Walk-in Claims Adjudicator

Role: Claims Adjudicators/Sr. Claims AdjudicatorsLocation: NoidaKey Skills: Knowledge of US Health Insurance domain, Claims Adjudication, Providers and Members Enrolment, MS Office and good keyboard skills.Experience: 3 + years in Claims Adjudication or in relevant fieldJob Description: We are seeking a detail-oriented and analytical Claims Adjudicator...

Greetings from Niva BupaJob Location- Noida Sector-59Department- Customer Servicing6 Days workingMust be a BPT graduate.JOB SUMMARY: Answering customer who are disputing over claim rejection or claim related query, also able to provide relevant information to the customer, floor support for team for any query related medical documents, Walk-in customer for...

Reimbursement Claims: To review claim documents received from customer/insured Identify Risk assessment & maintain TAT. Manage Data. Cashless Claims: Preauthorization claim, Manage TAT, Quality adjudication . Required Candidate profileDegree – BHMS/BDS/BPT/BAMS.Exp. – 1+ yrs. in any TPA/Insurance company in Cashless Claims or Reimbursement Claims.

HIRING FRESHERS ALSORole & responsibilitiesMedical Adjudication of Health ClaimsIdentifying FraudsAdhering to SLAs and processing the claims within the TAT as per policySupport CRM, provider, sales and grievance teamQUALIFICATION - MBBS, BAMS AND BHMS ONLY. Rest won't be considered.Work from Office only. Candidate should be comfortable with Roaster timings.

ROLE & RESPONSIBILITIESPreauthorization claim processingManage the Turnaround time.Quality adjudication with ErrorlessRotational basis shift (8 AM to 10:30 PM)WFO onlyQUALIFICATION & EXPERIENCE:BHMS/BAMS/BUMS/BDS/BPT1-2 years ExperienceKnowledge of insurance fieldStrong medical knowledgeFresher also can applyKEY COMPETENCIES & SKILLS REQUIREDMS...

Role OverviewThe Team Lead will be responsible for overseeing day-to-day operations, guiding team members toward performance excellence, and ensuring seamless delivery of client and internal objectives. This role demands strong leadership, communication, and problem-solving skills to foster a high-performing, collaborative environment.Key...

SUMMARY Job Title: P&C Insurance Team LeadLocation: NoidaExperience: 7+ years in claim processingRequirementsRequirements:Graduate or Post graduate with 7+ years of experienceExperience in dealing with international clients (Preferred)Must have Property and Casualty (P&C) Insurance experienceShould have claims adjudication and adjusting experienceExperience...

Medicos Only - BAMS and BHMS - FRESHERS CAN ALSO APPLYTata AIG General Insurance Company Limited is a joint venture between Tata Group and American International Group (AIG). Since its set-up in 2001, the Company has grown strongly to emerge as the preferred private general insurance company in India with several pioneering firsts to its credit. Driven by a...

Business Sys. Analysis Senior AssociateConfigure Benefits for new/existing health plans. Able to understand claim Adjudication. Apply MS-Excel skills to write macros and apply formulas wherever required. Working hand in hand with onshore team to understand requirements. Testing benefits to ensure that all the products are delivered error free. ...

Please Note - We are looking B. Pharma for this profile.JOB RESPONSIBILITIESApplying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility.Identifying and addressing the fraudulent claims amongst the live cases.Grievance redressal and handling escalationsMust understand the policy wordings including Terms & conditions...