Claims Adjudication

Role :Claims Adjudication Experience :2+years Location :Coimbatore, Chennai Skills - Claim process, Medical Coding Shift :US shifts Claims Experience In This Role You Will Be Responsible For - Experienced level adjudicator providing analytical ability to review claim rules and workflows. - Reviews claim requests to determine eligibility for processing...

**Job Title**: Team Lead - Claims Adjudication **Location**: Bangalore **Experience**: 5-8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead role **Key Responsibilities**: - Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met. - Monitor team performance, allocate workload,...

**Role: Healthcare Claims Processor** **Mandatory Skill: Claims Adjudication & Facets** **Location - Chennai** **Notice period - Immediate** Experience: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. Laptop: Mandatory to have a laptop Shifts: only Night Shifts( Time mostly from 4:00pm/5:00pm /6:00...

**Job Title**:Trainer/SME on Claims Adjudication (Facets or Proclaim system-Mandatory) **Job Category**: Trainer **Department/Group**: Training **Location**: Bangalore Travel Required: No **Level/Salary Range**: 4.25 Lakhs Position Type: Full-Time **Qualifications and Education Requirements** **industry in Claims Adjudication Cycle specifically in...

Roles and Responsibilities :Review and process claims in accordance with established guidelines, regulations, and company policies.Conduct thorough reviews of medical records, diagnoses, treatments, and procedures to determine coverage eligibility.Identify potential denials and take proactive steps to resolve issues before submitting claims to...

3-4 years of experience in Claims Adjudication. With over 1 year of experience as a supervisor. - Proven track record in managing processes, streamlining workflows and excellent people management skills. - Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project...

**Must Have - Cliams Adjudication** **Exp - 1 + years 4 + years** **Location - Chennai** **Notice - Immediate **Skills Expectation**: - Experienced level adjudicator providing analytical ability to review claim rules and workflows. - Reviews claim requests to determine eligibility for processing and escalate to management as necessary. - Responsible for...

HURRY UP Urgent Hiring for US Healthcare Claims Adjudications. OPEN REQURIMENTSTeam Leader Operations.Quality Specialist.Subject Matter Expert (SME).Process Trainer. International voice exp with 4+yrs Contact HR Maya

**Job Title**:Sr. Executive - Insurance Adjudication **Function**:Insurance Adjudication **Job Type**:Full Time Job **Reports To**:Assistant Manager - Insurance Adjudication **Location**:Bengaluru (Kanakapura Main Road, JP Nagar 9th phase ) Medical Insurance Adjudication Department at **We Assist** has an important role of managing the relationship with...

**Job Summary** **Responsibilities** - Oversee the claim investigation process to ensure thorough validation and accurate adjudication. - Utilize advanced Excel skills to analyze data and generate insightful reports for claim assessments. - Collaborate with cross-functional teams to streamline claim processing and improve efficiency. - Ensure compliance...