Lead Claims Professional

Claims Resolution SpecialistThe Claims Resolution Specialist plays a pivotal role in ensuring timely and accurate resolution of denied or unpaid claims. This individual is responsible for collaborating with insurance companies to resolve denials, handling appeals and refiling, and maintaining productivity and quality benchmarks for follow-ups."],

Job SummaryWe are seeking a detail-oriented Dental Claims Professional to join our team.Main Responsibilities:Timely submission of dental insurance claims with accuracyReviewing patient records and insurance coverage for proper coding and documentationFollowing up on unpaid or rejected claims, investigating and resolving discrepanciesMaintaining accounts...

Our organization is looking for a Claims Manager to join our Motor Claims team.The ideal candidate will play a critical role in building and managing our motor garage and surveyor network, overseeing the coordination between customers, surveyors, and garages, ensuring the delivery of a seamless and rapid claims process.This is an excellent opportunity for a...

Job Opportunity: Claims Data Facets LeadThe Role involves leading our Claims Test Data Facets initiative, requiring exceptional communication skills and experience in creating test data within the Claims domain.This individual will drive client calls and discussions, take ownership of deliverables, and utilize their expertise to provide high-quality...

Job Title:Claims ManagerAbout the Job:A Claims Manager is responsible for overseeing the efficient and accurate processing of cashless insurance claims. This includes verifying policy coverage, reviewing medical records, and coordinating with Insurers to ensure timely closure to policyholders.The primary purpose of a Claims Manager is to process and manage...

Job Title:Insurance Claims ProcessorAbout the Role:We are seeking an experienced professional to manage the entire claims settlement process from submission to final resolution.Key Responsibilities:Claims Processing:Handle the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.Data...

Senior Leadership Role: Claims Operations DirectorThis is a leadership position that demands a seasoned professional who can design, enhance, and drive claims operations to industry-leading standards.Key Responsibilities:Develop and implement strategic plans to improve claims processing efficiency.Lead a team of professionals to achieve operational...

Job Opportunity\We are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.\In this role, you will serve 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...

Clinical Review Specialist RoleSagility is a leading healthcare organization with numerous opportunities for BDS/MDS graduates. We are seeking highly skilled professionals to interpret medical records and provide accurate clinical reviews.Key Responsibilities:Interpret various types of medical recordsApply CPT, ICD-9, and ICD-10 codingAnalyze medical...

Job OverviewThe Motor Claims Manager position is a critical role in our organization, responsible for managing the motor garage and surveyor network.Key Responsibilities:Identify and empanel top-quality garages and surveyors to meet business needs.Develop and maintain strong relationships with partners to ensure efficient claims services.Coordinate between...