Mainframe +Claim Adjudication

Role BPO Health Claims Adjudication Associate Experience Range 1 to 3 year Location DLF - Chennai Work From Office Shift Timing - US Central time 6 00 PM to 4 00 AM IST Transport - Only DROP Notice Period Immediate - 15 days for BPO Health Claims Adjudication Associate Roles and Responsibilities Required computer skills must have experience with data entry...

Key responsibilities of this role include application development using mainframe skills, conducting code reviews and testing software to ensure quality.Claim adjudication experience is also essential for success in this position. When applying, please be prepared for a face-to-face interview. Application development experience with design, coding, testing,...

**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,...

**Job Summary** As a Process Executive - HC you will be responsible for handling claims adjudication processes utilizing MS Office and UiPath tools. You will work in a hybrid model with night shifts ensuring efficient and accurate processing of provider and payer claims. This role requires attention to detail and the ability to work independently with...

**Roles and Responsibilities**: - 2-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA) and institutional (UB) claims - Knowledge in handling authorization, COB, duplicate and pricing process - Knowledge of healthcare insurance policy concepts including in network, out of network providers,...

**Job Summary** Join our dynamic team as a Process Executive in Prod Ops where you will leverage your expertise in UiPath and Claims Adjudication to streamline operations. With a focus on Provider and Payer domains you will play a crucial role in enhancing efficiency and accuracy. This hybrid role offers night shifts providing flexibility and a unique...

Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations -...

Roles and Responsibilities Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization COB duplicate pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network out of network providers deductible coinsurance co-pay out of pocket maximum inside limits and exclusions state...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Job description** Role**:Claims Specialist** Location: Nungambakkam, **Chennai** Work Mode: Work from office Experience: Freshers and 1+ - _ **Claims Specialist** for the opening at **Chennai** location. Qualifications: BDS,BHMS, BSMS, BAMS, BPT. - To medically adjudicate the claims that are being allotted adhering to the company policies and...