Assoc Spec Claims Processor

1 week ago

Bengaluru, India Empower Full time

**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, you’ll enjoy the freedom to support causes that matter to you and experience a truly inclusive work environment. Your future starts now.

Reporting to a Team Performance Leader, the Claims Processor is responsible for reviewing and entering health and dental benefit claim forms and receipts that have been submitted by our plan members.

**What you will do**:

- This position is responsible for data entering all of the Medical, Dental, Hospital, Drug and Visions claims that are received each day for the Group Benefit Payment Offices and is performed independently.
- Modification of or deviation from procedures and practices is occasionally required.
- In this position, the entire claim submission must be reviewed quickly along with all attachments to enter information into an average between 75-150 fields per claim submission.
- The information must be entered extremely accurately and efficiently as there are very aggressive quality requirements and productivity target that must be obtained to meet the minimum requirements of the role.
- For a high percentage of claims, the Claim Processor will be the only person to see the claim submission.
- If the claim does not automate in the system, a Claims Examiner will use only the information the Claim Processor data entered onto the data entry system for final review/adjudication/payment of the claim.
- If errors are made in keying or by not following/interpreting the guideline information provided, the claims could be paid incorrectly resulting in overpayment or underpayment to the customers.
- As a result of services provided or actions taken, this could/would have a considerable impact on external client relations and the company.
- 80% Data entry, 20% misc. other duties
- Work independently to data enter a variety of health, dental, drug, hospital, and vision claims.
- Review claim attachments and determine which data from this information is applicable.
- Review complex claims with your team assistant and flag claims requiring further investigation.
- Adhere to the changing requirements of our Health & Dental Claims policy job aids.

**What you will bring**:

- Excellent keyboarding skills
- Good reading comprehension
- Basic PC computer & Microsoft Office skills
- 0 to 1 year of work experience
- College Degree is an Asset
- Ability to excel within a Purpose/Vision driven environment.

This job description is not intended to be an exhaustive list of all duties, responsibilities and qualifications of the job. The employer has the right to revise this job description at any time. You will be evaluated in part based on your performance of the responsibilities and/or tasks listed in this job description. You may be required perform other duties that are not included on this job description. The job description is not a contract for employment, and either you or the employer may terminate employment at any time, for any reason, as per terms and conditions of your employment contract.
We are an equal opportunity employer with a commitment to diversity. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to age, race, color, national origin, ancestry, sex, sexual orientation, gender, gender identity, gender expression, marital status, pregnancy, religion, physical or mental disability, military or veteran status, genetic information, or any other status protected by applicable state or local law.

**COVID

  • Spec Claims Processor-9

    4 weeks ago

    Bengaluru, India Empower Full time

    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,...

  • Spec Claims Processor-1

    5 days ago

    Bengaluru, Karnataka, India Empower Full time

    Grow your career with a growing organizationWhether 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, you'll...

  • Spec Claims Processor-35

    6 days ago

    Bengaluru, India Empower Full time

    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,...

  • Claim Processor

    5 days ago

    Bengaluru, Karnataka, India Acko General Insurance Full time

    About UsACKO 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 paperwork,...

  • Claim Processor

    3 weeks ago

    Bengaluru, Karnataka, India Acko General Insurance Full time

    **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...

  • Claims Processor

    2 weeks ago

    Bengaluru, India Karthika Consulting & Solutions Pvt Ltd Full time

    **Job Title**:Sr. Executive - Insurance Adjudication **Function**:Insurance Adjudication **Job Type**:Full Time Job **Reports To**:Assistant Manager - Insurance Adjudication **Location**:Bengaluru (Kanakapura Main Road, JP Nagar 9th phase ) Medical Insurance Adjudication Department at **We Assist** has an important role of managing the relationship with...

  • Claims Processor

    2 months ago

    Bengaluru, Karnataka, India Watchyourhealth.com India Private Limited Full time

    Job Description: - CRM implants for claim support at client location - Resolve customer queries on policy coverage and health claim processes - Facilitate to drive claims app for submission and tracking of claims by employees - Collect and dispatch claim documents as per corporate requirement - Coordinate with internal claims units at IL to ensure seamless...

  • Spec Claims Examiner

    3 weeks ago

    Bengaluru, India Empower Full time

    **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,...

  • Claims Adjudication

    3 weeks ago

    Bengaluru, India CIEL HR Services Full time

    **Role: Healthcare Claims Processor** **Mandatory Skill: Claims Adjudication & Facets** **Location - Chennai** **Notice period - Immediate** Experience: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. Laptop: Mandatory to have a laptop Shifts: only Night Shifts( Time mostly from 4:00pm/5:00pm /6:00...

  • Spec Claims Examiner-1

    4 weeks ago

    Bengaluru, India Empower Full time

    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,...

  • Spec Claims Examiner-1

    3 weeks ago

    Bengaluru, India Empower Full time

    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,...

  • Claims Processor/medical Officer

    2 months ago

    Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    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...

  • Claim Processer

    5 days ago

    Bengaluru, Karnataka, India Acko General Insurance Full time

    About UsACKO 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 paperwork,...

  • Spec Claims Examiner-11

    5 days ago

    Bengaluru, Karnataka, India Empower Full time

    Grow your career with a growing organizationWhether 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, you'll...

  • Claim Processer

    3 weeks ago

    Bengaluru, Karnataka, India Acko General Insurance Full time

    **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...

  • Spec Claims Examiner-13

    2 weeks ago

    Bengaluru, Karnataka, India Empower Full time

    **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,...

  • Rcms Claims Processor

    4 weeks ago

    Bengaluru, India Allscripts Asia Full time

    Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an...

  • Associate- Cashless Claims Level 2

    2 weeks ago

    Bengaluru, Karnataka, India Plum Benefits Full time

    **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...

  • Assoc Systems Administrator

    2 weeks ago

    Bengaluru, India ACI Worldwide Full time

    **J** A CI Worldwide, the Universal Payments company, powers electronic payments and banking for more than 5,100 financial institutions, retailers, billers and processors around the world. ACI software processes $14 trillion in payments and securities transactions for more than 300+ of the leading global retailers, and 18 of the top 20 banks worldwide. We...

  • In-house Surveyor- Motor Agency

    2 months ago

    Bengaluru, India HDFC Ergo Full time

    Vapi, Bangalore, Thrissur, Godhra, Latur, Hyderabad, Kolkata, Patna, Muzaffarpur, Balasore, Deoghar - Survey and assessment of Motor Claims. - Communicate Insured about assessment. - Submission of Initial Loss Assessment report within stipulated timelines. - Ascertain the liability and update claim processor accordingly. - Update Claim processor about...