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 Summary:We are seeking a qualified and experienced medical professional with a strong background in health insurance claim settlement and customer service. The ideal candidate will leverage their clinical knowledge to evaluate and process health insurance claims efficiently while ensuring a high level of customer satisfaction. This hybrid role bridges...

Company DescriptionHealth Care At Home is a hospital and health care company based out of Stevens Point, Wisconsin, United States. We are dedicated to providing quality health care services to our community. Our comprehensive services are designed to meet the needs of patients in a supportive home environment. We pride ourselves on our commitment to...

Claims Officer Description Vendor Management Handling litigation claims Handling MIS & compliance related activities Handling corporate office activities Candidate must have: In depth technical knowledge of automobiles with experience in motor claim assessments & settlements for all products Good interpersonal skills Must be proactive...