Claim Adjudication

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 -...

Greetings! Urgently required Claims Executive for a Insurance Co. Location - Vidyavihar-Mumbai Exp - 1 Year Qualification - Any Graduate ( TPA experience Only apply) Job Profile - Should have knowledge of Cashless claims processing, required TPA Experience only Adjudication of claims on technical basis. - Computing of non-admissible items as per policy...

Job description We are Hiring for a Top MNC Company!!! **Position ; Us Healthcare Claim process** **Shift timing : Night Shift - US shift** **Work from Office (Both way cab facilities available)** **Salary: 19k CTC (Take Home - 14K)** **Location: Airoli, Navi Mumbai** - The Healthcare Operations vertical helps our clients drive breakthrough growth by...

·Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures ·Ensure Service partners work as per agreed SLA’s to meet service standards. ...

·Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures ·Ensure Service partners work as per agreed SLA’s to meet service standards. ...

**We are Hiring for a Top MNC Company!!!** Designation**:Back End Support - Claim Process** Shift timing: Night Shift - US shift (8pm to 6 am) Cab facilities available Work from Office (Both way cab facilities available) **Salary**: 19k CTC (Take Home - 14K) Location: Airoli, Navi Mumbai **Job Description**: - The Healthcare Operations vertical helps...

Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures - Ensure Service partners work as per agreed SLA’s to meet service standards. -...

Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures - Ensure Service partners work as per agreed SLA’s to meet service standards. -...

Job descriptionWe are Hiring for a Top MNC CompanyPosition ; Us Healthcare Claim processShift timing : Night Shift US shiftWork from Office (Both way cab facilities available)Salary: 19k CTC (Take Home - 14K)Location: Airoli, Navi Mumbai The Healthcare Operations vertical helps our clients drive breakthrough growth by combining deep- intelligence and...

Dear All, Urgently hiring for a leading insurance company in Mumbai. Location : Mumbai. Role : Claims Assessor. Key Accountability - Managing Claims and to have strong eye on risk i.e. claims adjudication of Death/ Credit llife claims - To drive closure from team i.e. claim assessment of cases within TAT - Liaising with stakeholders and partners (MPH) -...

**Urgent Opening** **Role**:Investigation Claims **Experience**:3 to 8 Years **Location**:Mumbai (Goregaon) **Industry**: Insurance **Qualification**: BAMS, BHMS, BUMS, BDS, BPT **Role & Responsibility**: (Details of the roles & responsibility) **Investigation Management (Health/CI/PA Claims)** 1. Required to assign, follow up, get the investigation...

**NAME **Open Position **DEPTARTMENT**:Administration **TITLE **Claims Examiner **STATUS**:Full-time **REPORTS TO**:Manager of TPA Operations **CLASSIFICATION **Non-Exempt **JOB SUMMARY/ORGANIZATIONAL IMPACT**:Serves self-insured clients by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality...

GreetingsUrgently required Claims Executive for a Insurance Co.Location Vidyavihar-MumbaiExp 1 YearQualification Any Graduate ( TPA experience Only apply)Job Profile Should have knowledge of Cashless claims processing, required TPA Experience onlyAdjudication of claims on technical basis. Computing of nonadmissible items as per policy wordings. Approval of...

Urgent OpeningRole:Investigation ClaimsExperience:3 to 8 YearsLocation:Mumbai (Goregaon)Industry: InsuranceQualification: BAMS, BHMS, BUMS, BDS, BPTRole & Responsibility:(Details of the roles & responsibility)Investigation Management (Health/CI/PA Claims)Required to assign, follow up, get the investigation completed as per requirement from the field...

NAME Open Position DEPTARTMENT:AdministrationTITLE Claims Examiner STATUS:Full-timeREPORTS TO:Manager of TPA Operations CLASSIFICATION Non-ExemptJOB SUMMARY/ORGANIZATIONAL IMPACT:Serves self-insured clients by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal...

Ensure using self login ID Verifies all necessary document and technical details mandatory for claims processing Verifies Previously Consumed amount Verifies enrollment details and Duration of patients Stay in Hospital Keeping claim pending if any document is missing and need to keep pending twice Ensure compliance all mandatory documents Ensure...

Hello Greetings for the day!! HSc or Any graduate. 1 + Years of experience with Medical Billing, Claims Processing, Claims Settlement, Adjudication, Claims processing and Insurance. **Job Types**: Full-time, Permanent **Salary**: ₹180,000.00 - ₹300,000.00 per year **Benefits**: - Health insurance - Life insurance - Paid sick time - Paid time off -...

**We are Hiring for a Top MNC Company!!!** Designation**:Transaction Processing Representative** Shift timing: Night Shift - US shift (8pm to 6 am) Work from Office (Both way cab facilities available) **Salary**: 15k CTC (Take Home - 10K) **Job Description**: - The Healthcare Operations vertical helps our clients drive breakthrough growth by combining...

Greetings from Tresbien HR! Hiring! Urgently required Doctors -Health Claims Investigator. TPA Co - Health Insurance. Exp - 3 Years + Location - Vidyavihar, Mumbai (1 Minute walking from station) Qualification - MBBS, BAMS, BHMS, BDS Note - "TPA Doctors only apply" Job Profile - Ø Responsibility of Pan India Investigation Operations & controlling &...

Qualification - BHMS, BAMS, BDS, BPT - Processing of claims request received from the hospital - Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. - Collate the medical details with the applicable policy terms to arrive at the final decision of claims...