Medical Claim Executive

Hiring Claims Executive for billing of medical claims. Candidate must have experience in tpa industry.

About Us:Medi Assist is India's leading Health Tech and Insure Tech company focused onadministering health benefits across employers, retail members, and publichealth schemes. We consistently strive to drive innovation and participate insuch initiatives, to lower health care costs.Our Health Benefits:Administration model is designed to deliver the tools...

Roles and ResponsibilitiesConduct thorough investigations into health insurance claims, including medical records review and witness statements gathering.Determine claim validity by analyzing policy terms, coverage conditions, and documentation.Coordinate with hospitals, doctors, and other stakeholders for smooth claim handling.Ensure compliance with...

Roles and ResponsibilitiesManage insurance claims from receipt to settlement, ensuring timely and accurate processing.Conduct thorough analysis of claim documents, including medical records, police reports, and other relevant documentation.Identify potential fraud risks and take necessary actions to mitigate them.Collaborate with internal stakeholders, such...

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...

1)Scrutiny of claim documents like claim form, discharge card, final bill, etc. 2) Maintaining claim records 3) Discuss and help employees to resolve any queries generated in the claims process. 4). Follow up with insurers and claims team for settlement of claims 5) Claim intimation of GPA, WC, GTL claims Required Skills ; well spoken and written...

**Urgent Opening** **Role**:Investigation Claims **Experience**:3 to 8 Years **Location**:Mumbai (Goregaon) **Industry**: Insurance **Qualification**: BAMS, BHMS, BUMS, BDS, BPT **Role & Responsibility**: (Details of the roles & responsibility) **Investigation Management (Health/CI/PA Claims)** 1. Required to assign, follow up, get the investigation...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough analysis of medical records, bills, and other relevant documents to determine claim validity. Maintain accurate records of all interactions with policyholders, agents, and other stakeholders throughout the...

Managing Claim Investigations~ Cashless & Reimbursement - Scheduling Field Investigators through phone/mail for audits across India - Making the reports as per the Data Collected - For Cashless & Reimbursement Claims for Health Insurance Clients. Analytics: We provide clients with expert analysis to help them drive results. You will be responsible for: -...

Job Summary: The Claim Executive is responsible for working with insurers to get our customers' claims paid in a timely and satisfactory manner. This role involves coordinating with both customers and insurers, as well as reviewing and evaluating claims to ensure their validity. The Claim Executive will work closely with the rest of the claims team to...