Claims Examiner Role

Insurance Claims Examiner Senior Associate RoleThe ideal candidate will be responsible for processing insurance claims efficiently and effectively, meeting productivity, quality, and production goals.Cognitive skills required include language proficiency, basic math skills, reasoning ability, excellent written and verbal communication skills, staying...

Job TitleBusiness Process Analyst - Claims ExaminerA Business Process Analyst in this role will analyze multiple documents, contracts, and decide to pay or deny claims submitted by members or providers, adhering to required turnaround times and quality standards.ResponsibilitiesAnalyze multiple documents and contracts to determine the validity of claimsRoute...

Medical Billing Specialist JobDescription Summary: A medical billing specialist is responsible for managing and analyzing medical claims to ensure accuracy and compliance with industry standards.Key Responsibilities:Process and analyze medical claims for errors or discrepanciesMaintain accurate records of claim processing and analysisPreferred...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

We are seeking a detail-oriented and analytical Claim Examiner to join our team. This is an exciting opportunity for individuals who are passionate about the healthcare industry and have strong problem-solving skills.As a Claim Examiner, you will be responsible for reviewing medical documents, policy documents, and system notes to make informed decisions on...

Lead Claims SpecialistThe position involves claims analysis and processing facilitation in coordination with different third-party administrators (TPAs) and insurance companies. This role requires strong leadership skills to lead a team and reduce escalations.Responsibilities include:Leading a team and minimizing escalationsManaging relations with...

Job DescriptionWe are seeking a highly skilled and experienced Claims Manager to join our team.This is an exciting opportunity for a seasoned professional to lead the handling of claims and legal matters within our organization.The successful candidate will be responsible for monitoring and managing all legal issues related to claims, as well as handling...

Job DescriptionCompany DescriptionBajaj Allianz General Insurance Limited is a joint venture between Bajaj Finserv Limited and Allianz SE, renowned for its #CaringlyYours ethos. The company provides a comprehensive range of insurance services, including health, car, bike, pet, travel, home, cyber, and crop insurance. Bajaj Allianz General Insurance is one of...

About this roleJob DescriptionThis role involves providing excellent customer service by responding to customer inquiries and resolving their issues in a timely manner. The ideal candidate should have a basic understanding of internal policies, procedures, Visa and Master Card guidelines.ResponsibilitiesCustomer Service: Respond to customer requests in a...

Job DescriptionThe Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has...