Claims Adjudication _Chennai Office/WFH

Greetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...

Greetings from NTT DATA,Clients business problem to resolve: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 companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and...

Responsibilities:Claims Processing Analysis: Conduct comprehensive analysis of claims data to identify trends, anomalies, and opportunities for improvement.Quality Assurance: Execute quality assurance processes to verify the accuracy and completeness of claims submissions and adjudications.Performance Monitoring: Monitor key performance indicators (KPIs)...

DescriptionJob Description_ Contingency _Data Mining Job Name: Senior Executive - Datamining Position Title:  Senior Executive Band: A2 ERP Full Position ID: Reporting to: Assistant Manager Location/Site: EXL India Overview Candidates should have minimum 3+ years of experience and must have knowledge in claims adjudication process and its processing...

DescriptionClaims Processing & Adjudication:Review, analyze, and process healthcare claims accurately based on payer rules, policy guidelines, and contractual terms.Perform manual payment determination and allowable calculations without relying on system tools.Revenue Optimization & Data Mining:Identify gaps, underpayments, and missed revenue opportunities...

Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

Candidate Specification & Job Description:4+ years experience in Life & Annuities (L&A) insurance operations back office and end to end insurance operationsManage day-to-day insurance back-office operations related to policy servicing, renewals, endorsements, cancellations, and claims.Perform data entry, validation, and documentation for new business,...

Job Summary:We are looking for a driven and curious Claims Processing Executive (CPE) to join our growing dynamic medical billing team. The ideal candidate will perform all activities involved in the preparation, insurance verification and retrieval of medical records for US Workers Compensation claims. The CPE will act as the liaison between key Client...

Cognizant Walk-in drive for US Healthcare -Claims Process at Chennai location.Interview Date : 8th Nov 2025 (Saturday)Interview Time : 10:00 AM to 1:00 PMVenue - Cognizant CKC - SEZ Ave, Elcot Sez, Sholinganallur, Chennai, Tamil Nadu 600119Building Details: Cafeteria - 1st floor, Wing - B.POC: Babu/AswiniPreferred candidates Profile:Overall experience...

Responsibilities:• Analyze and evaluate workers's compensation claim payments using client proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state workers compensation fee schedule and/or PPO contract.Research, request and acquire...