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 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...

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...

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...

Job Summary:We are seeking a dynamic and experienced professional to lead health insurance claim management operations, with a specialized focus on risk mitigation, fraud investigation, and process efficiency. The Vice President – Claim Management will oversee end-to-end claim processing, implement robust fraud detection frameworks, and ensure compliance...

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 the TeamThe  Process  Excellence  team  at  Navi  is  focused  on  maintaining  and  elevating  thequality  of  customer  interactions.  As  the  quality  audit  function,  the  team  conductsregular audits of agent communications—across calls, chats, and other channels—toensure  accuracy,  consistency,  and...

Medical Officer - Claims Processing - NIGHT SHIFTJob Title: Medical Officer Claims ProcessingLocation: IBC Knowledge Park, Bangalore (Work from Office)Department: Central Claims Operations Control RoomJob Type: Full-timeSalary: 3,00,000 3,60,000 per annumAbout the RoleWere hiring Medical Officers (Claims Processing) for our Control Room team at IBC,...