Insurance Claims

Role Purpose The purpose of the Claims Role is to effectively manage the claims process for clients, ensuring a smooth and fair settlement of claims. The role involves reviewing and validating claims, liaising with insurers, advocating for clients' interests, and guiding them through the claims process to achieve a satisfactory outcome. Key Expectations of...

Greetings From Link K Insurance TPA, We are Looking for Executive & Senior Executive for Cashless and Claims Department. Location : Chennai, Bangalore, Hyderabad, Mumbai, New Delhi, Kolkata. **Roles & Responsibilities of Cashless/Claims - Executive/Senior Executive**: - Accurate and efficient processing of claims, including verifying policy coverage,...

**Insurance claims handlers, also called claims technicians, deal with claims made on insurance policies. Claims can be in connection with a wide range of matters, such as motor vehicle theft or accident, storm damage, illness or house theft.** **Job Types**: Full-time, Permanent Pay: ₹18,500.00 - ₹25,800.00 per month Schedule: - Day shift -...

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...

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...

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...

**Job Title**: Claims Executive **Location**: Chennai **Responsibilities**: - Process claims accurately and efficiently, verifying policy coverage and calculating payable amounts. - Complete training in claims software and understand system features. - Ensure accurate data entry of bills and verification of details. - Adhere to Standard Operating...

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...

**Roles & Responsibilities of Cashless / Claims - Medical Officer / Doctor**: - Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. - Get fully trained and understand claims software, functionality and validations. - Verify whether the claim falls within the coverage/ scope of the health insurance policy. -...

About the RoleWe 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 SummaryThis position requires a highly skilled and experienced professional who can analyze claims, determine...

**Designation: Quality Claims Executive** **Location: Neelankarai, ECR** **Job Roles & Responsiblities** Summary: As a Quality Executive specializing in Claims Analysis, you will play a pivotal role in ensuring the accuracy, efficiency, and compliance of claims processing within our organization. Leveraging your analytical skills and attention to detail,...

Responsibilities - Review insurance claim forms and supporting documentation for accuracy and completeness - Verify policy information and coverage details - Conduct investigations and gather additional information when necessary - Evaluate claims based on policy terms and conditions - Determine the appropriate payment and process claims in a timely manner -...

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...

The ideal candidate will have experience in all stages of the sales cycle. They should be confident with building new client relationship and maintaining existing ones. They should have evidence of strong skills and possess good negotiation skills. Responsibilities Build relationships with prospective clients Maintain consistent contact with existing...

We at Prudent Insurance Brokers Pvt Ltd., are looking for candidates for our "Young Leadership Program", with the endeavor to hire & groom Leaders of tomorrow. Join us and create your success story.Summary:- The incumbents will work under the supervision of the Leaders and Managers in the organizations.- Their goal will be to acquire all essential knowledge...

**DUTIES AND RESPONSIBILITIES OF INSURANCE** - Prepare and transmit insurance claims. - File Medicare supplemental claims. - File claims to MA after Medicare and insurance has paid. - Answer Medicare claim development letters. - Correct EMC edit errors. - Follow-up on MA rejects codes. - Obtain EOBs to send MA crossovers claims. - Work closely with other...

**Job Summary**: **Primary Accountabilities**: **Claims Management**: Accurately and promptly prepare, file, and handle default claims (FHA, VA, USDA, and conventional). **Documentation Review**: To guarantee completeness and adherence to investor and insurance criteria, review and confirm all essential documentation for claim submissions. **Default...

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:...

**Responsibilities**: Process claims in accordance with established guidelines and procedures. Review and validate claim documents, ensuring accuracy and completeness. Communicate with clients, policyholders, and other stakeholders to gather necessary information and resolve queries. Collaborate with internal teams to ensure timely and accurate processing...

**Job description**: **Sr Claim processor/Sr Claim adjudicator**Do quality check on the claims processed by Analysts/TraineesTrack the errors and provide feedback to the erring Analysts/traineesEnsure process guidelines are followed and met as documentedRaise process related issues / concerns on time with process and team leadsStay updated with the process...