Spec Claims Examiner-11

About NaviNavi is a leading financial services company in India, dedicated to delivering digital-first financial products that are simple, accessible, and affordable.The company's mission is to provide high-quality financial solutions through the use of AI/ML capabilities, technology, and product expertise.Our team at Navi is passionate about building...

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 Swiss Re Corporate Solutions** Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer. We anticipate and manage risks, from natural catastrophes and climate change to cybercrime. Swiss Re Corporate Solutions is the commercial insurance arm of the Swiss Re Group. We offer...

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,...

Job ResponsibilitiesThe Senior Claim Representative will be responsible for: Processing claims from members and providers. Assisting queries from providers and payers via phone calls or e-mails. Following claim manual and SOP strictly, adjudicating claims according to benefit policies, and meeting both financial/procedure accuracy and TAT targets on claims...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

**Claims Executive - Commercial Lines** - **Job Summary**: The Commercial Lines Claims Executive is responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

**Claims Executive - Commercial Lines** - **Job Summary**: The Commercial Lines Claims Executive is responsible for managing and processing claims for commercial lines with regards to Fire, Marine, and Liability sectors. This role requires a comprehensive understanding of industry-specific regulations and a strong focus on ensuring compliance and accuracy in...

Examine claims records and forms to determine whether the patient has medical insurance. **Job Type**: Part-time **Salary**: From ₹13,202.11 per month Schedule: - Flexible shift Ability to commute/relocate: - Bengalore, Karnataka: Reliably commute or willing to relocate with an employer-provided relocation package (required) **Education**: -...

Hiring for Senior AR caller / AR Caller Role & responsibilities Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables. Prioritize unpaid claims for calling according to the length of time it has been outstanding. Experience range 1-5Yrs and its complete US Shift.(5.30PM-2:30AM) Call...

**About Swiss Re** Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health....

At Polaris Inc., we have fun doing what we love by driving change and innovation. We empower employees to take on challenging assignments and roles with an elevated level of responsibility in our agile working environment. Our people make us who we are, and we create incredible products and experiences that empower us to THINK OUTSIDE. JOB...

**Vantive: A New Company Built On Our Legacy** Baxter is on a journey to separate our ~$5B Kidney Care segment into a standalone company. Vantive* will build on our nearly 70-year legacy in acute therapies and home and in-center dialysis to provide best-in-class care to the people we serve. We believe Vantive will not only build our leadership in the kidney...

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Medical Coder-11 **Job Description**: Essential Job Functions: - Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. - Review medical record information to identify all appropriate...

Job Description Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business,...

1+ Year of Experience in AR Calling - Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of...

**Years of experience: 6+ Years** **Location: Bangalore and Chennai** **JD**: Experience with Planning Analytics 2.x and TM1 11.x Ideally a background in accountancy / finance processes, with FP&A exposure. Confident working with business stakeholders. Involved in the complete SDLC process by analyzing business requirements, creating tech specs and...

Job Description - Team Leader Non-voice Claims & Enrollment Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions in order to reimagine business processes and deliver increased efficiency, deeper insights and...

Responsibilities - **Create and submit claims**: Translate healthcare services into billing codes and submit claims to insurance companies - **Verify coverage**: Check patient insurance coverage and eligibility before billing - **Follow up on claims**: Follow up on unpaid claims and appeal denied claims - **Manage payments**: Collect payments from patients...