Claims Specialist
2 days ago
About Job:-Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently. The processor may also be responsible for communicating with employees or dependants to provide updates on the status of their claims and to address any questions or concerns. Overall, the job purpose is to facilitate the smooth and timely processing of cashless claims to ensure that employees receive the benefits they are entitled to.PRINCIPAL ACCOUNTABILITIES:-Act as a Claims buddy - Manage end-to-end cashless claims of employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed accurately and efficiently.Verify Policy Coverage: Review and verify policy details to ensure that the claim is eligible for cashless processing according to the terms and conditions of the insurance policy.Provide Customer Service: Respond to inquiries from employees, and other stakeholders regarding claim status, and any other related queries.Coordinate with Healthcare Providers/Hospitals: Communicate with healthcare providersto obtain additional information, clarify details,( whenever required)Resolve Issues: Investigate and resolve any discrepancies, errors, or issues that mayarise during the processing of cashless claims to ensure timely and accurate resolutionMaintain Records: Keep detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.Adhere to Service Level Agreements: Meet or exceed established service levelagreements and performance metrics related to claim processing, turnaround time, accuracy, and customer satisfaction.Achieve NPS of 92+ in the cashless claims handledINTERACTIONS:--Internal Clients:Endorsement teamOnboarding teamProducts & engineering-Claims teamsSupport InboundAccount Management-External Clients:InsurersClient HR’sHospitalsWho can apply?At least 2 years of experience in customer-facing rolesPast Experience in voice profile would be an added advantageExperience in cashless/ TPA
-
Claims specialist
3 weeks ago
Bangalore, India Plum Full timeAbout Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...
-
Claims Specialist
6 days ago
Bangalore, India Plum Full timeAbout Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...
-
Claims Specialist
2 weeks ago
bangalore district, India Plum Full timeAbout Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...
-
[Immediate Start] Claims Resolution Specialist
3 weeks ago
Bangalore, Karnataka, India Transworld Systems Full timeOverview Please Note English language proficiency is required for this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru...
-
AR Follow Up or Accounts Receivable Specialist
2 weeks ago
bangalore, India Svast Healthcare Technologies Full timeCompany Description:Svast Healthcare Technologies is a trusted Revenue Cycle Management (RCM) and billing partner for physician practices and provider groups. We have billed over $1B+ for 100+ clients, guaranteeing an increase in practice revenue. Our specialties include Primary Care, Pediatrics, OB/GYN, Cardiology, Physical Therapy, Family Medicine, and...
-
Insurance Underwriting Specialist
2 weeks ago
bangalore, India Swan Corp Full timeInsurance Underwriting Specialist Job Title: Insurance Underwriting Specialist Location: Mumbai/Remote Employment Type: Full-Time Experience Required: 3-5 years in agriculture insurance underwriting or a related field Education: Bachelor's degree in Agriculture, Risk Management, Insurance, or a related field. Job Overview: We are seeking an...
-
Experienced Billing RCM
2 days ago
bangalore, India My Care International Full timePosition: Experienced Billing RCM (Physicians/Hospital/Lab)Location: RemoteExperience: 3 to 5 yearsShift time: 07:30 pm to 05:30 am IST (10 Hour Night Shift)Workdays: 5 working daysSalary: 35+Company Overview: My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and timely results to support...
-
Bangalore, Karnataka, India Transworld Systems Full timeOverview Please Note English language proficiency is required for this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru...
-
Experienced Billing RCM
2 weeks ago
bangalore, India My Care International Full timePosition : Experienced Billing RCM (Physicians/Hospital/Lab) Location : Remote Experience : 3 to 5 years Shift time : 07:30 pm to 05:30 am IST (10 Hour Night Shift) Workdays : 5 working days Salary: 35+ Company Overview: My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and...
-
Procurement Specialist
2 days ago
bangalore, India SD Industries, LLC Full timeLocation: 100% RemoteJob Type: Full TimeShift Time: 5:30 PM IST to 3:30 AM ISTIndustry: Construction & FabricationRequirement: Immediate joiner - one weekAbout the role:We’re looking for a detail-oriented Procurement Specialist to manage procurement operations, ensuring timely delivery of quality materials while optimizing costs. If you have experience in...
