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...

Key ResponsibilitiesMedical Review Claims Adjudication:Assess and validate medical claims based on clinical documentation and policy coverage.Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility.Coordinate with internal medical teams to ensure accuracy in claims decision-making.Customer Interaction...

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...

Job Title: Quality Team Lead (QTL) – US Healthcare ClaimsExperience: 5+ years in Claims Adjudication, 3+ years in Quality AssuranceJob Description:We are seeking a skilled Quality Team Lead (QTL) with strong expertise in US Healthcare claims adjudication and Quality Assurance practices. The role involves leading quality audits, ensuring compliance,...

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...

Job Summary:We are seeking a detail-oriented and experienced Claim & Quality Auditor to ensure accuracy, compliance, and efficiency across the claims process. The ideal candidate will be responsible for reviewing claim files, identifying process gaps, ensuring adherence to company and regulatory standards, and recommending corrective actions to improve...

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...

DescriptionVendor ManagementHandling litigation claimsHandling MIS & compliance related activitiesHandling corporate office activitiesCandidate must have:In depth technical knowledge of automobiles with experience in motor claim assessments & settlements for all productsGood interpersonal skillsMust be proactive & effective learnerExperience: Minimum 3 years...