Claims processing and adjudication

University degree or equivalent that required formal studies of the English language and basic Math - Immediate Joiner and chennai Location - Claims Adjudication. - 2+ year(s) of experience processing claims for the US healthcare market - Knowledge of HRP - added advantage - Claims Adjudication. - 6+ months of data entry experience that required a focus on...

Requirement - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong analytic...

Job TitleClaims Processing and Adjudication SpecialistAbout the RoleWe are seeking a skilled Senior Executive - India HRO Benefits and Claims Processing with 5–6 years of hands-on experience in managing benefits and claims adjudication with a strong focus on India-specific claims. This role demands a meticulous professional with a strong command of English...

Verify & validate the information sent by the Insured. - Analyse the submitted claim based on the information shared by the insured. - Request for any information missing from the claim file. - Assess claim submitted vis--vis the coverage of the insured. - Process claims for payment on the processing system. - Maintain MIS. - Adjudication of claims as per...

**Position : International Assistance coordinator** **Job Description**: No. of openings : 1 only. - Make a career in the healthcare claims industry. - Attend to day today Cashless claim related activities. - Maintain MIS. - Rotational shift. Skills required: - Excellent written & spoken communication skills are must. - Joining immediate (negotiable). -...

Hi, I have openings for international semi voice process For more details contact _**Madhuri 8496006111**_ Designations - Claims Accessor/Adjudication/Administrator/Settlement executive/Processor - coordinator Process/Deal Name - International Healthcare claim process Location - Electonic city Salary - Can be negotiable Transportation - Not at this...

Job Location: BangaloreJob Type: Permanent.Must have worked in Insurance Voice- Motor Insurance, Property & Casualty, AR Caller, Claims, Marine Claims, Claims Adjudication, Claim Settlement.Years of experience for 3 years - 8 YearsSalary- Analyst- 3.50 LPA-7 LPANotice Period- Immediate - 15 Days only.Qualification- Any Graduate & Postgraduate (Regular...

**Job Duties & Responsibilities** - Play as an intermediate role Between the Insurance co. and Hospital and the Team. - Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive. - Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the...

Event adjudication professional I **Category**:Clinical Development and Medical**Location**:Bangalore, Karnataka, IN**Department**: Global Safety, GBS- **The Position** - As an Event Adjudication Professional I, you will act as project manager in planning, execution, and finalization of Event Adjudication (EA) activities on clinical trials. You will be the...

Responsibilities: - Processing of Claims with verification and settlement with customer accounts. - Claim adjudication under strict adherence to hospital tariff and policy terms. - Communicating with insurance agents and beneficiaries. - Preparing claim forms and related documentation. - Reviewing claim submissions and verifying the information. - Recording...

Event Adjudication Professional II **Category**:Reg Affairs & Safety Pharmacovigilance**Location**:Bangalore, Karnataka, IN**Department**: Global Safety, GBS.- **The Position** - As an Event Adjudication Professional II, you will act as project manager and drive planning, execution, and finalization of Event Adjudication (EA) activities on clinical trials....

Event adjudication professional I **Category**:Reg Affairs & Safety Pharmacovigilance**Location**:Bangalore, Karnataka, IN**Department**: Global Safety, GBS- **The Position** - As an Event Adjudication Professional I, you will act as project manager in planning, execution, and finalization of Event Adjudication (EA) activities on clinical trials. You will...

Grow your career with a growing organization Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

Main Duties/Responsibilities: - Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. - Monitor and highlight high cost claims and ensure relevant parties are aware. - Monitor turn around times to ensure your claims are settled within required time...

**Job Description** - Leads Claims team consisting of experienced administrative, operative, and or technical roles in the Professional career track. Typically, responsible for a large number of direct and indirect reports in a process or transactional operations environment. Coordinates schedules and workflow for the team. Supervises the accurate and timely...

**About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...

About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

**About Swiss Re Corporate Solutions** Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer. We anticipate and manage risks, from natural catastrophes and climate change to cybercrime. Swiss Re Corporate Solutions is the commercial insurance arm of the Swiss Re Group. We offer...

Grow your career with a growing organization Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

**JOB SUMMARY** This position will be based at the Bangalore office. The incumbent will play a key role in coordinating and managing claims for the Houston plant & support the internal Claims/ Warranty Log tool process. **PRINCIPAL DUTIES AND RESPONSIBILITIES** **Houston Claims** - Project manage all customer claims for the Houston facility from claim...