Default claims processing/Filling

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Job Description for SME/PS Job Description of Subject Matter Expert  Job Title:         SME Reporting to:Team Manager/Team leader, Operations  Objectives The SME’s objective is to actively assist a team in accordance with laid down procedures to achieve and maintain requisite standards of quality and pro...

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JobDescription for SME/PSJobDescription of Subject MatterExpertJobTitle:SMEReportingto:TeamManager/TeamleaderOperationsObjectivesTheSMEs objectiveis toactivelyassistateam inaccordance withlaid downprocedurestoachieveand maintainrequisitestandards ofquality andproductivity. He /she willreporttotheTeamleader/TeamManagerOperations whowill bethe firstpoint...

JobDescription for SME/PSJobDescription of Subject MatterExpertJobTitle:SMEReportingto:TeamManager/TeamleaderOperationsObjectivesTheSMEs objectiveis toactivelyassistateam inaccordance withlaid downprocedurestoachieveand maintainrequisitestandards ofquality andproductivity. He /she willreporttotheTeamleader/TeamManagerOperations whowill bethe firstpoint...

**Job Description For Customer Support Executive (Insurance Claiming Process)** **Company Name: - Turtlemint** **Company Location: Andheri (East)** **Job Type : Full Time** **Company Profile**: **Turtlemint is an insuretech platform empowering insurance advisors **with digital tools to recommend the right **insurance products** to their clients....

Communicate with client for their insurance claims and explain the process - Follow up for and verify insurance claim documents - Assist customers with claim filing process and keep the claim status updated - Follow up with TPA / insurers for smooth and timely claim settlement - Track claims on the insurer’s portal - 0-2 years of experience in corporate...

·Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures ·Ensure Service partners work as per agreed SLA’s to meet service standards. ...

**Hi Everyone,** **Greetings from V5 GLobal Services Pvt Ltd** **Requirement**: **Role - Transaction Processing Representative (Insurance claiming, Health Insurance, Insurance Processing, Insurance Documentation Processing)** **Shift - Uk and US Shift** **Location: Mumbai (Arioli and Vikhroli)** **Exp: 0.6 Months to 2 Years** **Salary: Max 25 K...

Dear All, Urgently hiring for a leading insurance company in Mumbai. Location : Mumbai. Role : Claims Assessor. Key Accountability - Managing Claims and to have strong eye on risk i.e. claims adjudication of Death/ Credit llife claims - To drive closure from team i.e. claim assessment of cases within TAT - Liaising with stakeholders and partners (MPH) -...

**Position Overview**: **Key Responsibilities**: **Process Improvement**: Analyse current post-sales processes, identify inefficiencies, and develop and implement streamlined procedures to enhance operational effectiveness. Continuously monitor and optimise processes to ensure efficient customer onboarding, policy servicing, claims processing, and...

Should possess U.S Health insurance claim processing experience - Knowledge of medical billing and coding terminologies - Ready to work in Night Shift as well as Day shift - Understanding of plan documents and general benefits - Familiarity with terms such as deductible, out of pocket, coinsurance, and copay - Strong attention to detail and accuracy -...

**Hi Everyone,** **Greetings from V5 GLobal Services Pvt Ltd** **Requirement**: **Role - Transaction Processing Representative (Insurance claiming, Health Insurance, Insurance Processing, Insurance Documentation Processing)** **Shift - Uk and US Shift** **Location: Mumbai (Arioli and Vikhroli)** **Exp: Freshers to 2 Years** **Salary: Max 25 K...

**NAME **Open Position **DEPTARTMENT**:Administration **TITLE **Claims Examiner **STATUS**:Full-time **REPORTS TO**:Manager of TPA Operations **CLASSIFICATION **Non-Exempt **JOB SUMMARY/ORGANIZATIONAL IMPACT**:Serves self-insured clients by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure...

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate...

CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...

Required Experience: - Experience 1- 3 years - Excellent communication skills - Should be flexible to work in rotational shifts - Proficient in computer usage and Basic knowledge on MS Office Job Role: - Execute claims processing for U.S Healthcare - Investigated high volume of insurance claims to determine validity, coverage eligibility and accurate...

Conduct thorough reviews of claims to identify and rectify any discrepancies or errors. - Implement quality assurance measures to enhance the accuracy and efficiency of the claims process. - Accurately enter billing information for claim files into the system. - Ensure that all necessary documentation is recorded and maintained for auditing purposes. -...

Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents - Reserve Setting: - Need to do the proper reserve setting on system based on the claim documents - Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of...