Claims Executive

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,...

DescriptionResponsible 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...

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: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...

DescriptionThe Claims assistant will be responsible for managing a high volume of claims, ensuring timely resolution, accurate documentation, and strong customer/carrier satisfaction. This role involves reviewing claim submissions, validating documentation, escalating complex cases, and maintaining clear communication with stakeholders. The advisor will also...

The Claims assistant will be responsible for managing a high volume of claims, ensuring timely resolution, accurate documentation, and strong customer/carrier satisfaction. This role involves reviewing claim submissions, validating documentation, escalating complex cases, and maintaining clear communication with stakeholders. The advisor will also support...

DescriptionJob DescriptionPosition Title, Responsibility Level:Executive/Senior ExecutiveFunction: OperationsReports to  - Assistant Manager/Lead Assistant ManagerPermanent/ Temporary: PermanentSpan of Control – NoneLocation:  C – 42, Noida Basic FunctionThis position is responsible for reviewing, analyzing and interpreting medical...

Job DescriptionPosition Title, Responsibility Level:Executive/Senior Executive Function:  Operations Reports to  -  Assistant Manager/Lead Assistant ManagerPermanent/ Temporary: Permanent Span of Control –  None Location:  C – 42, Noida Basic Function This position is responsible for reviewing,...

JOB PROFILEPosition- Executive/Sr Executive Contact CentreLocation -NOCReports to -General Manager - Contact CenterDepartment -Operations & CSFunction- Contact CenterLevel M9/M8*Key Roles & ResponsibilitiesPrimary Role Description*We are seeking a highly motivated and experienced individual from a medical background to join ourteam as a Medical Claims Call...

DescriptionJob Description Position Title, Responsibility Level Advisor – Motor Claims Function Operations, Executive Reports to  Assistant Manager – Operations Permanent/ Temporary Permanent Span of Control NA Location  Noida - SEZ Basic Function This is a complexity level 3 Voice process. The role primarily involves dealing with end to end claims -...