Clinical Review Claims Professional

Medical Claims Review SpecialistWe are seeking a highly skilled Medical Claims Review Specialist to join our team. As a key member of our operations, you will be responsible for reviewing medical claims and identifying areas where cost savings can be achieved.This is a full-time position that requires strong analytical and problem-solving skills, as well as...

A Medical Reviewer at Prudent Insurance Brokers would be responsible for reviewing medical information and data related to insurance claims, ensuring accuracy, completeness, and compliance with relevant regulations. They would analyse medical reports, documents, and data to determine the validity of claims and provide recommendations for claim processing....

Medical Data Review SpecialistWe are seeking a highly skilled Medical Data Review Specialist to join our team. The ideal candidate will have experience in clinical data sciences and possess strong leadership skills.About the Role:The Medical Data Review Specialist will be responsible for providing expert skills as part of a Medical Data Review team to...

Medical Advisor The Medical Advisor is a member of the medical team which develops and manages health and wellness programs for Cigna customers Together with a team of nurses and physicians she he will ensure attainment of quality production timeliness cost containment goals and excellent customer satisfaction for both internal and external customers ...

Job Title: Clinical Research ProfessionalThe role of a clinical research professional is to support the execution and management of clinical trials, contributing to the advancement of innovative treatments and therapies.Key Responsibilities:Participate in site feasibility assessments and play a crucial role in site selection processes.Coordinate with...

Our team is seeking a highly skilled Claims Specialist to join our organization.Key Responsibilities:The ideal candidate will be responsible for handling Motor Third Party (TP) claims for the region, ensuring efficient and effective settlement of these claims.This includes driving the settlement process in the region, interacting with external counsels to...

Job OverviewWe are seeking a Medical Data Review Manager to lead our team in delivering high-quality products that meet customer needs.Conduct in-stream data trend analysis to ensure data quality and integrity.Define data capture requirements in line with protocol and reporting needs.Represent clinical data scientists at multi-disciplinary team meetings and...

About the TeamThe  Process  Excellence  team  at  Navi  is  focused  on  maintaining  and  elevating  thequality  of  customer  interactions.  As  the  quality  audit  function,  the  team  conductsregular audits of agent communications—across calls, chats, and other channels—toensure  accuracy,  consistency,  and  compliance....

Job DescriptionJob Title: Claims InternLocation: BangaloreDepartment: ClaimsReports to: Claims ManagerType: InternshipJob SummaryThe Claims Intern will support the Claims Department in processing and managing health insurance claims. This internship is designed to provide hands-on exposure to the health insurance claims lifecycle, including document...

Job Description:">MIS management of claims, audit IT development is a key responsibility of the Claims Service Manager.The ideal candidate will have at least 5-8 years of experience in claim management.The type of industry we are looking to hire for is General Insurance.The role requires specific knowledge of property claims handling.Experience in managing...