Spe-claims Hc

**Job Summary** **Responsibilities** - Oversee the claims adjudication process to ensure accuracy and compliance with company standards. - Analyze claims data to identify trends and areas for improvement in claims processing. - Collaborate with team members to streamline claims workflows and enhance efficiency. - Provide insights and recommendations to...

HC & Insurance Operations Roles and Responsibilities: - 2-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA) and institutional (UB) claims - Knowledge in handling authorization, COB, duplicate and pricing process - Knowledge of healthcare insurance policy concepts including in network, out of...

**Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally...

**Role**: HC & Insurance Operations Associate **Shift Timings**: 6 PM-4 AM IST (AR SHIFT) **Location**: Chennai/Coimbatore (Currently Remote) **Double vaccination required** **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims...

**Role Responsibilities**: - In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. - Ensures day-day transactions are processed per standard operating procedures. - Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. - Product knowledge...

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...

Position s General Duties and Tasks In this role you will be responsible for Life Claims Processing Death Claims and identifying the right beneficiary s to provide the Claims benefit Setting up a claim and then following up for pending requirements if any Examining the received documents payment calculation and settlement Perform additional review...

Role Responsibilities In-depth knowledge and experience in the US healthcare Non Voice - Provider Data Validation and Provider Data management Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling Ensures day-day transactions are processed per standard operating procedures Follows Work...

In-depth knowledge and experience in the US healthcare Non Voice - Provider Data Validation and Provider Data management Ability to train the team on new process and process updates Calibrate with QA s to ensure process knowledge and variance are managed and under control Ability to create Process SOP Process Map and identifying the outlier within...

**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...