Fresher Claims Executive Jobs

Key Responsibilities:1. Review and process insurance claims: As a Claim Associate, you will be responsible for reviewing and validating insurance claims submitted by policyholders or healthcare providers.2. Communicate with policyholders: You will need to communicate with policyholders to gather additional information, clarify details, or provide updates on the status of their claim.3. Investigate claims: You will be expected to investigate the validity of claims by verifying information, analyzing policy coverage, and determining claim eligibility.4. Collaborate with team members: Working closely with other team members, you will collaborate to ensure efficient processing of claims and provide support as needed.Required Skills and Expectations:1. Strong attention to detail: The ability to carefully review and analyze documents and information is essential for accurately processing claims.2. Good communication skills: Clear and effective communication with policyholders and team members is crucial for resolving issues and providing updates on claims.3. Analytical thinking: The ability to assess information, identify patterns, and make informed decisions is necessary for investigating and processing claims.4. Ability to work in a fast-paced environment: As a Claim Associate, you will need to manage multiple claims simultaneously and meet deadlines while maintaining accuracy.

ob Title: Claims Process ExecutiveDepartment: Insurance OperationsExperience: 03 YearsLocation: [Mention Location]Job Summary:We are looking for a detail-oriented and efficient Claims Process Executive to handle insurance claims processing, verification, and coordination. The candidate will be responsible for reviewing claims, ensuring accuracy, and supporting customers throughout the claims lifecycle.Key Responsibilities:Process and review insurance claims as per company guidelines.Verify claim documents for accuracy and completeness.Coordinate with customers, hospitals, agents, and internal teams for claim clarification.Ensure timely settlement of claims within TAT.Maintain accurate records of claims in the system.Follow up on pending documents and approvals.Resolve claim-related queries and escalations.Ensure compliance with company policies and IRDA regulations.Required Skills:Basic knowledge of insurance and claims processing.Good communication skills (verbal & written).Strong attention to detail.Ability to work under deadlines.Basic computer knowledge (MS Office, email handling).Qualification:Any Graduate (Commerce/Management preferred).Insurance certification (if any) is an added advantage.

For more details share your cv on - 8446236027 HR Shreyash

Protocol is a Global Loss Adjusting, Claims Management and Risk Solutions company with an experience of over 30years and a proven track record. We are servicing Insurance and Banking Industry since 1989 with a Pan Indiapresence, including some international footprint.We offer complete spectrum of Insurance Claim Services.We are providing golden opportunity for Engineering Fresher to become a trained Insurance Surveyor

We are seeking a Payment Collection Specialist. The successful candidate will be responsible for collecting payments from our customers and ensuring that all outstanding balances are paid in a timely manner.Responsibilities:Contact customers to collect outstanding paymentsManage customer accounts and ensure that all information is up to dateResolve any disputes related to billing or paymentWork with customers to set up payment plans or arrange alternative payment methodsProvide exceptional customer service and maintain a positive relationship with customersEnsure that all payment information is accurately recorded and entered into our databasePrepare and send invoices and payment remindersMonitor accounts for delinquent payments and take appropriate actionsProvide regular reports on payment collection activities and account balancesRequirements:High school diploma or equivalent1-2 years of experience in payment collection or a related fieldExcellent communication and negotiation skillsStrong attention to detail and ability to work with numbersFamiliarity with basic accounting principles and softwareAbility to work independently and meet deadlinesStrong problem-solving skills and ability to handle difficult customer situationsAbility to maintain confidentiality and handle sensitive informationWe offer a competitive salary, benefits package, and opportunities for growth and advancement within the company. If you are a motivated and detail-oriented individual with a passion for payment collection, we encourage you to apply.

Urgent Requirement Our ClientJob Profile :1 QA ,QC,Production 2 Pharmacist,Medical Claims 3 Medical Record Summarization/Medical Reviewer Qualification : B Pharmacy M PharmacyIndustry Type: 1 Health Care 2 Pharma ManufacturingExperience: FresherSalary: 15000 to 20000 pmJob Location : 1 Viman Nagar Pune 2 Wadgaon Budruk Narhe Pune 3 Navi Mumbai Gender : Male/FemaleCandidates have to join on an immediate basis and interested candidates visit us between 11 am to 5 pm at our office.Office Address: Royal Enterprises Office No 2 First Floor Ramesh Raut Building Shikshak Society Opposite Florida County Society Keshav Nagar pune 411036

Documentation related to Imports & Exports,Processing of documents,Processing claims / applications online & offline,Submissions in Government offices,Verification of documents with government authorities, client interactions, etc.

We have a Urgent Requirement for the post of:- Claim Advisor (Insurance Claims)Designation:- Claim Advisor (Insurance Claims)Location: Bahadurgarh LocationExperience: 1yearSalary: Rs.15000 to Rs. 18000/ + Incentives + AllowancesApplied:- Male OnlyQualifications: Graduate in any field or Diploma in any Medical stream. Candidate must have good communication skills in Hindi and should have working knowledge in English.Job Responsibilities:-Investigate the Insurance Claims for Genuineness, as assigned.Collect Insured Statement and records from the concerned hospitals.Does proper vicinity check and collect evidences of fraudMeet all stake holders in the claim to collect and verify documents.Do other jobs in the field as suggested by the Team Manager.Candidate must have good communication skills

Finding and retaining clients, encouraging extant clients to purchase added products or features, and remaining abreast of changes in consumption. You will also be required to build capacity in staff through regular training and mentorship.

Description Ability to multi-task. Training will be given with Salary General shift Required Candidate profile Willing to join Immediately Willing to Work in chennai location can apply Backlogs are also consideredPerks and benefits Best in industry Food will be providedLocation - ChennaiProcess - Medical billing processExperience - Freshershift - GeneralComplete work from officeSalary - 10K -15kEducation qualification - Any graduate fresher Industry Type - BPO / Call CentreFunctional Area - Medical, Healthcare, R&D, Pharmaceuticals, BiotechnologyEmployment Type - On Role Permanent Employee, PermanentFor Further information contact us:- Brindha - HR

Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Perform analysis of accounts receivaMedical Billing Specialist: Handles day-to-day billings, maintains and grows payor relationships, and ensures optimal billing processes. Depending on the volume of billings, this may also involve specialists in Medicare and Medicaid Follow-up as well as Commercial Payor Follow-up. Medical Claims Denial Specialist: Identifies root causes of insurance denials, sends appeals to payors, and strives to minimize lost revenue. (a.k.a. Denial Resolution Specialists, Claim Submission Resolution Specialist). AR Resolution/Collections Specialists: Collaborates with consumers and insurance representative to resolve outstanding obligations in a fair and timely manner. Medical Patient Collections Specialists: Collects patient liabilities that occur when patients are uninsured or have deductibles and coinsurance due. They may assist patients with setting up payment plans or refer them to eligibility professionals to explore additional reimbursement resources Patient Access Representative: Acquires and records demographic and reimbursement data for use in patient care, medical record and revenue cycle activities. Accurate and complete registration is critical for obvious reasons.

Wanted Process Associates/Asst. Manager/Manager for a USA/UK based health insurance process. Company in it's nascent stages. High growth for the deserving employees. People with exemplary proven track record in USA/UK health insurance sector can apply in strict confidence. Freshers can also apply. Female candidates are encouraged to apply. Send detailed CV with recent photograph, Post applied for in the subject line, 2 references, current location, current salary & benefits, salary expected, notice period to join.

Non - Tech Support - Voice / Blended Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments JOB REQUIREMENTS To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers Fluent verbal communication abilities/call center expertise Knowledge of Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Access Healthcare will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus