Claims Associate

TCS is hiring for Claims Processor roleLocation - ChennaiJob Summary:We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies....

Review and analyze the assigned outstanding receivables portfolio to identify unresolved claims.Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies.Follow up promptly to obtain additional information required for claim resolution.Ensure all claims are resolved within established timelines and adhere to...

DescriptionReview and analyze the assigned outstanding receivables portfolio to identify unresolved claims.Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies.Follow up promptly to obtain additional information required for claim resolution.Ensure all claims are resolved within established timelines and...

PROVIDER DATA MANAGEMENT - GRADE 5 Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. Candidate should...

Company DescriptionShiash Info Solutions, headquartered in Chennai, is a leading provider of IT and Infrastructure Management solutions. As a global IT partner for healthcare and infrastructure companies, Shiash Info Solutions collaborates with Fortune 500 companies to deliver innovative solutions. The organization is driven by its vision to lead, serve,...

A business associate job description involves supporting clients, acquiring new customers, and helping the business grow by handling communication, identifying sales opportunities, and managing relationships . Key responsibilities include conducting market research, analyzing data, assisting with administrative tasks, and collaborating with different...

Job FamilyEBO Accounts Receivable (India)Travel RequiredNoneClearance RequiredNoneWhat You Will DoInitiate calls requesting status of claims in queue.Contact insurance companies for further explanation of denials and underpaymentsTake appropriate action on claims to guarantee resolution.Ensure accurate and timely follow-up where required.Document actions...

Job Family:EBO Accounts Receivable (India)Travel Required:NoneClearance Required:NoneWhat you will do: Initiate calls requesting status of claims in queue.Contact insurance companies for further explanation of denials and underpaymentsTake appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document...

Job Description:About UsAt Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day.One of the keys to driving Responsible Growth is being a great place to work...

Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new...