Hiring Freshers For Claim Adjudication

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.

KEY RESPONSIBILITIES: Handling of claim rejections/ claim related query over calls and emails.Floor support, Walk-in customersSatisfaction of customerTeam satisfactionLearning and knowledge for team Required Candidate profileMust have BPT/Experienced claim adjudicatorMedical Knowledge in depth.Must be comfortable for 6 day with rotational shift and...

Job Description:Primary Role Description: The individual will head reimbursement claims process (Claim reporting to final decision). He / She will play a key leadership role in driving Reimbursement claim strategy, managing the claims team, collaborating with other departments to ensure the organizational goals on finances, customers, processes and people...

Job Description:KEY RESPONSIBILITIES: Handling of claim rejections/ claim related query over calls and emails.Floor supportWalk-in customersMEASURES of SUCCESS:Satisfaction of customerTeam satisfactionLearning and knowledge for teamQUALIFICATION & EXPERIENCE: BPT/Experienced claim adjudicatorKEY COMPETENCIES & SKILLS REQUIRED:Professionalism, interpersonal...

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...

Basic Function   Role primarily involves dealing with different activities within the motor claims area including handling inbound and outbound calls, managing hires, taking action on incoming post/documents/spreadsheets, and making payments to progress claims. All claims are to be completed based on the laid out procedures and guidelines in the...

Desired Candidate Profile2-7 years of experience in US Healthcare Claims Adjudication (authorization/claims processing).Strong knowledge of Property & Casualty Insurance (P&C) principles and practices.Excellent communication skills for effective interaction with clients over phone/email/letter.Candidates with Voice Experience + US Insurance Experience /...

Configure 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.Co-ordination and reporting with onshore.Maintain weekly...

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Responsibilities:* Prior Auths, coding & denials*Collaborate with providers and insurance for Refill requests,denials,rejections,appeals* Enter New Rxs in the Pharmacy Sys* Claims adjudication* US healthcare knowledge & terminology proficiencyAnnual bonus