Associate Cashless Claims/ Reimbursement Claims

About UsVisit Health is a pioneering health-tech platform, founded in 2016 by BITS Pilani alumni, dedicated to making healthcare accessible, affordable, and preventive. Originated as a telemedicine platform during the 2015 Swine Flu epidemic, Visit Health has grown into an all-in-one wellness ecosystem that connects doctors, insurers, and millions of Indian...

Review application on applicant pre-existing medical condition, claim history & personal habits by applying underwriting rules. Review and Analyze risk basis on health insurance applications, medical reports & other relevant document to assess risk. Required Candidate profileDegree – BHMS/BDS/BPT/BAMS.Exp. – 1+ yrs. in any TPA/Insurance company (Fresher...

Role & responsibilitiesReview and audit of RM and cashless processed claim (both financial & non-financial part including documentation.Manage risk governance through documentation of risk registers and operational risk framework processed claim.Completion of audit reviews within budgeted timelines, Quality of audit findings, Timely and accurate finalization...

Responsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters,...

Greetings from Niva BupaJob Location- Noida Sector-59Department- Customer Servicing6 Days workingMust be a BPT graduate.JOB SUMMARY: Answering customer who are disputing over claim rejection or claim related query, also able to provide relevant information to the customer, floor support for team for any query related medical documents, Walk-in customer for...

Create the future of e-health together with us by becoming an Associate/Sr. Associate- Claims ManagementAt CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient...

*Please share your resume before coming to the walk-in on 6th Saturday 11:00am - 4:30pmRole: Claims Adjudicators/Sr. Claims AdjudicatorsLocation: NoidaKey Skills: Knowledge of US Health Insurance domain, Claims Adjudication, Providers and Members Enrolment, MS Office and good keyboard skills.Experience: 3 + years in Claims Adjudication or in relevant field...

Responsibilities:* Process claims accurately and efficiently* Communicate findings clearly via email* Input data into system with precision* Conduct thorough claim investigations* Meet deadlines consistently

Mandatory Skills: Duckcreek Claims (V11/V12) Claims, Claims Center .NET & .NET Framework Job Responsibilities: Strong hands-on experience with Duckcreek Claims V11/V12.Expertise in .NET and .NET Framework development.Experience in Claims Configuration and Console Modules.Ability to configure and customize Party, Module, Task Creation, Extensions,...

Tata 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 mission to create better tomorrows for Customers by...