claim processor

Job Summary: We are seeking a detail-oriented and organized Claim Processor Specialist to reviews, verifies, and processes insurance claims to determine coverage eligibility, ensuring compliance with company and regulatory guidelines. You will act as the primary liaison between policyholders, insurance agents, and providers to gather information, calculate...

Claims Processor – US Healthcare Payer | Experience: 5+ Years Location: Chennai, Bangalore, Trivandrum Job Overview : We are looking for experienced US Healthcare Payer Claims Processors with strong hands-on experience in TriZetto FACETS. Key Responsibilities • Process and adjudicate medical claims using TriZetto FACETS. • Review member eligibility,...

DescriptionWe are looking for a detail-oriented and customer-focused Claim Processor to handle motor insurance claims efficiently and accurately. The role involves claim settlement, document verification, coordination with surveyors, policyholders, garages, and internal teams and agents to ensure timely claim settlement while adhering to company guidelines...

🚨 **URGENT HIRING | 30 POSITIONS** 🚨 🏥 **PHOENIX ASSURANCE PVT. LTD.** **12+ Years of Excellence | Multi-State Presence | Trusted Insurance Claims Partner** Phoenix Assurance Pvt. Ltd. is a leading **third-party insurance claim verification & investigation agency**, associated with leading General & Life Insurance companies across India for the...

Job Description: Job Title: US Medical Claims Processor  (Night Shift) Overview: As a US Healthcare Claims Processor working remotely during night shifts, you will be integral to supporting the US claims team and other team members. Your role will involve identifying, researching, processing, and resolving claims and system edit pends according...

MDINDIA HEALTH INSURANCE TPA PVT LTD is looking for Medical Claims Processors-BAMS/BHMS to join our dynamic team and embark on a rewarding career journeyVerify medical claims for accuracy and completeness. Ensure compliance with insurance policies and regulatory guidelines. Coordinate with healthcare providers for necessary documentation. Approve or deny...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career paths. We not only encourage but celebrate internal mobility. We also recognize the importance of purpose, well-being, and work-life balance. Within Empower and...

Claims Processor Role Summary Claims Processors to support US healthcare payer claims operations Responsible for accurate and compliant end-to-end medical claims adjudication within the TriZetto Facets platform, ensuring proper application of benefits, pricing logic, provider validation, and payer rules. The role operates within a highly workflow-driven...

Job DescriptionClaims Supervisor – Claims, Adjustments, Eligibility, Member Onboarding & Group SetupLocation: CHSI, Bengaluru, IndiaReporting to: Senior Supervisor / Manager OperationsRole Level: SupervisorExperience Required: 10 years (Healthcare Operations)Role PurposeAs a Claims Supervisor, you will be responsible for supervising and coordinating...

Claims Processor Role Summary Claims Processors to support US healthcare payer claims operations Responsible for accurate and compliant end-to-end medical claims adjudication within the TriZetto Facets platform, ensuring proper application of benefits, pricing logic, provider validation, and payer rules. The role operates within a highly workflow-driven...

Claims Senior Supervisor – International HealthcareLocation: CHSI, Bengaluru, IndiaReporting to: Claims Manager / Associate DirectorRole Level: Senior SupervisorExperience Required: 8–12 years (International Healthcare Claims Operations)Role PurposeAs a Claims Senior Supervisor, you will play a critical leadership role within the international healthcare...

About PlumPlum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations.Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as...