
Claims Specialist
4 weeks ago
Job Details
Job Title Claims Specialist
Location Hyderabad
Experience Required 5+ years
Notice Period Immediate to 30 days
Shift Timings 630 PM to 330 AM IST (US Shifts)
Role Overview
We are looking for an experienced Claims Specialist to support claims processing and management in the US insurance process. The candidate will focus on evaluating and processing claims while ensuring compliance with industry standards.
Key Responsibilities
Review and process insurance claims and related documentation.
Conduct claims assessments, ensuring accuracy and completeness.
Coordinate with brokers and carriers to gather necessary information.
Prepare claims reports and ensure timely follow-up on pending claims.
Maintain accurate records in claims management systems.
Ensure compliance with industry regulations and internal guidelines.
Collaborate with team members to resolve claim issues and provide necessary support.
Qualifications
Bachelor s degree in any field.
5+ years of experience in claims processing, with exposure to the US insurance market.
Strong analytical, organizational, and problem-solving skills.
Excellent communication and customer service skills.
Proficiency in claims management software and tools.
- *References are highly appreciable.....
-
Claims Specialist
4 weeks ago
Hyderabad, Telangana, India Tech Tammina Full timeJob DescriptionJob descriptionExperience Required 4+ years (Property and Casualty domain is mandatory)Notice Period Immediate to 30 daysShift Timings 630 PM to 330 AM IST (US Shifts)Role OverviewWe are looking for an experienced Property and Casualty Claims Specialist to support claims processing and management in the US insurance process. The candidate will...
-
Healthcare Accounts Receivable Specialist
13 hours ago
Hyderabad, Telangana, India Doctus Data Services Private Limited Full time ₹ 9,00,000 - ₹ 12,00,000 per yearJob Title: Healthcare AR SpecialistIndustry: US HealthcareEmployment Type: Full-Time | Night Shift (US Time Zone)Location: Office-Based | Immediate Joiners PreferredJoin a leading US healthcare revenue cycle team. We're hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using...
-
Appeals Specialist
4 weeks ago
Hyderabad, Telangana, India PrimEra Medical Technologies Full timeSummary: This position is responsible for reviewing, analyzing, and validating claims, itemized bills and medical records to ensure accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements.Responsibilities:• Review itemized bills, claims, and supporting documentation for accuracy and completeness.• Verify that billed...
-
Appeals Specialist
3 weeks ago
Hyderabad, Telangana, India PrimEra Medical Technologies Full timeSummary: This position is responsible for reviewing, analyzing, and validating claims, itemized bills and medical records to ensure accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements. Responsibilities:• Review itemized bills, claims, and supporting documentation for accuracy and completeness.• Verify that...
-
HR Operations Executive/Specialist with MIS
2 days ago
Hyderabad, Telangana, India CIEL HR Full time ₹ 9,00,000 - ₹ 12,00,000 per yearoutJob description: HR operations with travel reimbursement and MISJob Title: HR Operations Executive/Specialist with MISDepartment: Human ResourcesLocation: HyderabadReports to: HR Operations ManagerJob summaryThe HR Operations Executive with MIS is responsible for managing the day-to-day HR administration with a specialized focus on the company's travel...
-
AR Caller/ Medical Biller
14 hours ago
Hyderabad, Telangana, India Credense Medical Billing Full time ₹ 6,00,000 - ₹ 8,00,000 per yearCompany DescriptionCREDENSE is dedicated to maximizing financial returns for healthcare organizations through transparent, dependable, and responsive services. Our expertise is solely focused on revenue cycle management to optimize operations and revenue. With a skilled team of billers, coders, and A/R specialists, we ensure top-quality medical billing and...
-
Specialist II
2 days ago
Hyderabad, Telangana, India V3 Staffing Full time ₹ 4,00,000 - ₹ 8,00,000 per yearOur reputed MNC Client is hiring for Specialist II- Accounts Payable role:Shift: GeneralWork Mode: Work From Office (5 days working)Individual Contributor role.Notice Period: 0-30 days (Plz don't apply if your notice period is more than 30 days)Overview:We are seeking an Accounts Payable professional to manage vendor invoices, associate reimbursements, and...
-
VP/SVP - Location Head
9 hours ago
Hyderabad, Telangana, India Headspace Hr Full time ₹ 20,00,000 - ₹ 25,00,000 per yearLooking for Location Head Hyderabad with MNC Insurance in Hyderabad locationDrive client retention across the book by managing service levels, escalations and SLAs with clients.Expand additional products/services into existing clients; as well as build new business pipeline through the sales teams.Ensure that financial performance of the Location meets or...
-
Specialist/Senior Specialist
3 weeks ago
Hyderabad, Telangana, India DE Shaw Full timeJob DescriptionRole Responsibilities:- Set up vendors in Workday accounting and payment platforms- Process supplier invoices and execute pay runs in Workday- Address vendor payment-related queries and provide real-time status updates on employee claims- Prepare and publish Bank Reconciliation Statements, process foreign payments, and maintain month-end...
-
Machine Learning Operations Specialist
3 weeks ago
Hyderabad, Telangana, India People Prime World Wide Full timeJob Description Job Title : Senior MLOps Specialist AWS Cloud. Location : Hyderabad. Type : ValueMomentum Advanced Analytics Center ValueMomentum has strategically established an Advanced Analytics Center to strengthen AI and analytics capabilities in the Property & Casualty (P&C) Insurance sector. This unit focuses on revolutionizing insurance with...