Senior Claims Operations Associate

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

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

**Job Summary:**We are seeking a highly skilled HC & Insurance Operations Associate to join our team.**Key Responsibilities:Process insurance claims in accordance with company policies and procedures.Review medical documents, policy documents, and system notes to make informed claims decisions.Stay up-to-date on new policies, processes, and procedures...

Job Overview:">The role of Claims Manager involves analyzing and processing claims in coordination with third-party administrators (TPAs) and insurance companies. This position requires effective leadership and communication skills to manage relations with TPAs/Insurers, ensure timely claim settlements, and provide excellent client experience."

Job Summary:We are seeking an accomplished Senior Manager - Claims professional to lead and oversee the Employee Benefits claims team. The ideal candidate will possess strong stakeholder management skills, in-depth knowledge of health insurance processes, and regulatory frameworks.

Claims Management Leader\This is an exciting opportunity to lead and oversee a team of claims professionals in a fast-paced insurance environment. As Claims Management Leader, you will be responsible for ensuring smooth and efficient claims processing across cashless and reimbursement cases.\You will have strong expertise in handling Employee Benefits (EB)...

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

Senior Medical Coding Auditor SIUDeveloping expertise in assessing trends and patterns in fraudulent healthcare claims requires deep knowledge of medical coding guidelines. The professional conducts thorough investigations into allegations of fraudulent and abusive practices.Key Responsibilities:Advances the organization's expertise in CPT HCPCS and ICD-10...

Job OpportunityWe are seeking a highly skilled Claims Process Executive to fill this key position.About the Role:This role involves processing customer claims in a timely and efficient manner, ensuring seamless claim processing through effective collaboration with internal teams.Main Responsibilities:

Job DescriptionWe are seeking a professional to make outbound calls to insurance companies to check claim status. The successful candidate will have excellent communication skills and be able to work effectively with payers on unpaid or denied claims.Responsibilities:Understand and resolve denials by coordinating with insurance representatives.Update the...