
Medical Claims Review Senior Analyst Only 24h Left
4 weeks ago
Medical Advisor The Medical Advisor is a member of the medical team which develops and manages health and wellness programs for Cigna customers Together with a team of nurses and physicians she he will ensure attainment of quality production timeliness cost containment goals and excellent customer satisfaction for both internal and external customers Ability to review investigate and respond to external and internal inquires complaints Provides guidance and acts as a mentor or coach for the nurses and other non-clinical staff He she works with a multicultural population and is constantly aware of the cultural differences among that population and the geographical regions Major responsibilities and desired results Part of a clinical team that provides evidence based medical management services to customers worldwide Give evidence-based advice on medical claims taking into account compliance internationally accepted protocols and local and or regional customs and regulations Support and monitor the case management disease management and other clinical services and assure quality of performance against QA standards to promote optimal service delivery and ensure accurate statistical data and reports Give advice on appropriate corrective action if necessary Assist in fraud detection Assist is the coordination of processes for improving quality of care and health outcomes for specifically delineated projects or populations Excellent communication and facilitation skills are keys to success Assist and support the team in cost containment assist in projects and service delivery to meet goals Work together with the team on quality improvement and clinical management projects within Clinical Operations Serves as a resource educator regarding specific areas of expertise Able to create and implement appropriate educational clinical programs content for internal and external audiences and link with Cigna University resources Other duties as assigned Location India Languages English fluent and any additional language will be considered Experience Medical Degree 3 years of experience in insurance sector would be an asset About The Cigna Group Cigna Healthcare a division of The Cigna Group is an advocate for better health through every stage of life We guide our customers through the health care system empowering them with the information and insight they need to make the best choices for improving their health and vitality Join us in driving growth and improving lives
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Medical Claims Review Specialist
2 days ago
Bengaluru, Karnataka, India beBeeClinical Full time ₹ 1,04,000 - ₹ 1,30,878Medical Claims Review SpecialistWe are seeking a highly skilled Medical Claims Review Specialist to join our team. As a key member of our operations, you will be responsible for reviewing medical claims and identifying areas where cost savings can be achieved.This is a full-time position that requires strong analytical and problem-solving skills, as well as...
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Medical Claims Examiner
1 day ago
Bengaluru, Karnataka, India beBeeHealthInsurance Full time ₹ 25,00,000 - ₹ 50,00,000Job Title: Claims AnalystJob Description:This internship offers hands-on experience in health insurance claims processing and management. As a Claims Intern, you will support the Claims Department in reviewing and organizing claims documentation, checking medical documents for completeness and clarity, and learning to assess basic claim eligibility.Key...
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Clinical Review Claims Professional
1 day ago
Bengaluru, Karnataka, India beBeeClinical Full time US$ 1,04,000 - US$ 1,30,878Clinical Review Specialist RoleSagility is a leading healthcare organization with numerous opportunities for BDS/MDS graduates. We are seeking highly skilled professionals to interpret medical records and provide accurate clinical reviews.Key Responsibilities:Interpret various types of medical recordsApply CPT, ICD-9, and ICD-10 codingAnalyze medical...
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Only 24h Left Senior Product Analyst
4 weeks ago
Bengaluru, Karnataka, India ZeOmega Full timePOSITION SUMMARYThe Senior Product Analyst is responsible to conceptualize solution framework for product requirements and deliver functional blueprint. Define the product component scope in sync withoverall product vision and work closely with engineering teams to deliver winning products. Additionally, undertake artefact review to ensure quality...
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Senior Claims Expert
9 hours ago
Bengaluru, Karnataka, India beBeeClaims Full time US$ 75,000 - US$ 1,25,000Job OpportunityAre you a skilled professional looking to expand your expertise in claims processing? We are seeking an experienced Senior Claims Analyst to join our team.This role is ideal for individuals who possess excellent analytical skills, attention to detail, and the ability to work effectively in a fast-paced environment. As a Senior Claims Analyst,...
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Only 24h Left Senior Analyst
2 days ago
Bengaluru, Karnataka, India HSBC Full timeJob description Some careers have more impact than others If you re looking for a career where you can make a real impression join HSBC and discover how valued you ll be HSBC is one of the largest banking and financial services organisations in the world with operations in 62 countries and territories We aim to be where the growth is enabling...
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Trainee - Medical Reviewer
3 days ago
Bengaluru, Karnataka, India Omega Healthcare Full timeJob DescriptionKey Responsibilities:- Review and assess medical documents, including clinical trial data, safety reports, and regulatory submissions, for accuracy, consistency, and compliance with industry standards.- Assist in the preparation of regulatory documents, such as clinical study reports, informed consent forms, and patient safety reports.- Ensure...
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trainee - medical reviewer
3 days ago
Bengaluru, Karnataka, India Omega Healthcare Full timeJob DescriptionJob Summary- Omega Healthcare Management Services Pvt. Ltd. is looking for TRAINEE - MEDICAL REVIEWER to join our dynamic team and embark on a rewarding career journey Review medical records for accuracy and completeness.- Assist in compiling reports based on medical data.- Ensure compliance with medical and regulatory standards.- Develop...
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Medical Reviewer
2 days ago
Bengaluru, Karnataka, India Novo Nordisk Full timeBy continuing to use and navigate this website you are agreeing to the use of cookies Accept Close Press Tab to Move to Skip to Content Link Search by Keyword Search by Location Loading Category Select how often in days to receive an alert x Select how often in days to receive an alert Medical Reviewer Category Clinical Development ...
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Only 24h Left) Medical Transcriptionists
3 weeks ago
Bengaluru, Karnataka, India Weekday AI Full timeThis role is for one of the Weekday's clientsMin Experience: 3 yearsLocation: BengaluruJobType: full-timeWe are seeking highly skilled and detail-oriented Medical Transcriptionists with 3 to 20 years of experience to join our healthcare documentation team. The ideal candidate will possess strong expertise in transcribing medical dictations accurately and...