Spec Claims Processor-9

5 months 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
- A minimum of 1 year of cumulative work experience
- College Degree is an Asset
- Ability to excel within a Purpose/Vision driven environment- More than 6 months and up to and including one year experience required

COVID



  • 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,...


  • 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

    6 months 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...

  • Claim Processer

    6 months 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...


  • Bengaluru, Karnataka, India Genpact Full time

    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...

  • Claim Reviewer

    1 month ago


    Bengaluru, Karnataka, India Healspan Full time

    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, 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...


  • 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,...


  • Bengaluru, Karnataka, India Plum Benefits Full time

    **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...


  • 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...

  • Cghb Claims Supervisor

    2 months ago


    Bengaluru, Karnataka, India The Cigna Group Full time

    Manages claim organizational metrics for days mail on hand, performance guarantees and staffing. - Manages the daily operations of claim team; Effectively communicates organizational strategies to engage staff and drive desired behaviors - Exhibits managerial courage and consistently delivers accurate and transparent messages to staff - Responsibility for...

  • Claims Supervisor

    2 months ago


    Bengaluru, Karnataka, India The Cigna Group Full time

    **Job Description** - Leads Claims team consisting of experienced administrative, operative, and or technical roles in the Professional career track. Typically, responsible for a large number of direct and indirect reports in a process or transactional operations environment. Coordinates schedules and workflow for the team. Supervises the accurate and timely...

  • Claims Processor

    6 months ago


    Bengaluru, India Karthika Consulting & Solutions Pvt Ltd Full time

    **Salary**: ₹11,435.33 - ₹36,914.91 per month **Benefits**: - Health insurance - Provident Fund Schedule: - Day shift Supplemental pay types: - Joining bonus Ability to commute/relocate: - Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (required) **Experience**: - total work: 1 year (preferred) **Speak with...

  • Insurance Advisor

    6 months ago


    Bengaluru, Karnataka, India Tata Motors Full time

    Insurance Agent/Advisor | Insurance Claims Specialist | Recovery Cum Insurance Executive | insurance operation executive | insurance officer | Claims examiner | Claims processor | Vehicle insurance executive | Claims analyst | Claims representative | insurance manager **Salary**: ₹20,000.00 - ₹25,000.00 per month **Benefits**: - Provident...


  • Bengaluru, India UST Full time

    Job Responsibilities:Work with chip architect to understand architecture concept and high level requirementsConvert chip spec to RTL using internal and external IPsPlan and deliver RTL for continuous integration testingSupport the verification team to devise appropriate test plans and verification strategyJob Requirements:Experience in ASIC/SoC front-end...

  • Medical Officer

    5 months ago


    Bengaluru, Karnataka, India Medi Assist Insurance TPA Private Limited Full time

    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...

  • Ip rtl design lead

    2 weeks ago


    Bengaluru, India Texas Instruments Full time

    IP RTL Design LeadWho are we and what do we do?Part of the Embedded Processors group of TI, the Processors and Application Specific Microcontroller (ASM) Business Units develop cutting edge system-on-chips (So Cs) for broad microcontrollers and processors spanning even 5nm technologies for applications in industrial and automotive spaces. The team has been...


  • Bengaluru, India Connectpro Management Consultants Private Limited Full time

    Job Description:-Verification Engineer_5+Yrs_BangaloreResponsibilities -- Lead and drive block, subsystems, and full-chip verification of advanced ARM-based SOCs.- Architect and build test benches, reference models, and scoreboards using SystemVerilog and UVM-constrained random methodologies.- Define and execute test plan for block, subsystem, and full-chip...


  • Bengaluru, India Capgemini Full time

    Job Description Hands on experience on CDS, AMDP and Performance tuning code adjustments for HANA. Use of New ABAP syntax. Basic knowledge in usage of OData services from HANA. Knowledge of Standard ABAP, DDIC and OOPS. Expertise in SAP ALE /IDOCs, ABAP RFC, ABAP Proxy. Should have hands on knowledge in ABAP technologies like Interactive Reporting,...


  • 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,...