Claims Analyst

1 day ago

solapur, India beBeeClaims Full time

Job TitleWe are seeking a detail-oriented professional for the role of Health Claims Specialist.The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with industry regulations and contractual agreements.Key Responsibilities:Review and analyze medical claims submitted by healthcare providers for accuracy, completeness, and compliance with insurance policies and regulatory requirements.Verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement.Assign appropriate medical codes (e.g., ICD-10, CPT) to diagnoses, procedures, and services according to industry standards and guidelines.Adjudicate claims based on established criteria, including medical necessity, coverage limitation, ensuring fair and accurate reimbursement.Process claims promptly and accurately using designated platforms.Investigate and resolve discrepancies, coding errors, and claims denials through effective communication with healthcare providers, insurers, and internal teams.Collaborate with billing, audit, and other staff to address complex claims issues and ensure proper documentation and justification for claim adjudication.Maintain up-to-date knowledge of healthcare regulations, coding guidelines, and industry trends to ensure compliance and adherence to best practices in claims processing.Provide courteous and professional customer service to policyholders, healthcare providers, and other stakeholders regarding claim status, inquiries, and appeals.Document all claims processing activities, decisions, and communications accurately and comprehensively in the designated systems or databases.Participate in training programs, team meetings, and quality improvement initiatives to enhance skills, productivity, and overall performance.

  • Data Analyst

    4 days ago

    Solapur, India Veltris Full time

    We are seeking a highly skilled Dental Practice Management (PMS) Analyst with strong domain knowledge of dental clinic operations, practice management systems, and financial workflows. The ideal candidate will have hands-on experience with major dental PMS platforms and a deep understanding of clinical, operational, and financial interfaces. Experience: 4 to...

  • Research Analyst

    3 weeks ago

    Solapur, India Turing Full time

    About the Role:Join us as an Research Analyst and help shape the future of large language models (like GPT). You’ll work on fascinating analytical questions, research real-world scenarios, and create structured content that improves how AI understands and responds. No AI experience is required—just strong English skills, sharp reasoning, and...

  • Research Analyst

    3 weeks ago

    Solapur, India Turing Full time

    About the Role:Join us as an Research Analyst and help shape the future of large language models (like GPT). You’ll work on fascinating analytical questions, research real-world scenarios, and create structured content that improves how AI understands and responds. No AI experience is required—just strong English skills, sharp reasoning, and...

  • Senior Healthcare Insights Specialist

    1 week ago

    solapur, India beBeeDataAnalyst Full time

    At TechBiz, we are a leading IT Product Development company specializing in the Logistics, Healthcare, Banking, Financial, and Insurance sectors. Our expertise includes Artificial Intelligence, Machine Learning, IoT, Blockchain, and Cloud computing, guiding organizations on successful Digital Transformation journeys.This is a fully remote role based out of...

  • Business Analyst

    1 week ago

    solapur, India Star Union Dai-ichi Life Insurance Company Limited Full time

    Key ResponsibilitiesRequirements Gathering- Collaborate with stakeholders (business users, IT, project managers) to collect and document business requirements for new products, processes, or system enhancements. Preferably for New business, Bank/Partner Integration, and customer onboarding processes.- Conduct discussions with user department to elicit...

  • Business Intelligence Specialist

    2 days ago

    solapur, India beBeeDentalAnalyst Full time

    Senior Dental Operations AnalystAs a seasoned Senior Dental Operations Analyst, you will be responsible for analyzing and interpreting complex data across various dental practice management software platforms.Analyze production, collection, and accounts receivable metrics to identify trends and areas of improvement.Collaborate with internal teams to design...

  • Guidewire Smart COMM Developer

    1 week ago

    Solapur, India LTIMindtree Full time

    Dear Candidates, Greeting from LTIMindtree.. We are having urgent job opportunity for the below skill. Job Overview A Guidewire Smart COMM Developer creates and maintains document generation and customer communication solutions for the insurance industry. The role involves using Smart Communications (formerly Thunderhead) to integrate with Guidewire's...

  • Lead Software Developer

    1 week ago

    solapur, India beBeeProgramming Full time

    Job DescriptionAs a Senior/Principal Programmer, you will be responsible for providing programming support to our statistics and programming department across various projects, clients, and therapeutic areas.This role requires expertise in manipulating large databases, generating reports, and enabling analysts to explore real-world healthcare data...

  • Catalyst of Data Insights

    1 week ago

    solapur, India beBeeProgrammer Full time

    Our organization is currently seeking a highly skilled and experienced Senior Programmer. The successful candidate will be responsible for delivering high-quality programming support to the statistics and programming department, with a focus on manipulating large databases and generating reports.This role offers an excellent opportunity for individuals with...