Healthcare Insurance Claims Manager

7 days ago


Chennai, Tamil Nadu, India EXL Full time
About the Role

We are seeking a seasoned Healthcare Insurance Claims Manager to lead our team in Chennai, India. In this pivotal role, you will be responsible for validating, calculating, and accurately reporting overpaid amounts in our system.

Job Summary

This position requires a highly skilled and experienced professional who can analyze claims, determine overpaid amounts, and record outcomes in our client/internal system. As a Repricing Analyst, you will play a critical role in maintaining the accuracy and integrity of our client's financial records.

Key Responsibilities
  • Analyze claims data to identify overpaid amounts and record outcomes in our system
  • Validate and calculate accurate overpaid amounts to ensure compliance with regulatory requirements
  • Lead, train, and mentor staff members to ensure high levels of engagement and productivity
  • Monitor and ensure excellent client service is always provided, addressing escalated client issues and resolving them in a timely manner
  • Collaborate with cross-functional teams to drive business growth and improve operational efficiency
Requirements
  • Bachelor's or Master's degree in a related field
  • 9-14 years of experience in healthcare insurance claims management
  • Strong analytical and problem-solving skills
  • Ability to think critically and make informed decisions
  • Excellent communication and interpersonal skills
  • Strong leadership and team management skills
Salary and Benefits

The salary range for this position is ₹12,00,000 - ₹20,00,000 per annum, depending on experience and qualifications. Additional benefits include health insurance, retirement plan, and paid time off.



  • Chennai, Tamil Nadu, India EXL Full time

    About the RoleWe are seeking a highly skilled Insurance Claims Analyst to join our team at EXL. This is an excellent opportunity for a motivated individual to work in a dynamic environment and make a significant contribution to the success of our organization.Estimated Salary: $70,000 - $90,000 per annum (based on US location)Job DescriptionClaims...


  • Chennai, Tamil Nadu, India Synthesis Healthcare Services LLP Full time

    Job OverviewWe are seeking a highly skilled Claims Examiner to join our team at Synthesis Healthsoft Services & Solutions LLP. This role is ideal for individuals with experience in HCFA/UB claim processing and a strong understanding of CMS processing guidelines.About the RoleThe successful candidate will be responsible for coordinating and resolving...

  • Claims Auditor

    7 days ago


    Chennai, Tamil Nadu, India EXL Full time

    About the Role at EXLWe are seeking an experienced Claims Auditor with a strong background in US Healthcare, specifically in claims adjudication, processing, pricing, and administrative records review.Key Responsibilities:- Conduct thorough reviews of medical records to identify discrepancies and inaccuracies in claims data.- Analyze and investigate complex...


  • Chennai, Tamil Nadu, India Kavi Software Technologies Private Limited Full time

    We are seeking a highly skilled Insurance Claims Process Executive to join our team at Kavi Software Technologies Private Limited. As an integral part of our organization, this role will be responsible for overseeing the entire claims process, ensuring timely and efficient resolution of customer complaints.Key Responsibilities:Develop and implement processes...


  • Chennai, Tamil Nadu, India Kavi Software Technologies Private Limited Full time

    Company OverviewKavi Software Technologies Private Limited is a leading provider of innovative software solutions. We are seeking an experienced claims processing professional to join our team.Estimated Salary Range: ₹ 8,00,000 - ₹ 12,00,000 per annumJob DescriptionWe are looking for a skilled Claims Processing Executive who will be responsible for...


  • Chennai, Tamil Nadu, India Covenant Consultants Full time

    About Covenant ConsultantsCovenant Consultants is a healthcare consulting firm that provides expert services to the medical industry. We are committed to delivering high-quality solutions that meet the unique needs of our clients.Job OverviewWe are seeking a skilled Healthcare Billing Specialist to join our team in Kanthanchavadi, Tharamani. As an AR Caller,...


  • Chennai, Tamil Nadu, India EXL Full time

    About the RoleWe are seeking a skilled Claims Auditor to join our team at EXL in the US Healthcare Payer domain.Key Responsibilities:Claims Adjudication and Processing: Utilize expertise in claims adjudication, pricing, and administrative records review to ensure accuracy and efficiency in claim processing.Clinical Audit and Medical Records Management:...


  • Chennai, Tamil Nadu, India exl Full time

    Job Title: Claims Resolution SpecialistAbout the Role:We are seeking a skilled Claims Resolution Specialist to join our team at EXL. As a Claims Resolution Specialist, you will be responsible for resolving outstanding receivables portfolio by ensuring timely claims resolution with insurance companies.Key Responsibilities:Review and analyze assigned claims to...


  • Chennai, Tamil Nadu, India Kavi Software Technologies Private Limited Full time

    Claims Process Executive Job DescriptionKavi Software Technologies Private Limited is seeking a skilled Claims Process Executive to join our team. The ideal candidate will have experience working in a fast-paced environment and be able to handle large volumes of work while maintaining attention to detail.Key Responsibilities:Manage multiple tasks and...


  • Chennai, Tamil Nadu, India exl Full time

    Job Description:We are seeking a highly motivated Executive Receivables Manager to join our team at EXL. As an Executive Receivables Manager, you will be responsible for reviewing, analyzing, and managing assigned outstanding receivables portfolio.Responsibilities:Ensure timely follow-up on claims to avoid revenue loss by prioritizing pending claims from the...


  • Chennai, Tamil Nadu, India NTT DATA Services Full time

    At NTT DATA Services, we recognize the value of a talented workforce in driving business success. To support our growth and market presence, we seek a skilled BPO HC & Insurance Operations Senior Representative to join our team in Chennai.Job OverviewThe successful candidate will be responsible for processing insurance claims and performing calculations as...

  • Collection Specialist

    3 weeks ago


    Chennai, Tamil Nadu, India exl Full time

    As a Collection Specialist in our EXL team, you will play a critical role in resolving outstanding receivables portfolio by ensuring timely claims resolution and effective communication with insurance companies.About the RoleWe are seeking an experienced professional to join our team as a Collection Specialist. In this role, you will be responsible for...


  • Chennai, Tamil Nadu, India Covenant Consultants Full time

    Covenant Consultancy is seeking a skilled Healthcare Billing Professional for its international voice process.We require a professional with strong communication skills and problem-solving abilities to handle insurance claims and billing processes for healthcare services.The successful candidate will be responsible for making outbound calls to insurance...


  • Chennai, Tamil Nadu, India exl Full time

    Job Overview We are seeking a skilled Lead Collections Specialist to join our team at EXL. This role is responsible for managing assigned outstanding receivables portfolios, ensuring timely resolution of denied claims, and maintaining effective communication with insurance companies. About the Role As a Lead Collections Specialist, you will be working on...


  • Chennai, Tamil Nadu, India Medicommerce pvt ltd Full time

    We are seeking a highly skilled Medical Billing Specialist to join our team at Medicommerce pvt ltd. As a key member of our revenue cycle management process, you will play a vital role in ensuring timely payment of claims and resolving issues with unpaid or denied claims.Job Summary:The AR Caller, also known as a Medical Billing Specialist, is responsible...


  • Chennai, Tamil Nadu, India HCLTech Full time

    About the Role:We are seeking a Voice Healthcare Support Associate to join our team. As a key member, you will be responsible for handling inbound and outbound calls in the healthcare domain, providing international voice support, and managing claims processing.Key Responsibilities:Healthcare customer service via phoneInternational voice support for...


  • Chennai, Tamil Nadu, India Iskills Solutions Full time

    About UsIskills Solutions is a leading provider of medical coding services, committed to delivering high-quality solutions that meet the evolving needs of the healthcare industry.Salary and BenefitsThe successful candidate can expect a competitive salary ranging from $15000 to $25000 per month, commensurate with experience. Additionally, our comprehensive...


  • Chennai, Tamil Nadu, India Gainwell Technologies Full time

    Gainwell Technologies is seeking a skilled Healthcare Data Transformation Specialist to join our team. As a key member of our data transformation team, you will be responsible for performing in-depth analysis of complex healthcare data and designing mapping documents to ensure seamless data integration.About the RoleWe are looking for an experienced...


  • Chennai, Tamil Nadu, India Guidehouse Full time

    Job Description  Job Overview:EBO Accounts Receivable (India) is seeking a Financial Services Claims Specialist to join our team. This role will be responsible for initiating calls requesting status of claims in queue, contacting insurance companies for further explanation of denials and underpayments, taking appropriate action on claims to guarantee...


  • Chennai, Tamil Nadu, India Access Healthcare Services Full time

    About Access Healthcare ServicesAccess Healthcare Services is a dynamic organization that offers medical coding services to clients in the healthcare industry.We are seeking a highly skilled Medical Coding Specialist with expertise in Inpatient/Outpatient Rehabilitation (IVR) coding. This role will involve working on coding-related denials and ensuring...