Medical claim processer

Job Description – OPD Health Claims Processing(MR)Key Skills & CompetenciesKnowledge of health insurance policy coverage, exclusions, and claim processing.Familiarity with claim categories (IPD/OPD/Pre-post health claims processing).Basic understanding of medical terminology and treatment protocols.Strong attention to detail and analytical skills.Good...

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 JobMedical claim processerSkills & QualificationProcess health claim & Insurance KnowledgeAnalytical & Decision-making SkillsCustomer Handling & CommunicationResponsibilitiesDocument ScrutinyAdmissibility AssessmentCoordination & CommunicationAnalysis & Reporting

Job Title:Claims InternLocation:BangaloreDepartment:ClaimsReports to:Claims ManagerType:InternshipJob SummaryTheClaims Internwill support the Claims Department in processing and managing health insurance claims. This internship is designed to provide hands-on exposure to the health insurance claims lifecycle, including document verification, customer...

Job descriptionRole : Medical OfficerWork from Office onlyJob Descriptions:To approve Claims based on the buckets allotted to each approver.To inform the Network department in case of any erroneous billing / excess billing.To approve online preauthorization requests received.In case of any suspicious case, the same will be informed to Investigator.To process...

About Job:-Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes verifying...

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...

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...

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...

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...