Insurance Claims Specialist

About the RoleThe Claims Management Specialist plays a pivotal role in ensuring the seamless processing of cashless insurance claims.This entails verifying policy coverage, reviewing medical records, coordinating with Insurers, and guaranteeing that claims are processed accurately and efficiently.The primary objective is to facilitate the smooth and timely...

Job Title: Insurance Claims Processor">We are seeking a meticulous and organized individual to join our team in processing insurance claims. As an Insurance Claims Processor, you will be responsible for accurately reviewing and posting insurance payments, electronic remittance advices (ERAs), and patient payments into the dental billing software.">Main...

Job Title: Medical Claims Follow-Up SpecialistWe are seeking a skilled Medical Claims Follow-Up Specialist to contact insurance companies and patients to follow up on outstanding medical claims.The ideal candidate will have expertise in navigating complex billing and coding rules to ensure accurate reimbursement.Key Responsibilities:Initiate calls to...

Claims Examiner Role Overview:We are seeking an experienced Claims Examiner to process and evaluate health insurance claims with accuracy and fairness.Responsibilities:Verify policy coverage, eligibility, and supporting documentsCoordinate with healthcare providers, third-party administrators, and policyholders for efficient claim settlementMaintain records...

Job Title:Insurance Finance Testing Specialist">A highly skilled Insurance Finance Testing Specialist is required to support a large-scale transformation programme. The ideal candidate will have strong experience in insurance finance systems and cash management, with a focus on validating end-to-end financial processes.Develop and execute test cases for...

Unlock a Career OpportunityA Health Insurance Claims Manager is needed to oversee and manage the end-to-end claims process for customers. This role requires serving as the primary liaison between clients, insurers, third-party administrators (TPAs), and healthcare providers to ensure claims are handled smoothly, accurately, and on time.The ideal candidate...

Job Title: Medical Billing SpecialistThis role is a full-time remote position for an individual responsible for submitting and following up on claims with insurance companies to receive payment for services rendered by healthcare providers.Responsibilities include:Verifying patient insurance coveragePreparing and submitting billing dataReviewing patient...

Job Title: Data Mapping SpecialistJob Description:Analyze and align legacy system databases with Guidewire Claim Center architectureDesign and test SQL queries for data extraction and transformation processesCollaborate with cross-functional teams to ensure accurate data mappingDocument mapping rules and resolve data inconsistenciesKey...

Job Title: Insurance Claim Settlement SpecialistWe are looking for an experienced professional to manage the entire claims settlement process from submission to final resolution.The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements. A strong understanding of insurance policies,...

US Healthcare Claims SpecialistAre you a skilled claims specialist looking for a challenging opportunity in the US healthcare industry? We are seeking a talented individual to join our team as a Sr. Process Executive – US Healthcare (Claims).The ideal candidate will have experience in claims adjudication, with a strong understanding of coding systems such...