Looking For Health Claims Doctor @

Claims Processing DrJob Qualifications and Requirements:Required : BDS, BHMS, BAMS, MD, Pharm D Graduates.Job Description:Along with the medical expertise, need to master the various products ( Policies) and to apply the terms and conditions during claim processing.Claims processors process any claim payments when applicable and must ensure they comply with...

Roles and ResponsibilitiesConduct thorough investigations into health insurance claims, including medical records review and witness statements gathering.Determine claim validity by analyzing policy terms, coverage conditions, and documentation.Coordinate with hospitals, doctors, and other stakeholders for smooth claim handling.Ensure compliance with...

Role OverviewWe are seeking a Claims QC Manager to ensure accuracy, compliance, and fairness in health insurance claim processing. This role involves overseeing both rejection recommendations and approvals (including high-value cases), in alignment with IRDAI regulations, internal policies, and ethical standards. The QC Manager will drive process...

Job Description Zonal Claims Administrator- ZOCAClaims ProcessesEach zone shall have a ZOCA responsible for claims functions at Zonal level and reporting into the Regional Claims Head.ZOCA shall co-ordinate with Regional claims team and HO Claims to ensure that claims processing of Cashless and Reimbursement claims are smooth and effective.Claims are...

This role is for one of Weekday's clientsSalary range: Rs Rs ie INR 4-6 LPA)Min Experience: 4 yearsLocation: MumbaiJobType: full-timeRequirementsWe are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for managing and processing...

Location: In-office Type: Full-Time Experience: 2-3 years About the Role:We're looking for a Health Insurance Claims Expert who has hands-on experience in managing or analysing claims and wants to use that experience to make the insurance ecosystem more transparent and consumer-friendly. You'll work with our founders, research, and marketplace teams to...

Should possess U.S Health insurance claim processing experienceKnowledge of medical billing and coding terminologiesReady to work in Night Shift as well as Day shiftUnderstanding of plan documents and general benefitsFamiliarity with terms such as deductible, out of pocket, coinsurance, and copayStrong attention to detail and accuracyAbility to work in...

Role & responsibilitiesManaging Billing team to meet the SLAs as per Insurers.Monitoring the quality in all the processes of billing.Monitoring claims allocation for billing.Tracking of outstanding claims under billing.Handling escalations from all stakeholders for Billing and resolving them.Interested candidates can call or refer to Moulika @ ,

The role is with a leading General Insurance company.About the RoleThe organization is seeking a seasoned Head of Claims to lead its Health Insurance Claims function. The role focuses on driving operational excellence, regulatory compliance, and digital transformation across the claims lifecycle.ResponsibilitiesLead and enhance claims systems, rule engines,...

Company DescriptionStar Health & Allied Insurance Co. Ltd. is an Indian health insurance company based in Chennai, established in 2006 as India's first standalone health insurance provider. The company offers innovative health, personal accident, and travel insurance products. With an extensive network of over 14,000 hospitals, Star Health delivers cashless...