Claims Adjuster

Age limit: 20 to 30.Investigate Claims: Gather facts and evidence, such as police reports, witness statements, and surveillance video, to understand the details of a claim.Evaluate Policies: Review the claimant's insurance policy to determine the extent of coverage and the company's liability.Assess Damages: Inspect damaged property, vehicles, or businesses...

Role & responsibilities: Review incoming claims for accuracy, completeness, and eligibility under policy coverage. Verify customer details, policy information, and supporting documentation. Visiting loss site, provide inputs on loss minimization. Maintaining Claims MIS Sheet. Assess claims against policy terms and identify discrepancies or missing...

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...

**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...

Roles 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...

Roles 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...

Greetings 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...

**Adjudication - Claim Examiner** **Job Title**: Claim Examiner "Adjudication" **Location**: Chennai **Job Type**: Full-Time **Shift**: Day Shift “Based on the Client Requirement” **Gender**: Male/ Female **Experience**: Fresher - Responsible for the coordination and resolution of the administrative denials and appeals. - Ability to understand logic...

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...

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...