(Urgent Search) Senior Executive Health Claims Assessment

Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents - Reserve Setting: - Need to do the proper reserve setting on system based on the claim documents - Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of...

Verify patient insurance coverageGenerate bill estimate based on hospital guidelines and determine patient copay / depositHandle end to end documentation for billing and claims of health insurance patients based on information provided by the hospitalObtain required case information and signoff from hospital and share information with insurer / TPADraft...

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

This role is for one of Weekday’s clients Salary range: Rs 400000 - Rs 600000 (ie INR 4-6 LPA) Min Experience: 4 years Location: Mumbai JobType: full-time Requirements We are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for...

Job Description Key Responsibilities - Medical Review Claims Adjudication: - Assess and validate medical claims based on clinical documentation and policy coverage. - Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. - Coordinate with internal medical teams to ensure accuracy in claims decision-making. -...

Job Description Job Title: Quality and Process Manager Health Claims Operations Location: Bangalore Department: Health Claims Operations Reports To: Head of Health Claims Employment Type: Full-Time Job Summary We are seeking a highly analytical and process-driven Quality and Process Manager to lead quality assurance and process improvement initiatives within...

Company DescriptionParamount Health Services & Insurance TPA Pvt. Ltd. (PHS) is a Third Party Administrator in the health insurance sector, serving all insurance companies. PHS enhances health insurance policies through a network of healthcare service providers, medical care standardization, claims management, client servicing, and expert opinion, thereby...

**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...

**Experience**: Minimum 2 Years **Salary**:up to 3.5 LPA **Reporting to**: Megha N Sr Claims Executive **Working Hours**:10:00 AM 6:30 PM (Two Saturdays off per month) **Employment Type**:Full time **Key Responsibilities**: - Process and manage health, motor (and non-motor insurance claims). - Review physical and digital claim files, verify...