Calibrated Healthcare Hiring Claims Examiner II Claims Adjudication

Essential FunctionsReviewing and adjudicating medical claims for payment, determining coverage and appropriate coding and verifying information for accuracy. Evaluate and process claims in accordance with company policies and procedures, as well as to productivity and quality standards. Interprets and processes routine and claims including CMS 1500 and UB04....

-Application development experience in Design, coding, testing and debugging with mainframe skills such as CICS, VSAM, COBOL, DB2, JCL, Zeke, File Aid, Changeman, AbendAid-Programming, conduct code reviews, and test software as needed, ensuring quality of deliverables-Should have experience in Claim adjudication experienceNote:Applicants should be ready to...

TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.Key ResponsibilitiesStrategic...

TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance.Key ResponsibilitiesStrategic...

TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to driveAccident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise inhealth insurance claims, fraud mitigation, provider network management and regulatory compliance. Key Responsibilities Strategic...

About the RoleWe are hiring an accomplished AVP – Claims Operations (US Healthcare) to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup.The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation,...

About the Role We are hiring an accomplishedAVP – Claims Operations (US Healthcare)to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup. The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation,...

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...

**REQUIRED: Urgent Hiring for Insurance claim Executive Who handled Motor vehicle insurance claim and marine insurance claim.** We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory,...

About the RoleWe are hiring an accomplishedAVP – Claims Operations (US Healthcare)to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup.The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation,...