Claims Reviewer

Key Responsibilities: 1) Claims Processing: Learn and follow the established claims processing procedures. Review and validate insurance claims for accuracy and completeness. Input and update claim information in the company's database. 2) Policy Interpretation: Develop a solid understanding of insurance policies and coverage details. Interpret policy...

Key Responsibilities: 1) Claims Processing: Learn and follow the established claims processing procedures. Review and validate insurance claims for accuracy and completeness. Input and update claim information in the company's database. 2) Policy Interpretation: Develop a solid understanding of insurance policies and coverage details. Interpret policy...

The Claim Executive is responsible for working with insurers to get our customers' claims paid in a timely and satisfactory manner. This role involves coordinating with both customers and insurers, as well as reviewing and evaluating claims to ensure their validity. The Claim Executive will work closely with the rest of the claims team to provide exceptional...

**Responsibilities**: Review and summarize applicant's medical information such as Attending Physician Statements, lab reports, paramed exams, and/or other related underwriting information consistent with the company's standards. Provide clear file documentation to support the onshore underwriting. Consult available resources including technical...

**Job Title**:Legal Bill Review **Location**:Pune & Bangalore **Experience**: 4 to 7 Years **Qualification**:LLB Only **Skillsets**:Legal Bill Review, LBR, US Attorney - The Legal Bill Review is responsible for handling and managing insurance defense and tort litigation, other legal disputes, assignments, and related issues and matters for Claims,...

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 -...

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 -...

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 -...

The Claim Executive is responsible for working with insurers to get our customers' claims paid in a timely and satisfactory manner. This role involves coordinating with both customers and insurers, as well as reviewing and evaluating claims to ensure their validity. The Claim Executive will work closely with the rest of the claims team to provide exceptional...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

**Responsibilities**: Review and assess insurance claims to determine coverage and eligibility. Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation. Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation. Process claims accurately and...

**To have sound knowledge about the Insurance claims and claims documentation.** Maintains expertise in the industry practices, and specific organizational factors of quality assurance & claims audit end-to-end i.e., Closed File Review (CFR) & Open File Review (OFR). **To provide suitable suggestions for the improvement in the process based on the CFR/OFR...

Roles and Responsibilities: - 1) facilitate insurance claims. 2) Handle high-volume claim processing, including document review, data entry, and investigation. 3) Research, analyze, and resolve claims and process payments follow-ups. 4) Provide superior customer service to internal and external customers via phone, 5) Research and validate benefits,...

**Position Overview**: **Key Responsibilities**: **Process Improvement**: Analyse current post-sales processes, identify inefficiencies, and develop and implement streamlined procedures to enhance operational effectiveness. Continuously monitor and optimise processes to ensure efficient customer onboarding, policy servicing, claims processing, and...

Key Responsibilities: - Claim Processing: - Receive and review insurance claims submitted by clients. - Verify policy coverage, ensuring accuracy and completeness of information. - Assess the validity of claims based on policy terms and conditions. - Investigate claims by gathering necessary documentation, statements, and evidence. - Collaborate with other...

Responsibilities:Review and assess insurance claims to determine coverage and eligibility.Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation.Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation.Process claims accurately and...

Responsibilities:Review and assess insurance claims to determine coverage and eligibility.Investigate claim details, including policy coverage, circumstances of loss, and supporting documentation.Communicate with policyholders, service providers, and other stakeholders to gather necessary information and documentation.Process claims accurately and...

**Responsibilities**: Qualifications: - Bachelor of Dental Surgery (BDS) or Master in Dental Surgery (MDS). - Minimum of 2-4 years’ experience in medical/dental claims processing, and/or industry courses (i.e., LOMA). Prior claim paying, and/or medical/dental industry experience preferred. - Proficient in MS Office, written and verbal communication...

To have sound knowledge about the Insurance claims and claims documentation. - Maintains expertise in the industry practices, and specific organizational factors of quality assurance &claims audit end-to-end i.e., Closed File Review (CFR) & Open File Review (OFR). - To provide suitable suggestions for the improvement in the process based on the CFR/OFR...

Responsibilities:Review and summarize applicant's medical information such as Attending Physician Statements, lab reports, paramed exams, and/or other related underwriting information consistent with the company's standards. Provide clear file documentation to support the onshore underwriting. Consult available resources including technical documentation,...