US Healthcare Claims Senior Process Executive

Job OpportunityWe are seeking a highly skilled and experienced professional to lead our US healthcare claims process.The ideal candidate will have 1-3 years of experience in claims adjudication, possess strong analytical skills, and exhibit excellent communication and collaboration abilities.Key Responsibilities:Claims adjustments and coding (ICD, CPT,...

EDI Tester Role OverviewAbout the role:This is a unique opportunity to work in a dynamic environment where collaboration and innovation drive success.You will be part of a team that creates solutions for leading companies, making them more flexible, innovative, and successful.The EDI Tester role demands hands-on experience with Facets, SQL, and US healthcare...

Claims Manager PositionAbout the Role:As a Claims Manager, you will be responsible for efficiently and accurately processing cashless insurance claims to ensure timely closure to policyholders and seamless coordination with insurance providers.This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that...

Health Insurance Claims SpecialistWe're seeking a skilled Health Insurance Claims Specialist to join our team. As the primary point of contact for customers, hospitals, and insurers, you'll handle claims with precision, empathy, and efficiency.Key Responsibilities:Process and evaluate health insurance claims with accuracy and fairness.Verify policy coverage,...

Job OverviewWe are seeking a highly skilled Freelance Data Scientist to leverage analytical expertise and domain knowledge in the healthcare space. The ideal consultant will extract insights from large-scale claims and provider datasets, develop predictive models, and support data-driven decision-making.Key Responsibilities:Extract, clean, and analyze...

Claims Handler RoleTransform the claims process by joining our team of professionals who are passionate about delivering high-quality services to customers. As a Claims Handler, you will be responsible for managing the entire lifecycle of health insurance claims, ensuring that they are processed efficiently and accurately.Responsibilities:Verify and document...

Healthcare Data Engineer - AI/ML EnablementWe are seeking a skilled Healthcare Data Engineer to play a pivotal role in our AI-driven initiatives. This position involves collaborating with data scientists, engineers, and AI teams to deliver high-quality, compliant data pipelines for predictive analytics, risk stratification, fraud detection, and other use...

Claims Specialist OpportunityWe are seeking a skilled Claims Specialist to manage demurrage and post-fixture claims. This role involves ensuring timely and accurate processing of claims, liaising with clients, vessels, and agents to gather necessary information.The ideal candidate will have a strong analytical mindset, excellent communication skills, and the...

Claims Specialist Job SummaryWe are seeking a highly skilled Claims Specialist to join our team. The ideal candidate will have excellent analytical and communication skills, with a strong understanding of the shipping industry.The successful candidate will be responsible for monitoring and handling all claims matters, including cargo claims, P&I related...

Job DescriptionThe primary function of this role is to act as a liaison between compliance and legal teams during audits or regulatory updates, ensuring system changes remain compliant with healthcare regulations.Required Skills and QualificationsAbility to analyze and document business requirements related to HIPAA, CMS, NCQA, and state-specific...