Team Member-od Claims Investigation

**Desktop Investigation** - Trigger identification through data at intimation/Referral stage - Social media searches - Cold calling using digital platforms - Identify key business people, link analysis **Claim Investigation** - Allocation of assigned claims to respective vendors with case relevant triggers - Follow up for IR and TAT management - Level 1 QC...

About the RoleThe Claims Management Specialist plays a vital role in streamlining cashless insurance claims processing, ensuring efficient and accurate handling for timely closure to policyholders and seamless coordination with insurance providers.This entails verifying policy coverage, reviewing medical records, coordinating with Insurers, and guaranteeing...

Transform the Healthcare Landscape as a Claims ManagerAn exciting opportunity awaits an experienced professional to oversee and manage the end-to-end claims process for customers.Claims Lifecycle Management: Ensure seamless verification, documentation, submission, follow-up, and settlement of health insurance claims.Customer Engagement: Assist clients...

We are looking for a highly skilled and organized professional to fill the role of Dental Claims Submission Specialist.Job DescriptionThis position is responsible for timely submission of dental insurance claims, monitoring payments, following up on outstanding balances, and ensuring accuracy of accounts receivable.The ideal candidate will possess experience...

Senior Claims Analyst RoleThis role involves processing Life Insurance and Living Benefits Claims for Canadian customers.Coordinate with onshore teams and the client to ensure timely processing of Claims transactions.Manage Life Insurance and Living Benefits Claims effectively.To succeed in this role, you must possess:Key QualificationsFluent French...

Revenue Cycle ProfessionalWe are seeking skilled professionals to join our growing healthcare revenue cycle team. As a key member, you will play a vital role in making calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers.This is an excellent opportunity to develop your skills and...

Claims Settlement SpecialistWe are seeking a highly skilled Claims Settlement Specialist to oversee the entire claims settlement process from submission to final resolution.The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.Key Responsibilities:Claims Processing: Handle the...

Job Title: US Healthcare-Claims ProcessWe are seeking a highly skilled and experienced Sr. Process Executive to join our team in the US healthcare claims processing domain.The ideal candidate will have strong expertise in claims adjudication, with experience in US healthcare regulations and coding systems (ICD, CPT, HCPCS).A background in claims adjustments,...

Job SummaryWe are seeking a skilled Billing & Claims Specialist to join our team. The ideal candidate is detail-oriented, organized, and familiar with dental billing processes.Prepare and submit dental insurance claims accurately and in a timely manner.Post insurance and patient payments in practice management systems.Follow up on unpaid or denied claims to...

Seeking a detail-oriented professional to own antimicrobial claim substantiation for new projects. Responsibilities include managing lab interactions, data generation and analysis, and quality assurance.This role requires driving innovation in personal care and surface care through antimicrobial performance evaluation of prototype formulations and finished...