Claims Processing Doctor

Roles and ResponsibilitiesConduct thorough investigations into health insurance claims, including medical records review and witness statements gathering.Determine claim validity by analyzing policy terms, coverage conditions, and documentation.Coordinate with hospitals, doctors, and other stakeholders for smooth claim handling.Ensure compliance with...

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...

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...

A job description for an Insurance Claims Executive includes overseeing claims processing from initiation to settlement, ensuring claims are handled efficiently and comply with regulations. Key responsibilities involve coordinating with underwriting and other teams, managing client relationships, resolving issues, implementing process improvements, and...

The role is with a leading General Insurance company.About the RoleThe organization is seeking a seasoned Head of Claims to lead its Health Insurance Claims function. The role focuses on driving operational excellence, regulatory compliance, and digital transformation across the claims lifecycle.ResponsibilitiesLead and enhance claims systems, rule engines,...

Join Our Team as a Claims Analyst | MumbaiAs Claims (Demurrage) Analyst, you will be responsible for Demurrage & Post-fixture claims.Tasks & Responsibilities:1. Claim handling:Manage demurrage & post-fixture claims.Liaise with the client teams, vessel, agents to gather necessary information.Ensure accurate interpretation of contract clauses & evaluate claims...

Role & responsibilitiesTeam Management: Lead and mentor a team of claim processors, surveyors, and support staff to ensure seamless claims settlement.Claims Processing: Oversee the end-to-end claim life cycle from registration, assessment, and documentation to final settlement.Vendor Coordination: Manage relationships with surveyors, garages, and loss...

Role & responsibilitiesManaging Billing team to meet the SLAs as per Insurers.Monitoring the quality in all the processes of billing.Monitoring claims allocation for billing.Tracking of outstanding claims under billing.Handling escalations from all stakeholders for Billing and resolving them.Interested candidates can call or refer to Moulika @ ,

Roles and ResponsibilitiesManage insurance claims from receipt to settlement, ensuring timely and accurate processing.Conduct thorough analysis of claim documents, including medical records, police reports, and other relevant documentation.Identify potential fraud risks and take necessary actions to mitigate them.Collaborate with internal stakeholders, such...

DescriptionClaims Reporting & Evidencing:Loss notification to the underwriter within 24 hours of Mumbai receiptProcuring Claim related information (claim number and adjustor information ) from the underwriters and relaying it to the clientEvidencing of claim related information and addressing the received queries in liaison with the Claims Advocate Group...