Claims Adjudication Associate

2 weeks ago

Bengaluru, India CIEL HR Services Full time

Requirement
- 1-3 years of experience in processing claims adjudication and adjustment process
- 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 weekend’s basis business requirement.

Position's Overview
- 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

  • Claims Handler

    2 weeks ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Handler

    2 weeks ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Claims Handler

    2 weeks ago

    Bengaluru, India Sutherland Full time

    Claims Handler Experience: 0.6 months to 4 years (Entry Level position) Location: Whitefield, Bangalore (WFO ) Shift :Rotational Shift Timing: 3.30pm-12am / 6am-3pm Job description Sutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have...

  • ▷ (High Salary) Claims Handler

    2 weeks ago

    Bengaluru, India Sutherland Full time

    Claims HandlerExperience: 0.6 months to 4 years (Entry Level position)Location: Whitefield, Bangalore (WFO)Shift :RotationalShift Timing: 3.30pm-12am / 6am-3pmJob descriptionSutherland is seeking a motivated and passionate person to join us as a Claims Specialist. If you are looking to build a fulfilling career and are confident you have the skills and...

  • Lead Trainer

    3 weeks ago

    Bengaluru, India 2coms Full time

    About ClientOur Client is a multinational BPO player, assists companies with customer service, back-office tasks, and tech support. Operating in 19 countries with 44 delivery centers, they serve diverse industries like telecom, healthcare, and banking. Client utilizes AI and automation for efficiency, but their core strength lies in a 50,000+ employee...

  • Senior Claims Triager

    3 weeks ago

    Bengaluru, India Swiss Re Full time

    We are looking for an agile, motivated and proactive personality who is ready to join our Triage Team in Bangalore as a Senior Claims Triager! You will be responsible for indexing and distributing the incoming claims documents from our clients – cedant or brokers, to responsible team or person within 24 hours. You will look for opportunities within the...

  • Senior Claims Triager

    3 weeks ago

    Bengaluru, Karnataka, India Swiss Re Full time

    We are looking for an agile, motivated and proactive personality who is ready to join our Triage Team in Bangalore as a Senior Claims Triager You will be responsible for indexing and distributing the incoming claims documents from our clients – cedant or brokers, to responsible team or person within 24 hours. You will look for opportunities within the core...

  • Process Associate

    5 days ago

    Bengaluru, Karnataka, India timesjobs Full time

    JOB DETAILSMaking calls to the insurance companies for claims status.Handling Medical health insurance claims like paid/unpaid and denials.Handling patients billing queries and updating their account information.Take care of the current work order assigned on a daily basis.Minimum 6 months experience in ARExcellent communication skills.Sincere, Result...

  • Process Associate

    5 days ago

    Bengaluru/ Bangalore, India timesjobs Full time

    JOB DETAILSMaking calls to the insurance companies for claims status.Handling Medical health insurance claims like paid/unpaid and denials.Handling patients billing queries and updating their account information.Take care of the current work order assigned on a daily basis.Minimum 6 months experience in ARExcellent communication skills.Sincere, Result...

  • Associate - Operations

    4 weeks ago

    Bengaluru, India Allstate Insurance Company Full time

    **Date Opened**:Nov 28, 2023 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.**: Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer...

  • Associate - Operations

    4 weeks ago

    Bengaluru, India Allstate Insurance Company Full time

    **Date Opened**:Nov 29, 2023 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.**: Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer...

  • Associate - Operations

    7 days ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    **Date Opened**:Feb 15, 2024 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for** **Operations Associate - Non-technical (Voice)** Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus is on creating...

  • Associate - Operations

    7 days ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    **Date Opened**:Mar 14, 2024 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for** **Operations Associate - Non-technical (Voice)** Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus is on creating...

  • Associate - Operations

    4 weeks ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    **Date Opened**:Apr 15, 2024 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.**: Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer...

  • Associate - Operations

    4 weeks ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    **Date Opened**:Apr 16, 2024 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.**: Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer...

  • Associate - Operations

    4 weeks ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    **Date Opened**:Apr 17, 2024 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company **Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.**: Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer...

  • Associate - Operations

    4 weeks ago

    Bengaluru, India Allstate Benefits Full time

    Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer experiences, establishing connections through technology, and using continuous improvement is transforming how we...

  • Associate - Operations

    4 weeks ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    Allstate Insurance has an exciting opportunity for Auto-technical Claims Associate.Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team Our focus on creating extraordinary customer experiences, establishing connections through technology, and using continuous improvement is transforming how we...

  • Associate - Operations

    4 weeks ago

    Bengaluru, Karnataka, India Allstate Insurance Company Full time

    **Date Opened**:Jan 23, 2024 **Location**: Bangalore, Karnataka, IN **Company**:Allstate Insurance Company Allstate Insurance has an exciting opportunity for Operations Associate (Voice Process) Allstate Insurance is changing the way the insurance industry looks and we want you to be part of our growing team! Our focus on creating extraordinary customer...

  • Java Senior Software Engineer

    7 days ago

    Bengaluru, India Hitya Global Full time

    Key Responsibilities :The SSE Is responsible for system development, delivery, Unit testing, and support within assigned client group, business unit or corporate department and utilizing various customer technology platforms.Primary duties may include, but are not limited to:- Accomplish the objectives and requirements defined by senior technology leadership...