Claims Process Specialist

Job OverviewA Claims Tester is required to work on surety claims, QA, and claims workflow. The ideal candidate will have expertise in test case creation, agile methodologies, DevOps, and status reporting.Key ResponsibilitiesDesign and develop ETL processes to move data into a data warehouse or analytical database.Implement data cleansing techniques to ensure...

Basic FunctionHandle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal andstate regulatory and/or company plan requirements and established FMLA workflow proceduresComplete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or...

Job Title: Medical Claims SpecialistAs a Medical Claims Specialist, you will be responsible for handling healthcare-related processes such as medical billing, coding (ICD-10, CPT, HCPCS), and claims management.Responsibilities:Review and process healthcare data, including insurance claims, patient records, and medical documentation.Ensure compliance with...

Job Title: Claims SpecialistIn this role, you will have end-to-end knowledge of claim lifecycle management and P&C products. Your responsibilities include handling new transitions from strategic assessment through to operations set up with zero surprise delivery.Develop a comprehensive understanding of claim lifecycle managementEnsure seamless transition...

Job Description:We are seeking a detail-driven professional to join our billing operations team as an Unbilled Claims Management Specialist.This role involves monitoring and managing unbilled claims to ensure timely submission and reimbursement, investigating root causes of unbilled claims, collaborating with pharmacy, intake, and billing teams, tracking and...

Job OverviewProperty and Casualty Insurance Claims Process LeadThe ideal candidate will have extensive experience in managing claims adjusters and providing timely feedback to ensure high-quality results.Key ResponsibilitiesManage a team of claims adjusters, promoting effective collaboration and teamwork.Conduct thorough performance reviews and develop...

Transform your career in the exciting field of claims processingWe're seeking a highly skilled professional to join our team as a Management Trainee/ Domain Trainee. In this role, you will be responsible for handling end-to-end travel claim lifecycle, identifying duplicate or inappropriate claims, and taking necessary actions.The ideal candidate will have...

Job Opportunity:Healthcare Claims SpecialistWe are seeking a detail-oriented and skilled individual to join our team as a Healthcare Claims Specialist. In this role, you will play a crucial part in managing and following up on outstanding healthcare claims to ensure timely collections.This position requires strong communication and negotiation skills to...

Job DescriptionReady to shape the future of workAt Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos AI Gigafactory, our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises...

Job OverviewWe are seeking a skilled Insurance Claims Specialist to join our team. This role involves handling insurance claims by reviewing estimates of building materials used for house repair work.Excellent knowledge of insurance / property claims processing is required.The ideal candidate will have experience in entering information related to personal...