Claims Resolution Manager

Claims Resolution ExpertThis role involves ensuring accurate reimbursement by navigating complex billing and coding rules, following up with insurance companies and patients to resolve denied claims, maintaining thorough records of interactions, and re-submitting claims as necessary.Key Responsibilities:Claim Resolution: Initiate calls to insurance companies...

Health Insurance Claims Specialist Job DescriptionThis role involves handling claims with accuracy, empathy, and efficiency. As a key liaison between customers, hospitals, and insurers, you will ensure seamless claim experiences.Key Responsibilities:Process health insurance claims accurately and fairly.Verify policy coverage, eligibility, and supporting...

Claims Specialist Role OverviewWe are seeking a highly skilled Property and Casualty Claims Specialist to support claims processing and management within the US insurance sector.Key Responsibilities:Review and process insurance claims, ensuring accuracy and completeness.Conduct thorough claims assessments to guarantee precision and...

Claims Specialist Role OverviewOur organization is seeking an experienced claims specialist to support the evaluation and processing of insurance claims in the US insurance market. The ideal candidate will have a strong background in claims management, with excellent analytical, organizational, and problem-solving skills.Review and process insurance claims...

Job Title: Healthcare Claim SpecialistWe are seeking a seasoned professional with experience in healthcare claim management and customer service. The ideal candidate should have at least 3 years of experience in calling and resolving claims for insurance companies, a strong background in oncology billing and collections, and excellent communication...

Job Title: AR CallerWe are seeking an experienced AR Caller with a strong background in Oncology billing and collections.The ideal candidate should have at least 3 years of AR calling experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions while ensuring compliance with industry standards.Key...

Job Title: Dispute Resolution SpecialistWe are seeking an experienced Dispute Resolution Specialist to join our Client Care Team. As the first point of contact for clients pursuing housing condition claims, you will be responsible for conducting initial consultations, providing weekly updates, and supporting file handlers.This is a full-time, permanent role...

About UsWe're transforming the education industry through cutting-edge financial solutions. Our flagship offering—monthly EMI solutions for school and college fee payments—makes education more accessible, affordable, and rewarding for millions of Indian families.As part of our strategic expansion, we've launched a new insurance vertical focused on...

Key ResponsibilitiesDesign, develop, and implement solutions on Pega Smart Claims platform for insurance/healthcare domain.Configure and customize Pega rules, flows, case types, data pages, activities, decision tables, and integrations.Work closely with business stakeholders to gather requirements and translate them into functional and technical...

Senior Engineering Leadership RoleWe are seeking an experienced leader to spearhead the design and development of scalable, cloud-based applications powering our claims platform and customer self-service capabilities.This leadership position requires a deep understanding of the insurance domain—specifically in claims systems—to drive technical excellence...