Claims Specialist

9 hours ago


Mumbai, Maharashtra, India Paramount Health Services & Insurance TPA Pvt. Ltd. Full time

Company Description

Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) is a Third Party Administrator in the health insurance sector, serving all insurance companies. PHS enhances health insurance policies through a network of healthcare service providers, medical care standardization, claims management, client servicing, and expert opinion, thereby facilitating smooth operations. With customized healthcare delivery, PHS administers a comprehensive healthcare package for its clients.

Role Description

This is a full-time on-site role for a Claims Specialist, located in Mumbai. The Claims Specialist will manage and handle insurance claims, ensuring accurate and efficient processing. Daily tasks include assessing claims, verifying information, communicating with clients and healthcare providers, and utilizing analytical skills to resolve complex claims issues. The role requires collaboration with the claims management team to ensure timely and effective service delivery.

Qualifications

  • Claims Management and Claims Handling skills
  • Strong Analytical Skills
  • Knowledge of Insurance practices
  • Excellent Communication skills
  • Problem-solving abilities and attention to detail
  • Ability to work independently and within a team
  • Bachelor's degree in a relevant field or equivalent experience


  • Mumbai, Maharashtra, India Weekday AI Full time ₹ 24,00,000 - ₹ 36,00,000 per year

    This role is for one of Weekday's clientsSalary range: Rs Rs ie INR 4-6 LPA)Min Experience: 4 yearsLocation: MumbaiJobType: full-timeRequirementsWe are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for managing and processing...


  • Mumbai, Maharashtra, India Weekday AI Full time ₹ 40,00,000 - ₹ 60,00,000 per year

    This role is for one of Weekday's clientsSalary range: Rs Rs ie INR 4-6 LPA)Min Experience: 4 yearsLocation: MumbaiJobType: full-timeRequirementsWe are seeking a meticulous and experienced Health & Legal Claims Specialist with a strong background in life insurance claims management. The ideal candidate will be responsible for managing and processing...

  • Claims Specialist

    7 hours ago


    Navi Mumbai, Maharashtra, India Hexaware Technologies Full time ₹ 9,00,000 - ₹ 18,00,000 per year

    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...

  • Claims Specialist

    4 weeks ago


    Mumbai, Maharashtra, India, Maharashtra Howden Full time

    Job Description Industry: General Insurance / Insurance Broking / Insurance SurveyorLocation: MumbaiExperience: 12+ yearsReporting To: Business Head/Vertical HeadRole SummaryThe role holder will lead the claims function across all Specialty lines of business, ensuring efficient, compliant, and client-centric claims handling. The role involves strategic...


  • Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full time ₹ 2,40,000 - ₹ 4,80,000 per year

    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...


  • Navi Mumbai, Maharashtra, India Flash Tech Consulting Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Company DescriptionFlash Tech Consulting serves clients across a wide range of industries globally, specializing in Healthcare, IT & Telecommunications, Oil & Gas, BPO, Hospitality, Marketing & Sales, Advertising, Finance & Banking, Automobile, and Logistics. Our diverse industry knowledge allows us to provide unique solutions tailored to our clients'...


  • Mumbai, Maharashtra, India Johnson Controls Full time US$ 40,000 - US$ 80,000 per year

    Who We Are :Johnson Controls is the global leader for smart, healthy and sustainable buildings. At Johnson Controls, we've been making buildings smarter since 1885, and our capabilities, depth of innovation experience, and global reach have been growing ever since. Today, we offer the world's largest portfolio of building products, technologies, software,...

  • Brand Specialist

    1 week ago


    Mumbai, Maharashtra, India Procter & Gamble Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Job LocationMUMBAI GENERAL OFFICEJob DescriptionJob Description for BRD-BRM - Technical/Specialist - Band BTAJob Description for BRD-BRM - Technical/Specialist - Band BTAThis role is part of the Technical/Specialist job family at Procter & Gamble. As a member of this job family, you will be responsible for contributing to and executing strategies within your...

  • Insurance Specialist

    13 hours ago


    Mumbai, Maharashtra, India PluginLive Full time

    Job Title:Insurance Specialist -InvIT & InfrastructureLocation:MumbaiExperience: 8-12 Years of experience inManaging insurance for infrastructure, real estate, highways, or similar large asset-based organizationsPrior experience in insurance placement, claims handling, and stakeholder management is essentialQualifications:Graduate in any discipline with a...

  • RCM Specialist

    6 days ago


    Navi Mumbai, Maharashtra, India REVUPSIDE Full time ₹ 1,80,000 - ₹ 2,40,000 per year

    RCM Specialist / Medical Biller (ModMed Experience Required)Key ResponsibilitiesManage the complete Revenue Cycle Management (RCM) process using ModMed software.Perform charge entry, claim creation, submission, and follow-up on unpaid or denied claims.Ensure accurate payment posting and reconciliation of EOBs/ERAs.Work daily on denial analysis and AR...