Claim Processor

Job Description Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance....

Greetings from Star Secutech Pvt LtdJob Role: CPE/SPE Dental ClaimsExperience: Minimum 1yr into Indian/International HealthcareJob Description:All the rest of countries except US claims are getting loaded in the portal (Octopus) in paper /electronic format.We have 2 baskets where the claims are pended.The coding basket has claims which are mainly for coding...

About Job:-Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying...

About PlumPlum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations.Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as...

Job Description:Check the medical admissibility of a High Value claim, scrutinize and process it as per terms & conditions of insurance policy.Handle escalations, customer queries and responding to mails accordinglyEffectively manage the team so that the targets are met while reducing the no. of IRs raised.Ensure that the claims are approved or denied as per...

Role & responsibilitiesPerform audit reviews of adjudicated health / hospital / medical claims to verify correctness, completeness, and adherence to policy guidelines, contractual terms, and regulatory norms.Use sampling and systematic review techniques (random audits, targeted audits, high-value claims audits) to ensure quality coverage across volumes.Check...

Roles and ResponsibilitiesThe Incumbent will be responsible for Managing a team of about 10-15 members processing all payables of a an MNC - a leader in the Computer Hardware manufacturing industry, which includes sales partner incentives, warranty payables, service partner incentives, other admin payables like utility, rent, travel, foreign remittances,...

Job Title: Scheduler - Workforce Management (WFM)Department: WFMJob Summary:The Workforce Management Scheduler is responsible for optimizing staffing levels to meet service demands while ensuring compliance with company policies and regulations. This role involves analyzing claim volumes, forecasting and creating effective schedules for various teams to...

Grow your career with a growing organization Whether they’re helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfaction, that’s hard to beat. And from a personal satisfaction perspective,...

**About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...

**Greetings from TopGear Consultants!** **Have an opening with Leading General Insurance Company** **Role : Medical claim processor** **Location : Bangalore** **Education : MBBS/BAMS/BHMS** **Experience : cashless processing experience in a TPA or an Insurance company** **Responsibilities**: - Complete understanding of **cashless claims** processing -...

**Role: Healthcare Claims Processor** **Mandatory Skill: Claims Adjudication & Facets** **Location - Chennai** **Notice period - Immediate** Experience: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. Laptop: Mandatory to have a laptop Shifts: only Night Shifts( Time mostly from 4:00pm/5:00pm /6:00...

About Job:-Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying...

About Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying...

About Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...

About Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - Understand the...

**About Us** ACKO is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy, ACKO’s value proposition of ‘Welcome Change’ focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero...