
Claim Adjudicator
2 days ago
Experience: 1-3 Years
Notice Period: Immediate - 15 Days Joiners
Location: Chennai,Coimbatore
**Skills**:
- 1-3 years of experience in processing claims adjudication and adjustment process
- Experience of Facets is an added advantage.
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skill
**Roles and Responsibilities**:
- Process Adjudication claims and resolve for payment and Denials
- Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
- Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
- Organizing and completing tasks according to assigned priorities.
- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
- Resolving complex situations following pre-established guidelines
**Salary**: ₹177,268.79 - ₹274,629.26 per year
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Flexible shift
- Night shift
- Rotational shift
**Experience**:
- total: 2 years (required)
-
Claim Adjudication
9 hours ago
Chennai, India TekWisen Software Pvt. Ltd Full timePosition: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...
-
Claims Adjudicator
10 hours ago
Ambattur, Chennai, Tamil Nadu, India CogNet Full time**Job Information**: Job Opening ID **ZR_51_JOB** Number of Positions **2** Job Opening Status **In-progress** Date Opened **02/20/2025** Industry **BPO** Job Type **Full time** **Required Skills**: - Eye for detail - Good in US Claims process... +1 Work Experience **4-5 years** Shift...
-
Hiring For Claims Adjudication
2 weeks ago
Chennai, India NTT DATA, Inc. Full timeRoles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and...
-
Hiring For Claims Adjudication
2 days ago
Chennai, Tamil Nadu, India NTT DATA, Inc. Full time ₹ 6,00,000 - ₹ 12,00,000 per yearRoles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing, and the corrected claims processKnowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and...
-
Hiring For Claims Adjudication
2 weeks ago
Chennai, India NTT DATA, Inc. Full timeGreetings from NTT DATA, Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum...
-
Claims Adjudication Associate
2 weeks ago
Chennai, Tamil Nadu, India CIEL HR Full timeRole BPO Health Claims Adjudication Associate Experience Range 1 to 3 year Location DLF - Chennai Work From Office Shift Timing - US Central time 6 00 PM to 4 00 AM IST Transport - Only DROP Notice Period Immediate - 15 days for BPO Health Claims Adjudication Associate Roles and Responsibilities Required computer skills must have...
-
Opening For Experienced Claim Adjudicator
2 weeks ago
Chennai, India NTT DATA, Inc. Full timeRoles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...
-
Opening For Experienced Claim Adjudicator
3 days ago
Chennai, Tamil Nadu, India NTT DATA, Inc. Full time ₹ 2,50,000 - ₹ 7,50,000 per yearRoles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...
-
Associate Iii
10 hours ago
Chennai, Tamil Nadu, India UST Global Full time2 - 7 Years - 14 Openings - Chennai **Role description**: **Job Title: Claims Adjudication - Non-Voice BPO Process** **Experience**:3 to 7 Years **Location**:Chennai **Process Type**:Non-Voice (Back Office) **Domain**:Healthcare / Insurance **Shift**:5.30pm to 2.30pm or 6.30pm to 3.30pm **Job Summary**: **Key Responsibilities**: - Review and...
-
Claim Adjudication Male candidates preferred
7 days ago
Chennai, Tamil Nadu, India Neltner Business Services Full time ₹ 3,00,000 - ₹ 6,00,000 per yearRole & responsibilitiesSelected trainees Will be trained on Claim adjudication processThey will evaluate and processes claims in accordance with company policies and procedures per CMS guidelines/SOPReviews and analyzes data for in-process claims in order to identify and resolve errors prior to final adjudicationExercises good judgment and remains...