Senior Process Executive for US Healthcare Claims

A career-defining opportunity for a seasoned executive awaits in the US healthcare sector. We seek an individual with expertise in claims adjustments, coding (ICD, CPT, HCPCS), and analytical skills to lead claims adjudication.Key Responsibilities:Develop and implement strategies to optimize claims processing efficiencyLeverage advanced coding knowledge to...

Freelance Data ScientistThreatXIntel, a startup cyber security company, is looking for a Freelance Data Scientist with expertise in SQL, Python, and healthcare claims/provider data. The ideal consultant will leverage analytical expertise and domain knowledge to uncover insights, build predictive models, and support data-driven decision-making in the...

The role of the Senior Claims Specialist involves handling critical functions within our organization, focusing on Life Insurance and Living Benefits claims for Canadian customers.Key ResponsibilitiesProcess life insurance and living benefits claims in a timely manner.Collaborate with onshore teams and clients to ensure seamless claim transactions.Manage...

Customer Recovery SpecialistWe are seeking an experienced Customer Recovery Specialist to join our team. As a key member of our customer service department, you will be responsible for resolving outstanding claims with US healthcare insurance companies.This is an exciting opportunity to work in a fast-paced environment where no two days are ever the same....

About this role:We are seeking a Claims Management Specialist to join our team. The ideal candidate will be responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.This includes verifying policy coverage, reviewing medical...

Billing and Claims SpecialistSeeking a highly organized and detail-oriented professional to fill the role of Billing and Claims Specialist in our expanding organization.This individual will be responsible for efficiently processing and submitting claims, managing payments, and verifying insurance coverage.Develop and submit accurate and timely dental...

Senior Insurance Claims DeveloperJob Description:We seek experienced professionals with 4-6 years of experience working with Guidewire ClaimCenter, including Gosu Scripting and configurations/integrations.Key Responsibilities:Implement end-to-end claim processing solutions using Guidewire ClaimCenter Associate Certification.Develop complex workflows and...

Job OpportunityWe are seeking a skilled professional to handle Demurrage & Post-fixture claims. As Claims Specialist, you will be responsible for managing and resolving complex claims on behalf of our organization.Key Responsibilities:Manage demurrage & post-fixture claims, ensuring timely submissions and accurate interpretation of contract clauses.Liaise...

Job Title: Consulting Sr. Analyst / Associate - HealthcareLocation: BangalorePosition SummaryAs a Healthcare Consulting Sr.Analyst / Associate, you will have the opportunity to engage in meaningful, impactful, and challenging work. Through use of innovative problem solving and analytical thinking, you will collaborate with team members to propose unique...

Job DescriptionWe are seeking a seasoned AR Professional with extensive expertise in Oncology billing and collections. The ideal candidate should possess at least 3 years of AR experience, specifically in oncology, along with exceptional communication skills and the ability to handle complex claim resolutions while ensuring compliance with industry...