Claim Examiner

**CLAIM EXAMINER ADJUDICATION** Claims examiners are confident decision-makers playing an important oversight role in the claims process. The role comes with the responsibility of overseeing the work of their colleagues and ensuring that high standards are always met. - Responsible for the coordination and resolution of the administrative denials and...

**Adjudication - Claim Examiner "Fresher or Experience"** - Responsible for the coordination and resolution of the administrative denials and appeals. - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.). - Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data...

**Healthcare (Medical) Claims Examiner** Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. We are seeking to add an experienced Claims Examiner to our rapidly growing organization! A career at SDS is both challenging and rewarding. With over 500 colleagues across the globe, we've created an open and...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

m **In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

Roles and Responsibilities:2-3 years of experience in processing claims adjudication and adjustment processExperience in professional (HCFA) and institutional (UB) claimsKnowledge in handling authorization, COB, duplicate and pricing processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible,...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible,...

Job Description Roles and Responsibilities:2-3 years of experience in processing claims adjudication and adjustment processExperience in professional (HCFA) and institutional (UB) claimsKnowledge in handling authorization, COB, duplicate and pricing processKnowledge of healthcare insurance policy concepts including in network, out of network providers,...

Job Description Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network...

Experienced- Chennai- Posted 2 mins ago**Skills Required**: - Good written and verbal communication skill - Good knowledge in billing process - Should have working knowledge in more than 2 billing software - Capable of Trend analysis and strategy planning on revenue improvement - Basic knowledge on CPT and ICD-10 codes and Insurance filling...

Experienced- Chennai- Posted 1 min ago**Skills Required**: - Good written and verbal communication skill - Good knowledge in billing process - Should have working knowledge in more than 2 billing software - Capable of Trend analysis and strategy planning on revenue improvement - Basic knowledge on CPT and ICD-10 codes and Insurance filling...

Job Description -Development Engineer Vehicle PersonalizationDevelopment of vehicle accessory parts from the concept phase until start of production – for production fitment, modification center and dealership fitmentPart maintenance during production and in serviceApplication of all development processes, the related tools and specifications for the...

Job Description -Development Engineer Vehicle Personalization  Development of vehicle accessory parts from the concept phase until start of production – for production fitment, modification center and dealership fitment  Part maintenance during production and in service  Application of all development processes, the related tools and...

Job Description -Development Engineer Vehicle Personalization  Development of vehicle accessory parts from the concept phase until start of production – for production fitment, modification center and dealership fitment  Part maintenance during production and in service  Application of all development processes, the related tools and...

KEY ACCOUNTABILITIES 1 To keep a record of all awarded contract signed copy for new and existing projects 2 To prepare a lookout list for distribution to project team and to conduct a training to project team at start of every new project to highlight interim notice, process and its timeline of submission and all other necessary guidelines 3 To attend to...

1. Patient Management: - Schedule and manage appointments for patients, ensuring efficient use of doctors time. - Greet and check-in patients, verifying their personal and medical information. - Maintain electronic and paper medical records, ensuring accuracy and confidentiality. - Prepare patient charts, including relevant medical history and test...

KEY ACCOUNTABILITIES (A) MAIN CONTRACT (SINGAPORE & THAILAND) 1 To keep a record of all main contract signed copy for new and existing projects 2 To prepare a lookout list for distribution to project team and to conduct a training to project team at start of every new project to highlight interim notice, eot process and its timeline of submission and all...

**Business Function** Technology and Operations (T&O) enables and empowers the bank with an efficient, nimble and resilient infrastructure through a strategic focus on productivity, quality & control, technology, people capability and innovation. In Group T&O, we manage the majority of the Bank's operational processes and inspire to delight our business...