Claim Examiner

Job Titile: Claims Examiner IDo you see…? Are you passionate about …?  About us:  For over 20 years, Smart Data Solutions has been partnering with leading payer organizations to provide automation and technology solutions enabling data standardization and workflow automation. The company brings a comprehensive set of turn-key services to handle all...

Claim Review & Investigation: Examine incoming claims to verify their accuracy, completeness, and legitimacy. Policy Verification: Confirm that claims fall under the terms and conditions of the relevant insurance policy or contract. Compliance: Ensure all claims processing and settlements comply with company policies, industry standards, and legal...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

**Job Summary**:A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims...

**Job Summary**:A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables - Prioritize unpaid claims for calling according to the length of time it has been outstanding - Call insurance companies directly and convince them to pay the outstanding claims - Check the relevance of insurance info offered by the...

**Adjudication - Claim Examiner** **Job Title**: Claim Examiner "Adjudication" **Location**: Chennai **Job Type**: Full-Time **Shift**: Day Shift “Based on the Client Requirement” **Gender**: Male/ Female **Experience**: Fresher - Responsible for the coordination and resolution of the administrative denials and appeals. - Ability to understand logic of...

Job Description We are looking for people who: Are an effective communicator (Verbal communication) Are passionate about interacting with people. Are Detailed oriented and highly organized Have critical thinking and analytical presentation Are proficient in using Microsoft office applications. Are flexible for US Shift Time Job Description: Initiate call to...

Job Description We are looking for people who: - Are an effective communicator (Verbal communication) - Are passionate about interacting with people. - Are Detailed oriented and highly organized - Have critical thinking and analytical presentation - Are proficient in using Microsoft office applications. - Are flexible for US Shift Time Job Description:...