Opening For Experienced Claim Adjudicator
3 weeks ago
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 exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
- 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 performed by the team
- Resolving complex situations following pre-established guidelines.
Requirements:
- 1-3 years of experience in processing Claims Adjudication
- Experience of Facets is an added advantage.
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills
**Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.
-
Opening For Experienced Claim Adjudicator
2 weeks ago
Chennai, Tamil Nadu, India NTT DATA, Inc. Full time ₹ 2,50,000 - ₹ 7,50,000 per yearRoles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...
-
Claims Adjudication Experienced Solutions
5 days ago
Chennai, Tamil Nadu, India Firstsource Full time ₹ 2,00,000 - ₹ 6,00,000 per yearWe are hiring Claims Adjudication ExperiencedHR Recruiter: Sam HRJob Location: Firstsource Solution Limited,5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu Landmark near Vivira Mall.Shift Details: Night shift / Flexible to work in any shift and timingCab Boundary Limit: Up to 30 km (One way drop cab)Minimum Eligibility:Minimum 1 year...
-
Claims Adjudicator
2 weeks ago
Ambattur, Chennai, Tamil Nadu, India CogNet Full time**Job Information**: Job Opening ID **ZR_51_JOB** Number of Positions **2** Job Opening Status **In-progress** Date Opened **02/20/2025** Industry **BPO** Job Type **Full time** **Required Skills**: - Eye for detail - Good in US Claims process... +1 Work Experience **4-5 years** Shift...
-
Claim Adjudication
2 weeks ago
Chennai, India TekWisen Software Pvt. Ltd Full timePosition: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...
-
Claim Adjudication
7 days ago
Chennai, India Synthesis Healthsoft Services & solutions llp Full time**Claim Examiner - Adjudication** **JOB SUMMARY**: - Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the...
-
Claim Adjudicator
2 weeks ago
Chennai, India TekWisen Software Pvt. Ltd Full timeExperience: 1-3 Years Notice Period: Immediate - 15 Days Joiners Location: Chennai,Coimbatore **Skills**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience of Facets is an added advantage. - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can...
-
Chennai, India Firstsource Full timeWe are Claims Adjudication Experienced HR Recruiter (Reference) : Sam Jeshurin Job Location: Firstsource Solution Limited, 5th floor ETA Techno Park, Block 4, 33 OMR Navalur, Chennai, Tamil Nadu Landmark: Near Vivira Mall. Shift Details: Night shift / Flexible to work in any shift and timing Cab Boundary Limit: Up to 30 km (One way drop cab) Requirements:...
-
Chennai, Tamil Nadu, India Firstsource Full time ₹ 2,00,000 - ₹ 6,00,000 per yearWe are Claims Adjudication ExperiencedHR Recruiter (Reference) : Sam JeshurinJob Location:Firstsource Solution Limited,5th floor ETA Techno Park, Block 4, 33 OMR Navalur, Chennai, Tamil Nadu Landmark: Near Vivira Mall.Shift Details:Night shift / Flexible to work in any shift and timingCab Boundary Limit: Up to 30 km (One way drop cab)Requirements:Minimum 1...
-
Chennai, India Firstsource Full timeGreetings from Firstsource HR Spoc - Madhubala Looking for US Healthcare Professionals Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication US Healthcare experience. Work location : Navalur Chennai Required : Minimum 1year Experience in US Healthcare BPO. Claims Adjudication Education - Any Graduates and Diploma(10+3)can apply....
-
Chennai, Tamil Nadu, India Firstsource Full time ₹ 5,40,000 - ₹ 10,80,000 per yearGreetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...
