Executive-appeal & Specialised Claims

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Motor Insurance claim processing management firm's back office's executive job. The applicant will have to learn the processes of the software/DMS of the insurance company assigned and consequentially prepare assessment report of any and all claims pertaining to their respective insurance company. Pay: ₹8,000.00 - ₹14,000.00 per month Schedule: - Day...

The Claims Executive is responsible for handling all insurance-related activities, including managing claims processing, coordination with insurance companies, and ensuring smooth functioning of TPA processes for patients. The role requires excellent communication skills and attention to detail to ensure that patients receive timely assistance with their...

ﾷ Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents **ﾷ Reserve Setting**: - Need to do the proper reserve setting on system based on the claim documents ﾷ Technical processing claims which has been assigned for processing for health/ personal accident etc claims and...

Drafting and pleading skills will be considered as added advantage The candidate should be conversant with mail culture and must know basic computer knowledge like Excel word Power point etc with typing speed Knowledge on Motor vehicle act or exposure in MV act will be considered as added advantage Tracking of each Matter from Claims Dairy Co-ordination with...

Shift timings - US shift Free Cab facility both Pick up & drop (females) /Travel allowance (Male) - Calling Insurance companies to follow on Un-Paid and Denied Claims - Denial Management - Identifying denial trends and come up with the solution to resolve that denial issue - Fighting incorrect denials with insurance rep and sending back claims for...

Gather billing or insurance information from the patient - Provide patients and other departments of the hospital with necessary billing information - Obtaining referrals and pre-authorizations as required for procedures. - Checking eligibility and benefits verification for treatments, hospitalizations, and procedures. - Reviewing patient bills for accuracy...

**Job description** 1. Business dashboards/MIS creation 2. Data analysis amp; interpretation providing key inputs to the sales team 3. Taking pricing approvals for the sales deals 4. KPI scoring tracker for the sales team 5. Updating the channel manpower **Superpowers/ Skills that will help you succeed in this role** 1. High level of drive, initiative...

KLCR Investigations Pvt. Ltd. is a Insurance Claims Investigation Company. This is a full-time Back Office Executive role located in Jankipuram Lucknow. As a Back Office Executive, your day-to-day tasks will involve recording of cases, documents management, coordinating with company executives and other Back Office Works/tasks. Pay: ₹10,000.00 -...

1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation. Track claim status, address rejections, and handle appeals if necessary. 2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions. Assist with pre-authorizations for treatments as required. 3. Coordination with Insurance...