Health Care Claims Examiner Ii

Roles & Responsibilities (Indicative not exhaustive) 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...

Job Description:1. Conduct insurance claim & valuation surveys of industrial, commercial & residential properties, prepare reports, handle correspondence, and assess losses as per policy coverage.Education: B.Tech (Civil/Mech/Elec), Freshers.Health insuranceProvident fund

We are looking for a fulltime in office member at our Hyderabad Office, who will look after all our paper work when it comes to Claims department. As a claims administrator, you should have attention to details and be up to date with all the documents that are to be procured **Role and Responsibilities**: - Receive Claim Files and add file details as per...

TPA / Health Insurance Exp. is preferredAssessment of Health Claims Assessment of Treatment & Medication given in the papers sent for claim Cost optimizationApproval of Claims for ProcessingMBBS , BHMS & BAMS Doctors only

**Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. - Supports development and execution of automated and manual test cases - Ability to design, create,...

Health Claims Processor Location: Hyderabad / Remote Employment Type: Full-time / Contract Experience Required: 1-3 years in health insurance claim processing or TPA operations About HealthPay HealthPay is a pioneering AI-driven platform transforming the health insurance claim process. Our software automates claim adjudication with approximately great...

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 inclusion, talented peers,...

**Job Title**:US Medical Billing Executive (Denial Management) The main role of a Medical Billing executive is to ensure health providers are paid for medical services rendered. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. **Experience Range**: 2- 3 years in Day and...

**Job Title: Executive Payment Posting - Medical Billing** The main role of a Medical Billing executive is to ensure health providers are paid for medical services rendered. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. Experience Range: 1 - 2 years **Educational...

**Job Title**:US Medical Billing Executive (Denial Management) The main role of a Medical Billing executive is to ensure health providers are paid for medical services rendered. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. **Experience Range**: 2- 3 years in Day and...