Healthcare and Insurance Operations Senior Associate

HC & Insurance Operations Senior Rep. 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...

Contributes to own team closely related teams by ensuring quality and accuracy of team output Builds productive internal relationships at team lead or management level Collaborates with others to achieve objectives and ensure information flow Provides operational support for activities associated with all phases of transaction processing Ensures accurate...

Job Description 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 and...

Key Responsibilities:Oversee end-to-end insurance operations including claims submission, follow-ups, denials management, and reimbursements.Lead and manage the Accounts Receivable (AR) team to ensure timely collection and reconciliation of dues.Monitor KPIs such as DSO (Days Sales Outstanding), denial rates, claim rejection ratios, etc.Travel regularly to...

Req ID 329975 NTT DATA strives to hire exceptional innovative and passionate individuals who want to grow with us If you want to be part of an inclusive adaptable and forward-thinking organization apply now We are currently seeking a HC Insurance Operations Associate to join our team in Chennai Tamil N du IN-TN India IN o Checks for...

Company DescriptionWNS (Holdings) Limited (NYSE: WNS), is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across 10 industries. We enable businesses in Travel, Insurance, Banking and Financial...

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 network providers deductible ...

Job DescriptionRoles 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 network...

"Checks for completeness and appropriateness of source data.Involved in fact finding, information search and data gathering.Verifies and compiles data. Identifies and resolves routine and recurring problems.Skills RequiredAbility to analyze and process transactions based on rules.Able to integrate knowledge as a skilled specialist.Possess strong domain...

Role & responsibilitiesDevelop and execute insurance/TPA strategy aligned with hospital growth.Drive empanelment with new insurers and negotiate contracts/tariffs.Oversee end-to-end operations: pre-authorizations, approvals, claims submission, and reimbursements.Reduce claim denials and ensure timely collections.Lead and mentor the insurance/TPA team; set...