claim adjudication

Job SummaryA Claims Operations Manager is required to oversee the claims process in the US healthcare industry.The ideal candidate should possess expertise in claims adjudication, adjustments, and coding (ICD, CPT, HCPCS).Experience with regulatory compliance and strong analytical skills are highly desirable.As a team player, effective communicator, and...

Healthcare Claims Processing SpecialistYou will be part of a team responsible for the administration of health claims. This involves core claim processing, including registering claims, editing and verification, claims evaluation, and examination and litigation.In this role, you will deliver business solutions that support the healthcare claim function,...

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 – 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. Knowledge of claims systems...

About the CustomerAn Indian consumer solutions company offering protection and assistance plans for everyday items like personal electronics, home appliances, and finances, covering accidental damage, extended warranties, and fraud protection. Founded in 2011, it partners with various brands to provide services through its app, including repair coordination,...

Job Description: Health Insurance Claims ManagerLocation: MumbaiExperience: 2-3 years in Health InsuranceEmployment Type: Full-timeJoining: ImmediateAbout GrayQuestGrayQuest is a rapidly growing FinTech company in the Indian education ecosystem. We specialize in providing EMIs for the $100B+ education market, offering zero-cost installments with insurance...

Role & responsibilities :As a claims processor, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claimsPerks and benefits :Cab Facility : 2 Way facilityLocation : VikhroliGraduation passed out...

Job DescriptionRole & responsibilitiesNon voice & Back office - Night shiftOnly Commerce gradsYou will be a part of the Healthcare Claims team, which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.In...

Employ research tools, search engines/databases (e.g. PubMed) or sources of information according to specific needs and purposes of research;Prepare and developPoint of View (PoV) and Proof of Claims (PoC), abstract, poster Required Candidate profileExperience in Nutrition is MUST; Ability to communicate well with internal/ external stakeholders ;Ability to...

Job Overview">A Healthcare Claims Specialist, you will be part of a team that administers health claims and is involved in core claim processing.">Key Responsibilities:">Deliver business solutions that support the healthcare claim function.Receive, edit, price, adjudicate, and process payments for claims.">Requirements">Only Commerce grads from Batch of 2023...

JOB DESCRIPTIONDesignation/ Role: TraineeDepartment: Accounts ReceivableWork Timing: Night ShiftQualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred)Skills:Good verbal and written communication Skills.Able to build rapport over the phone.Strong analytical and problem-solving skills.Be a team player with positive approach.Good keyboard skills...