claims processing jobs in Delhi

Key Skills: Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing and familiarity with medical coding systems (CPT, ICD, HCPCS) to understand and interpret medical procedures and diagnoses.   SUMMARY A Healthcare Complex Claims Specialist is responsible for the thorough...

MDINDIA HEALTH INSURANCE TPA PVT LTD is looking for Medical Claims Auditor to join our dynamic team and embark on a rewarding career journeyAudit claims to ensure adherence to regulatory and policy standards. Analyze discrepancies and report findings to management. Provide recommendations to improve claim processing accuracy.

Primary DetailsTime Type: Full timeWorker Type: EmployeeTo process the settlement of insurance claims in compliance to the Company’s policy and guidelines.Primary Responsibilities • Strategy and Planning•Nil•Policy, Process and Procedures•Maintaining current knowledge of insurance guidelines and policy changes and modifications•Environmental...

Responsible for reviewing health claims submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments.

Responsible for reviewing health claims submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments.

JOB PROFILE Department Health Claims Func?on Retail & Legal Claims Posi?on Deputy Manager/Manager – Claims Processing Band JM2/M Loca?on Mumbai / Noida / Hyderabad Repor?ng To AVP Our Vision To be the most admired insurance company that enables the con?nued progress of customers by being responsive to their needs. HDFC ERGO as an Employer ? We believe in...

Key Roles & Responsibilities • Claim Control,claims settlement and average claim size, Responsibility to achieve over all targets of the __ Locations. Claim Closure : Death - ___, Injury - ___. • Monintoring of Orphan, high value & appeal cases,Ensuring timely closure of cases.,Intimation to team leaders & zonal manger on report of high value , appeal...

Processing of medical cashless and reimbursement claims.• TAT Adherence• Grievance Management• Quality Check• Stake holder co-ordination based on claim status• Claim allocation and Manage productivity

Key Roles & Responsibilities • Claim Control,claims settlement and average claim size, Responsibility to achieve over all targets of the __ Locations. Claim Closure : Death - ___, Injury - ___. • Monintoring of Orphan, high value & appeal cases,Ensuring timely closure of cases.,Intimation to team leaders & zonal manger on report of high value , appeal...

4) Key Result Areas: Key Result Areas  Supporting ActionsClaims Management Visit client site, as required, to understand claim incident and detailEnsure that team members involved in specific claim settlement process also visit the client site and gain thorough understanding of the incidentEnsure that team members handling claim settlements have...

Lead and manage a team of Non-Medical Claims Adjudicators handling Cashless and Reimbursement health insurance claims. Ensure timely and accurate adjudication of claims in accordance with policy terms, company guidelines, and regulatory requirements. Monitor daily claim inventories, workload distribution, and claim pendency to ensure efficient operations....

DescriptionYou will be working with the After Sales team in Bengaluru.This team runs on a hustle mindset with an objective to increase Exponent Energy’s market share in the city of Bengaluru and beyond and help more people adapt to 15-minute rapid charging technology achieved by our Flexible Energy Stack, which consists of the e^pack (battery pack) and...

JOB PURPOSE Support in managing the commercial, contractual, and regulatory obligations arising from Power Purchase Agreements (PPAs) for Thermal, Hydro And Solar, Fuel Supply Agreements (FSAs), transmission agreements, and related statutory frameworks. The role is responsible for support in contract administration, billing and revenue assurance, regulatory...

Description1. Financial � To support in executing the growth goals, organization transformation and protects and promotes the reputation of the business in the region � Minimize excessive expenditure through effectively managing the CA Department budget whilst consistently identifying and initiating cost saving initiatives � Liaise with relevant...

Job Description Domain Expert – Healthcare SME (Provider Side) Experience: 15+ Years Location: PAN India / Global Delivery Environment Role Type: Senior Leadership / Domain Consulting / Transformation Role Purpose We are seeking a seasoned Healthcare Provider Domain Expert with deep expertise in Healthcare Revenue Cycle Management (RCM), Provider...

DescriptionJob title: Associate Customer support – Japanese speaker (Online shopping platform)Criteria: JLPT N1 (Malaysians or any Nationality) /Native Japanese (No English is required)We can consider candidates from anywhere who are willing to relocate to MalaysiaVISA processing timeline: 2 months post selection and submission of relevant documentsMinimum...

Description1. Financial � Undertake bulk coal procurement keeping cost budget and quality as key parameters � Responsible for designing and implementing sourcing strategies and procurement plans to support account, corporate and client strategies and objectives � Be a subject matter expert on procurement / commercial and provide insights about dynamics...

Job Description We want to shape the future with vision and innovation. Be part of it and develop your full potential! NTT DATA Business Solutions is a global leader in transforming SAP solutions into value for clients. With operations in over 30 countries and a team of more than 16,000 experts worldwide, we drive innovation and connect business...

DescriptionBeatO is one of India's largest digital metabolic health platforms, with a business built on glucose monitoring, CGM, coaching and an in-house doctor network. We are scaling a new, doctor-led consumer health program and building the inside sales function that will carry it. It is a high consideration purchase, made by a patient who is usually...

ABOUT TIDE At Tide, we help SMEs save time and money in the running of their businesses by not only offering business accounts and related banking services, but also a comprehensive set of highly usable and connected administrative solutions, from invoicing to accounting. Tide is transforming the small business banking market and now supports over 2...