Claims Resolution Specialist

Personal Accident Claims SpecialistWe are seeking a highly skilled professional to oversee the entire lifecycle of personal accident claims, ensuring accurate and timely resolution.The successful candidate will possess excellent communication skills, strong problem-solving abilities, and analytical skills. They will be responsible for evaluating complex...

Health Insurance Claims Representative Job Description:Job Title: Health Insurance Claims SpecialistWe are seeking a skilled Health Insurance Claims Specialist to join our team. As a key member of our organization, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.Key Responsibilities:Process and...

Job DescriptionCompetency:- In-depth understanding of personal accident insurance policies/ Travel Insurance, claims procedures, and relevant regulations- Excellent written and verbal communication skills for interacting with claimants, team members, and other stakeholders- Strong problem-solving and negotiation skills to resolve claims disputes and achieve...

About Us">We are seeking a highly skilled professional to fill the role of Claims Test Data Facets Specialist. The ideal candidate will possess strong communication skills and be able to host client calls, drive discussions and lead a team. In this position, you will work closely with our team to create test data within the Facets system in the Claims...

Senior Claims Analyst Job SummaryWe are seeking a highly skilled and experienced Senior Claims Analyst to join our team.Responsibilities will include processing Life Insurance and Living benefits Claims for Canadian customers, coordinating with onshore teams and clients to ensure timely processing of Claims transactions, and managing claims processing...

Job Title: Medical Claims SpecialistWe are seeking a skilled and experienced professional to support our operations by verifying insurance benefits, obtaining prior authorizations, and explaining co-pays, deductibles, and co-insurance to patients. This role is crucial for the success of our sleep studies and DME services.Key Responsibilities:Verify patient...

Auto Damage Claims SpecialistWe are seeking a skilled professional to fill the role of Auto Damage Claims Specialist. This critical position serves as a liaison between customers, repair teams, and operational scheduling.Key ResponsibilitiesInspect vehicle damage remotely using submitted photos and/or video footage.Identify required SMART repair work (e.g.,...

Role OverviewThe Grievance Officer is responsible for managing end-to-end grievance redressal across all channels.This includes leading credit-bureau dispute resolution and acting as the single point of contact for fraud complaints involving Refyne's name.You will be expected to timely escalate these complaints to law-enforcement/cybercrime authorities.The...

We are seeking an experienced Revenue Cycle Specialist with a strong background in oncology billing and collections.The ideal candidate should have at least 3 years of experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions while ensuring compliance with industry standards.Key...

Revenue Cycle SpecialistAbout the Role:We are seeking a skilled Revenue Cycle Specialist to join our growing healthcare revenue cycle team.Key Responsibilities:Making outbound calls to insurance companies to follow up on pending claims.Reviewing denied/underpaid claims and taking appropriate action for resolution.Understanding insurance guidelines, medical...