policies Submit claims to insurance companies electronically and via mail Properly code medical services, diagnosis, treatments, and more Invoice patients and insurance companies for claims...