Insurance Claims Examiner

Job Summary:Cogneesol is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for processing claims in line with required service standards and delegated authority.Key Responsibilities:Process claims accurately and efficiently.Collate information from correct sources to assess claims.Challenge any anomalies and...

We're currently seeking an Insurance Process Associate to support our underwriting department. The ideal candidate will possess knowledge of company insurance products and have strong time management and problem-solving skills.Key ResponsibilitiesProvide research and clerical support to determine whether insureds/customers qualify for insurance...

Job Title: Process AssociateAbout the Role:We are seeking a highly skilled and motivated Process Associate to join our team at Cogneesol. As a Process Associate, you will be responsible for processing claims in line with our required service standard and in accordance with delegated authority.Key Responsibilities:Process claims accurately and efficiently,...

**Job Description**We are seeking an experienced Duck Creek Claims Specialist to join our team at Wits Innovation Lab. The ideal candidate will have a strong background in Duck Creek Claims, particularly Version 12.Key Responsibilities:• Analyze and understand client requirements for Duck Creek Claims functionality.• Design and implement solutions using...

Job DescriptionClaim Review and Follow-up: Ensure timely resolution of unpaid claims from insurance companies.Insurance Communication: Establish and maintain effective communication with insurance companies to understand claim status and requirements.Denials and Underpayments: Investigate and resolve denied or underpaid claims, and prepare appeal packets as...

Job Title: AR Caller- US HealthcareAt Quantazone, we are seeking a highly skilled and experienced AR Caller- US Healthcare to join our team. As an AR Caller- US Healthcare, you will be responsible for reviewing provider claims that have not been paid by insurance companies, following up with insurance companies to understand the claim's status, and preparing...

Job Title: Medical Billing AssociateKimoha Technologies is seeking a highly skilled Medical Billing Associate to join our team. As a Medical Billing Associate, you will be responsible for processing medical charges and payments in a timely and accurate manner.Key Responsibilities:Post medical charges and payments in a timely and accurate manner.Process...

Job Title: Accounts Receivable Specialist for US Healthcare RCMJob Summary:Augmentive Business 7 Solution Private Limited is seeking a highly skilled Accounts Receivable Specialist to join our team in Hyderabad. As an Accounts Receivable Specialist, you will be responsible for managing assigned accounts receivable portfolios for US healthcare providers. Your...

Job Title: Revenue Cycle Management Specialist - US Healthcare RCMJob Summary: We are seeking a highly skilled Revenue Cycle Management Specialist to join our team at Augmentive Business 7 Solution Private Limited. The successful candidate will be responsible for managing assigned accounts receivable portfolios for US healthcare providers, analyzing...

Job Title: AR Calling SpecialistAugmentive Business 7 Solution Private Limited is seeking a highly skilled AR Calling Specialist to join our team. As an AR Calling Specialist, you will be responsible for managing assigned accounts receivable portfolios for US healthcare providers.Key Responsibilities:Analyze outstanding AR balances and identify root causes...

Key Responsibilities:Review and analyze provider claims to identify non-paid items.Communicate with insurance companies to resolve claim status and obtain necessary information.Contact insurance companies to clarify denials and underpayments, and prepare appeal packets as needed.Make necessary corrections to claims and re-submit or re-file as...

Job Title: US Healthcare RCM Accounts Receivable SpecialistAt Augmentive Business 7 Solution Private Limited, we are seeking a highly skilled US Healthcare RCM Accounts Receivable Specialist to join our team. As a key member of our revenue cycle management team, you will be responsible for managing assigned accounts receivable portfolios for US healthcare...

Job Title:**Accounts Receivable Specialist**Job Summary:We are seeking an experienced Accounts Receivable Specialist to join our team at Jorie Healthcare Partners LLC. The successful candidate will be responsible for managing the accounts receivable aspects of our client-focused revenue cycle operations.Key Responsibilities:Review Outstanding Insurance...

Key Responsibilities:    Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients, and clients when appropriate.    Analyze trend data, recommending solutions to improve first-pass denial rates and reduce the age of overall AR. Account Receivable...

Job Title: Accounts Receivable SpecialistAbout the Role:We are seeking an experienced Accounts Receivable Specialist to join our team at Jorie Healthcare Partners LLC. As an AR Specialist, you will be responsible for managing the accounts receivable aspects of our client-focused revenue cycle operations.Key Responsibilities:Review outstanding insurance...

**Job Summary:**We are seeking an experienced Revenue Cycle Professional to join our team at Jorie Healthcare Partners LLC. The successful candidate will be responsible for managing the accounts receivable aspects of our client-focused revenue cycle operations.**Key Responsibilities:**Review outstanding insurance balances to identify and resolve issues...

Role OverviewThis role, reporting to the Risk COE lead, is responsible for producing global risk reports, including reconciliations and analysis, insurance claim filing, analysis of financial and risk statements. The successful candidate will work closely with risk, delta, credit, and insurance teams to understand and develop new reports and enhance existing...

**Job Summary**: As an experienced Insurance Claim Adjuster specializing in the logistics industry, you will manage and resolve insurance claims related to transportation, warehousing, and logistics operations. Your role involves investigating, evaluating, and settling complex claims while ensuring compliance with industry standards and company...

Looking for **Claims Adjuster**. We are an asset based trucking company based in California, USA. Need a employee who has experience as a **Insurance Claims Adjuster**. Should have experience of Filing/Opening /Closing ongoing claims. Salary depends upon the experience. **Job Types**: Full-time, Permanent Pay: ₹25,000.00 - ₹60,000.00 per...

**Responsibilities for claims coordinator** - Insures proper and timely tests are conducted and results are valid - Review and process provider disputes and appeals as established in the Claims Department Policies and Procedures - Answering incoming calls from customers and identify the type of assistance the customer needs - Process and Review Claims - Own...

1 - 3 Year Experience Mohali **Job description **:We are seeking an experienced and knowledgeable individual to join our team as an Insurance Professional specializing in Property & Casualty (P&C) Insurance. As an Insurance Professional with P&C Insurance experience, you will play a crucial role in providing expert insurance advice, assessing risks, and...

**Experience Required**: Minimum 1 year **Key Responsibilities**: - Handle inbound and outbound calls related to insurance inquiries, policy details, and claims. - Provide accurate information to customers regarding various insurance products and services. - Assist in processing insurance claims, renewals, and policy updates. - Ensure timely resolution of...

**Role Description** This is a full-time on-site role for a US Trucking Insurance Specialist at Aspire Globus. The specialist will be responsible for tasks related to CDL Class A requirements, truck driving, unloading procedures, and ensuring compliance with DOT regulations. **Key Responsibilities**: **Insurance Sales and Consulting**: - Assess clients'...

Harjit Mohan Insurance Consultant is a well-known and registered entity (License no. 058880629) in the field of providing Insurance covers, financial covers, maximizing savings of all classes of society & confirming its obligations of attractive returns for its stakeholders. We have full realization that money invested by policy holders relates to them...

Job Overview: Key Responsibilities: Premium Calculation: Analyze factors affecting risk and determine appropriate premiums to ensure profitability while staying competitive in the market. Policy Terms: Set policy terms and conditions, including coverage limits, exclusions, and endorsements, based on underwriting guidelines and risk...

**Job description** **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**Job Summary**: As an Insurance Sales Executive, you will be responsible for generating revenue by selling insurance products to individuals and businesses. You will identify prospective clients, assess their insurance needs, and recommend appropriate coverage options. Through effective communication and negotiation skills, you will build and maintain...

**About the Role**: We are seeking enthusiastic and motivated interns to join our Finance and Insurance departments. This internship offers hands-on experience and exposure to industry best practices, equipping you with valuable skills and knowledge to kickstart your career in finance and insurance. **Key Responsibilities**: - Assist in financial data...

**Key Responsibilities**: - **Document Management**: Ensure all required transportation documents (permits, licenses, registrations, etc.) are up to date and comply with industry regulations. - **Insurance Compliance**: Monitor and maintain current insurance certificates for all vehicles and drivers, ensuring coverage aligns with company and regulatory...

**Job description**: **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the...

**This is a work from office position only.** - Maximize insurance reimbursement for providers Must have work experience of Physician Billing process. - Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions. - Interact with the US-based insurance carriers to follow-up on submitted claims, monitor unpaid...

**Experience Required**:1 - 4 years - Responsible for Payment posting, Co-Pay collections, Rejections Denials, Clearing house review Eligibility verification, Insurance Processing, - Must have insurance verification experience including HMOs, PPOs, POS and IPA's. - Maximize insurance reimbursement for healthcare practice owners. Must have work experience of...

**This is a work from office position only.** - Maximize insurance reimbursement for providers Must have work experience of Physician Billing process. - Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions. - Interact with the US-based insurance carriers to follow-up on submitted claims, monitor unpaid...

**This is a work from office position only.** - Maximize insurance reimbursement for providers Must have work experience of Physician Billing process. - Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions. - Interact with the US-based insurance carriers to follow-up on submitted claims, monitor unpaid...

**Process Associate - Charge Entry/Payment Posting** **Preferred Experience**: 0-3 years **CTC Range Offered**: 2.5-4 LPA **Key job accountabilities**: - Responsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties. - Must have insurance...

Welcomes patients by greeting them, in person or on the telephone; answering or referring inquiries. Prepares patients for the health care visit by directing and/or accompanying them to the examining room; providing examination gowns and drapes; helping them to position themselves for the examination and/or treatment; arranging examining room instruments,...

**This is a work from office position only.** - Responsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties. - Responsible for 100% audit of all charge entry claims and payments posted. - Delivery of team target, service level components, quality &...