US Health Care Claims Adjudication

Roles and Responsibilities :Review and process claims in accordance with established guidelines, regulations, and company policies.Conduct thorough reviews of medical records, diagnoses, treatments, and procedures to determine coverage eligibility.Identify potential denials and take proactive steps to resolve issues before submitting claims to...

Hiring for US Health care Claims Adjudication AssociateNeed immediate joiners onlyJob Summary: We are looking for candidates with hands-on experience in healthcare claims adjudication. The ideal candidate should have a strong background in reviewing, analyzing, and processing medical and hospital claims with accuracy and compliance to organizational...

HURRY UP Urgent Hiring for US Healthcare Claims Adjudications. OPEN REQURIMENTSTeam Leader Operations.Quality Specialist.Subject Matter Expert (SME).Process Trainer. International voice exp with 4+yrs Contact HR Maya

Key Responsibilities :Casualty- Claims Processing - Insurance Claims.Claim processing team collects end-end data data.You will be responsible for developing and delivering business solutions that support the claims.Process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider...

TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to driveAccident & Health Claims Strategy & Operations. This role is ideal for seasoned professionals with deep expertise inhealth insurance claims, fraud mitigation, provider network management and regulatory compliance. Key ResponsibilitiesStrategic...

Job Title: Quality and Process Manager Health Claims OperationsLocation: BangaloreDepartment: Health Claims OperationsReports To: Head of Health ClaimsEmployment Type:Full-TimeJob SummaryWe are seeking a highly analytical and process-driven Quality and Process Manager to lead quality assurance and process improvement initiatives within our Health Claims...

Date Posted: Country:IndiaLocation:North Gate Business Park Sy.No 2/1, and Sy.No 2/2, KIAL Road, Venkatala Village, Chowdeshwari Layout, Yelahanka, Bangalore, Karnataka Position Role Type:UnspecifiedJob Details:HR Level: P2Job title: Sr. AnalystCountry: IndiaLocation: BangaloreWho we are Pratt & Whitney, an RTX business, is working to once again transform...

About JobThe Life Insurance Group Claim Adjudicator is responsible for reviewing, analyzing, and adjudicating group life insurance claims in accordance with policy terms, company guidelines, and regulatory requirements. The role ensures timely and accurate assessment of claims while maintaining a high level of customer service and compliance. The adjudicator...

Experience: 0-12 monthsQualification: MSC, B.Pharma, M.Pharma Key Responsibilities:- Good communication skill.- Knowledge in computers like MS office.- Good medical knowledge.- Independently process Post hospitalization claims; process complex claims with minimal assistance- Needs to validate the information on all medical claims received. Claims must be...

About UsAt CIGNA Healthcare 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 for our...