US Health Care Claims Adjudication

Job Title: Team Lead – Claims AdjudicationLocation: IndoreExperience: 5–8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead roleKey Responsibilities:Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met.Monitor team performance, allocate workload, and ensure timely processing...

Experience : 3.5 Years in Claim adjudication: US HEALTHCARETL/QA/SME : On papers mandatoryWalkin Drive on 3rd and 4th Oct @Indore Relevant candidates only can reach me on

Minimum 4 + years of experience in claims adjudicationStrong understanding of US healthcare insurance, including eligibility, coding, benefits, and provider contracts.Familiarity with HIPAA, Medicare, Medicaid, and ACA regulations.Excellent communication and interpersonal skills.Proven ability to lead teams and manage performance.Analytical mindset with...

We have urgent opening for Team Leader - Claim AdjudicationEXP-Min-4+ Years on experienceSalary-As per market standardShift-Night Shift5 days workingboth side cabPlease reach me on

Job Title: Team Lead Operations – Claims Adjudication (US Healthcare)Location: [Indore]Experience: Minimum 4.6 years in US Healthcare Claims Adjudication, including at least 1 year as SME (on papers)Role OverviewThe Team Leader – Claims Adjudication is responsible for supervising a team of claims processors/adjudicators to ensure accurate and timely...

Job Title: Specialist – Quality (US Healthcare Claims)Experience: 4+ years in US Healthcare Claims AdjudicationQualification: Any GraduateJob Description:We are hiring a Quality Specialist with expertise in US Healthcare claims adjudication. The role involves conducting audits, ensuring compliance, identifying errors, and driving process improvements using...

Responsibilities * Conduct thorough claims adjudication, processing, and review to ensure accuracy and compliance with regulatory requirements.* Manage claims from receipt to resolution, ensuring timely and efficient processing.* Collaborate with internal stakeholders to resolve complex claims issues and improve overall quality of service.* Maintain...

Job Role: QA -Claim AdjudicationLocation: IndoreShifts: US ShiftBoth the way cab available5 Days working (Saturday & Sunday fixed off)Salary: 5.5-6 LPA + incentives + allowanceExperience: Minimum 4.6 years of experience in claims adjudication, with at least 1 year in a SME on papers.Key ResponsibilitiesAuditing Claims: Reviewing adjudicated claims to verify...

Hi Pfizer is hiring for Health Care Executive for CNS Division (Nurtec Brand)Job Title: Health Care Executive – CNS Division (Nurtec Brand)Location: Indore ( Indore location Mandatory )Reporting To: District Healthcare Manager Division: Central Nervous System (CNS) Brand Focus: Nurtec Role Purpose To drive strategic engagement with healthcare...

HiPfizer is hiring for Health Care Executive for CNS Division (Nurtec Brand)Job Title: Health Care Executive – CNS Division (Nurtec Brand)Location : Indore ( Indore location Mandatory )Therapy Exp : Neuro/ CNSReporting To : District Healthcare Manager Division : Central Nervous System (CNS) Brand Focus : NurtecRole PurposeTo drive strategic engagement...