Claims Processor/medical Officer

Grow your career with a growing organization Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

**About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...

Grow your career with a growing organization Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

**Grow your career with a growing organization** Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

Roles and Resposlibitlies: - Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy. - Handle escalations, customer queries and responding to mails accordingly - Effectively manage the team so that the targets are met while reducing the no. of IR’s raised. - Ensure that the claims are...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**Bengaluru** **Customer Success - 7. Customer Success /** **Full Time /** **On-Site** **About Plum** Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. - Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of...

Responsibilities: - Processing of Claims with verification and settlement with customer accounts. - Claim adjudication under strict adherence to hospital tariff and policy terms. - Communicating with insurance agents and beneficiaries. - Preparing claim forms and related documentation. - Reviewing claim submissions and verifying the information. - Recording...

**Bengaluru** **Customer Success - Customer Success /** **Full Time /** **On-Site** **About this role**: - The job purpose of a Cashless Claims Team Associate is to process and manage cashless claims for employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed...

**Job Duties & Responsibilities** - Play as an intermediate role Between the Insurance co. and Hospital and the Team. - Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. - Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the...

OverviewGenpact is a global professional services firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients.Job DescriptionWe invite applications for the role of Insurance Claims Processor - Invoice and Cash. This...

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...

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...

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...

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...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**Company Name **:Healthindia Insurance TPA (Work form Office) **Job Location **:Shivaji Nagar, Bangalore **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS &...

Greetings From **Link - K Insurance** **Tpa Pvt Ltd** We are Third Party Administrators (TPA) in Health Insurance space having corporate office in Chennai.Incorporated in April 2023, we are licensed by Insurance Regulatory and Development Authority of India with License No. 038. We are empanelled by Insurance companies to service their policy holders. Our...

RapidClaims.ai is a healthcare technology company located in Bengaluru. Our goal is to redesign the healthcare billing stack using cutting-edge AI and LLMs to ensure accurate autonomous medical coding and compliance. Our RapidCode AI module prioritizes Security, Accuracy, Speed, and Scale. As a result, our solution generates audit-ready, compliant, and...

**About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...