Health Claim Manager

Area Claims Manager-Commercial Description Primary Responsibilities:Prepare various excel reports and MS PP on monthly basis Survey Deputation and maintain appropriate reserves at various intervals in a claim Regular follow ups and Update status in the core system Manage processing of commercial claims especially Property Maintain inventory...

Role SummaryClosing Ratio/Meeting all KPI of team member& SelfNegotiate with dealersLarge Value Claims handlingAvoid cost wastageWorkshopsRegular training of claims policiesFaster settlementsSettlement Ratio-97%Investment Ratio-3%Re-open ratio/Segmentation of vehiclesSeparating the Claims according to VehiclesConducting Team Meeting with internal and...

Role Summary Closing Ratio/Meeting all KPI of team member& SelfNegotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3%Re-open ratio/Segmentation of vehiclesSeparating the Claims according to Vehicles Conducting Team Meeting with internal...

Looking for freshers* Processing of Cashless Requests & Health Insurance Claims for TPA / Insurance company * Process and Provide Medical opinion for Health Insurance Claims* Understanding of Claims adjudication / Claims Processing

Manage NCRs for food rations/logistics by coordinating with Ops, Procurement, and insurers. Drive claim settlements, recoveries, RCA & CAPA, supplier engagement, and ensure compliance, documentation, and timely reporting.

Company DescriptionHealth Square Inc. is dedicated to maximizing revenue and simplifying processes for healthcare organizations. With a focus on delivering results, our innovative technology and industry expertise enhance your organization's bottom line. We prioritize your success, enabling you to concentrate on delivering exceptional patient care while we...

SKILLSCommunication SkillsSocial media planningClient handlingAccount ManagerClient Engagementcontent writingpostingsSocial MediaSocial Media ManagerSocial media specialistJOB DESCRIPTIONJob descriptionCompany DescriptionDigital Mojo is a digital marketing agency located in Banjara Hills. We have beendelivering relentless value to businesses since 2012...

Hello, Greetings from Eclat Health We have an immediate requirement for below position. Job Title: Team Lead Hospital Billing (RCM)Department: Revenue Cycle ManagementLocation: HyderabadShifts : Night Shifts Job Summary:Responsible for leading the hospital billing team (20 Agents), ensuring timely and accurate claim submissions, resolving billing...

OverviewThe Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution.ResponsibilitiesProcesses accounts that meet coding denial management criteria which includes rejections, down...

Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading international healthcare company with a legacy of providing specialized healthcare services for over...