Medical Officer(Claims)

Position - P&I Claims Executive/Officer Responsibilities and duties You shall:Comply with IMS and all relevant international rules and regulations; Ensure all your duties in accordance with quality, health, safety, environmental and ethics policies; Propose a continuous performance improvement plan which will be reported and reviewed on a periodical basis;...

Company DescriptionQuantanite is a customer experience CX solutions company that helpsfast-growing companies and leading global brandsto transformand grow We do thisthrough a collaborative and consultative approach rethinking business processes and ensuring our clients employ the optimalmix of automationand human intelligence We are an ambitiousteamof...

Designation: Senior Medical OfficerFunction: Claims PA/RI ApproverReporting to: Assistant Manager/ManagerLocation: Andheri East, MumbaiEducational Qualification: BAMS, BHMS, BPT, MBBS, BSc. NursingAdditional Qualification: NoneSpecialization: General MedicineRelated courses attended: NoneManagement Level: Junior Management LevelIndustry Type:...

As a Medical Coordinator - Claim Processing, your role involves verifying and processing insurance claims, ensuring accuracy in medical information capture, and facilitating communication among insurance companies, healthcare professionals, and patients. Your responsibilities will include: - Reviewing and processing medical insurance claims - Ensuring...

Should possess U.S Health insurance claim processing experienceKnowledge of medical billing and coding terminologiesReady to work in Night Shift as well as Day shiftUnderstanding of plan documents and general benefitsFamiliarity with terms such as deductible, out of pocket, coinsurance, and copayStrong attention to detail and accuracyAbility to work in...

Roles and ResponsibilitiesHandle health claims from receipt to settlement, ensuring timely processing and quality service delivery.Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity.Maintain accurate records of all interactions with policyholders, agents, and other stakeholders throughout the claims...

Roles and ResponsibilitiesConduct thorough reviews of medical records, claims submissions, and other relevant documents to determine accurate payment amounts.Analyze complex healthcare data to identify trends, patterns, and areas for improvement in claims processing.Collaborate with internal stakeholders to resolve claim discrepancies and ensure timely...

Job Description: You will be responsible for conducting internal quality checks on claims processed by the Claim Team on a daily basis. Additionally, you will attend external audits conducted by different Insurers at PHS Mumbai premises and visit Insurer offices to discuss recoveries/queries raised. It will be part of your role to sensitize the team about...

Core ResponsibilitiesPatient & Clinical Operations: Manage patient registration, schedule appointments, maintain patient health records (including electronic systems), and coordinate with doctors, nurses, and other healthcare providers.Staff & Office Management: Supervise administrative staff, handle hiring and training, manage staff schedules, and oversee...

Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...