Claims Processor/medical Officer

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Required Experience: - Experience 1- 3 years - Excellent communication skills - Should be flexible to work in rotational shifts - Proficient in computer usage and Basic knowledge on MS Office Job Role: - Execute claims processing for U.S Healthcare - Investigated high volume of insurance claims to determine validity, coverage eligibility and accurate...

**Responsibilities**: 2. Will be responsible to train the existing as well as new joiners. 3. Will be handling special projects which may be driven by corporate office at central or regional level. 4. Will be responsible for all the training pertaining to claims, claims processing, claim policies, etc. 5. Evaluate the effectiveness of training programs...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - Understand the...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Opening with a leading TPA at **Vidhyavihar**for the position of Medical officer - Medical Scrutiny - Provide Medical opinion for Health Insurance Claims - Processing of Cashless Requests & Health Insurance Claim Documents - Proficient with medical terms & system. - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Understanding...

Processing of cashless/reimbursement claim - Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. - Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if treatment protocol is not...

Job Overview: We are seeking a highly skilled and motivated Medical Officer to join our team. As a Medical Officer, you will be responsible for providing administrative support and ensuring the smooth operation of our medical office. This is a crucial role that requires excellent organizational skills and attention to detail. **Responsibilities**: - Manage...

Should possess U.S Health insurance claim processing experience - Knowledge of medical billing and coding terminologies - Ready to work in Night Shift as well as Day shift - Understanding of plan documents and general benefits - Familiarity with terms such as deductible, out of pocket, coinsurance, and copay - Strong attention to detail and accuracy -...

Designation - Manager (Cashless Team) Department - Claims Experience Required - 5+ years of experience in TPA industry Educational Qualification - Doctorate (BHMS/BAMS) Roles and Responsibilities - 1) Responsible for delivering Cashless Claims services within set TAT 2) Handling team of Medical Officers and Cashless Executives 3) Attending...

**NAME **Open Position **DEPTARTMENT**:Administration **TITLE **Claims Examiner **STATUS**:Full-time **REPORTS TO**:Manager of TPA Operations **CLASSIFICATION **Non-Exempt **JOB SUMMARY/ORGANIZATIONAL IMPACT**:Serves self-insured clients by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality...

Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents - Reserve Setting: - Need to do the proper reserve setting on system based on the claim documents - Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of...

Understanding of Policy terms & conditions & Various Protocols / Guidelines Maintaining & Ensuring Standard Operating Procedures & Protocols Ailment Wise ICD & Procedure Coding Manage volumes effectively & efficiently to maintain Turnaround time of processing cases VIP Claims Processing and TAT Maintenance Processing Error to be maintained < 0.25% Claim...

Only looking for BHMS/BAMS doctors. Should have good communication skills. Will be checking and scrutinizing health insurance claims files for accuracy. This is completely non medical and work from office profile. **Salary**: ₹20,000.00 - ₹25,000.00 per month Schedule: - Day shift **Speak with the employer** +91 8291886837

**Industry Type**: BPO **Designation**: Data Processor **Qualification**: Any Graduate **Experience**:1 year to 2 years **Skills Required**: - Excellent Computer Operating skills. - Good Communication skills in English. - Knowledge/Abilities Required: MS-Word, MS-Excel, and Internet Applications. **Roles & Responsibilities**: - Reporting daily work to...

**Industry Type**: BPO **Designation**: Data Processor **Qualification**: Any Graduate **Experience**: 06 months to 2 years **Skills Required**: - Excellent Computer Operating skills. - Good Communication skills in English. - Knowledge/Abilities Required: MS-Word, MS-Excel, and Internet Applications. **Roles & Responsibilities**: - Reporting daily...