Claims Processing Executive

**Hiring at Leading BPO at chennai** Designation**:Claim process executive or Senior Claim Process Executive** Experience**:Minimum 6 month to 5 years from voice process only** Qualification: Any Degree **Night Shift US,UK Voice Process** Good communication skill and typing skill must **Job Description**: International medical and non medical claim...

Greetings From Link K Insurance TPA, We are Looking for Executive & Senior Executive for Cashless and Claims Department. Location : Chennai, Bangalore, Hyderabad, Mumbai, New Delhi, Kolkata. **Roles & Responsibilities of Cashless/Claims - Executive/Senior Executive**: - Accurate and efficient processing of claims, including verifying policy coverage,...

Hiring at Leading BPO at chennai Designation: Claim process executive Experience :Minimum 6 month to 5 years from voice process only Qualification: Any Degree Good communication skill and typing skill must **Job Description**: International medical and non medical claim process Prrior experience in customer services or claim processing preferably in...

**Designation: Quality Claims Executive** **Location: Neelankarai, ECR** **Job Roles & Responsiblities** Summary: As a Quality Executive specializing in Claims Analysis, you will play a pivotal role in ensuring the accuracy, efficiency, and compliance of claims processing within our organization. Leveraging your analytical skills and attention to detail,...

A claims executive's job description typically includes: Claims processing Receiving and registering claims, collecting and verifying documents, and forwarding claims to the head office Claims assessment Evaluating claims to ensure they meet the policy's terms and benefits, and are within the claim authority limit Claims settlement Negotiating settlements,...

**Job Title**: Claims Executive **Location**: Chennai **Responsibilities**: - Process claims accurately and efficiently, verifying policy coverage and calculating payable amounts. - Complete training in claims software and understand system features. - Ensure accurate data entry of bills and verification of details. - Adhere to Standard Operating...

Role Purpose The purpose of the Claims Role is to effectively manage the claims process for clients, ensuring a smooth and fair settlement of claims. The role involves reviewing and validating claims, liaising with insurers, advocating for clients' interests, and guiding them through the claims process to achieve a satisfactory outcome. Key Expectations of...

**Claim Examiner - Adjudication** **JOB SUMMARY**: - 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...

Verify the authenticity of medical claims by validating admission, treatment, and billing details. - Ensure accurate documentation and reporting of findings for each claim. - Identify discrepancies or red flags in claims and escalate them for further investigation. - Maintain compliance with company guidelines and industry regulations during the verification...

NTT Data Services is Hiring! Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping...

**Role**: HC & Insurance Operations Associate **Shift Timings**: 6 PM-4 AM IST (AR SHIFT) **Location**: Chennai/Coimbatore (Currently Remote) **Double vaccination required** **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims...

Responsibilities - Review insurance claim forms and supporting documentation for accuracy and completeness - Verify policy information and coverage details - Conduct investigations and gather additional information when necessary - Evaluate claims based on policy terms and conditions - Determine the appropriate payment and process claims in a timely manner -...

**Adjudication - Claim Examiner** - Review medical documents, policy documents, policy history, Claims history, and system notes - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.) - Process Insurance Claims timely and qualitatively - Ability to resolve claims that require adjustments and adjustment projects. - Identify...

**Job description**: **Sr Claim processor/Sr Claim adjudicator**Do quality check on the claims processed by Analysts/TraineesTrack the errors and provide feedback to the erring Analysts/traineesEnsure process guidelines are followed and met as documentedRaise process related issues / concerns on time with process and team leadsStay updated with the process...

Hiring for three Financial Claims Examiner Specialists for Steinway Consulting, a leading US Healthcare RCM Company based in Chennai. The role involves examining paid claims to identify errors and discrepancies, with an estimated salary of $80,000 - $100,000 per year.Key Responsibilities:Claims Review: Analyze medical claims to detect inaccuracies and...

About the Role- Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities-Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US Healthcare...

Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.Role - Claims Auditor/ Payment Integrity AssociateLocation - ChennaiType - Full time, Work from OfficeShift - DayRoles & Responsibilities:●       Claims Review:Analyze paid claims to identify errors and incorrect payment.Identify potential fraud,...

Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.Role - Claims Auditor/ Payment Integrity AssociateLocation - ChennaiType - Full time, Work from OfficeShift - DayRoles & Responsibilities:●       Claims Review:Analyze paid claims to identify errors and incorrect payment.Identify potential fraud,...

About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...

About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...