Healthcare Claims Examiner

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...

**DESCRIPTION**: The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon’s suppliers,...

Job DescriptionJob Role : Claims ProcessorYears of Experience :1-3 YrsPreferred Location :HYD 3Shift Timing (IST) :5:45 PM - 3:30AMShort DescriptionClaims Processing for Optum Financial Services Shift should be 5.45 PM to 3.15 AM 100% Work From Office Hyd LocationEngagement Duration (in Months): 6Engagement & Project OverviewFor OFS-CDH(Consumer Driven...

Key ResponsibilitiesDesign, develop, and implement solutions on Pega Smart Claims platform for insurance/healthcare domain.Configure and customize Pega rules, flows, case types, data pages, activities, decision tables, and integrations.Work closely with business stakeholders to gather requirements and translate them into functional and technical...

We are hiring for Leading ITES Company for AR Caller - Healthcare ProfileLocation: HyderabadSalary: Upto 33k in handRole & responsibilities:Responsibilities:Minimum 1 year experience in AR Calling in medical billing fieldShould handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.To work closely with the team leader.Good Knowledge of...

We're Hiring Trainee Surveyor – Non-Motor DepartmentsAbout Company:INTECH Insurance Surveyors and Loss Assessors Pvt. Limited are licensed by the Insurance Regulatory Development Authority of India [IRDAI] to carry out the survey and loss assessment of all departments of the General Insurance Industry.Job Description:Conducting inspections and surveys for...

The speed of technology. The influx of data. Shifting regulations. Increased customer expectations. That's where you'll find SS&C, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge - one that only a few people can embrace and...

We are seeking a highly skilled and experienced SME in US Healthcare Payer and Provider Data and Analytics space. You will work closely on Payer and Provider solutions to design, implement, and optimize value-based care analytics, Population health, utilization management, member engagement, clinical and claims analytics leveraging data management,...