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Claim Processor Jobs

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TPA Manager - Full Time

Sn Healthcare Business Solutions LLP

  • 1 - 7 yrs
  • 9.0 Lac/Yr
  • Patna
Auditing Team Management Healthcare Regulations Claims Processing Conflict Resolution Reporting Claim Settlement Claim Payment Claim Processor Claims Adjudication Claims Specialist Claim Advisor
Hello DoctorWE HAVE URGENT REQUIREMENT OF TPA EXECUTIVE &/ MANAGER & CORPORATES FOR RENOWNED 110+ BEDDED MULTISPECIALITY HOSPITAL IN PATNA BIHAR*Qualification* - ANY GRADUATION + GOOD EXPERIENCE IN CLAIM PROCESSING*Experience* - Experienced candidates are welcome.*Salary* - Good salary upto 60K per month (Best in industry)*Contact* - Dr Shivram 7503878618Please share this job with your colleagues, juniors & in TPA Executive whatsApp groups
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TPM Coordinator (2-4 Years)

Kamthe Piles Hospital

  • 2 - 4 yrs
  • 2.8 Lac/Yr
  • Katraj Kondhwa Road Pune
Reiumbusment Claim Processor
We are seeking a TPM Coordinator to join our team in Katraj Kondhwa Road. The ideal candidate will have 2 to 4 years of experience and a minimum education of 12th pass. This full-time role requires a proactive individual to coordinate and support various TPM activities effectively.**Key Responsibilities:**- **Coordinate TPM Activities:** Assist in the planning and execution of Total Productive Maintenance initiatives, ensuring all tasks are completed on schedule.- **Documentation Management:** Maintain accurate records of TPM activities and progress reports, facilitating easy access to information for the team.- **Training Support:** Help arrange and deliver training sessions for staff on TPM best practices, enhancing overall understanding and implementation.- **Performance Monitoring:** Track the performance metrics of TPM initiatives and prepare reports to provide insights into areas for improvement.- **Cross-Department Collaboration:** Work closely with different departments to promote TPM strategies and gather feedback for continual improvement.**Required Skills and Expectations:**- Strong organizational skills are essential to keep track of multiple TPM tasks and deadlines efficiently.- Good communication skills to clearly convey information and collaborate effectively within teams.- A proactive attitude toward learning new TPM concepts and improving existing processes.- Basic knowledge of maintenance practices and equipment is preferred to understand the TPM framework better.- A results-driven mindset to focus on achieving the set TPM goals and contributing to overall operational excellence.
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  • 0 - 3 yrs
  • 3.0 Lac/Yr
  • Bangalore
Accuracy Critical Thinking Documentation Skills Insurance Claims
Job 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.Preferred Qualities:Analytical thinkingGood coordination skillsCustomer-focused approachTeam player
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  • 1 - 2 yrs
  • 3.0 Lac/Yr
  • Chikodi Belagavi
Insurance Knowledge TPA Executive TPA Coordinator Claim Processor Claim Settlement
Urgently Lookin for TPA Coordinator in Chikodi Belgaum KarnatakaMale female both can applyMin 1 yrs experience Hospital Experience is must Immediately Joining
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  • 0 - 2 yrs
  • 3.8 Lac/Yr
  • Marol Mumbai
AR AR Caller Claim Processor
Job DescriptionOutbound calls to insurances for claim status and eligibility verification.Denial documentation and further action.Calling the insurance carriers based on the appointment received by the clients.Calling insurance companies to get the status of the unpaid claims.Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc.Key skills:Good at communication skillGood at computer skill.Ready to work in night shiftReady to work in voice process.Benefits:Saturday & Sunday off.Drop facilitates No sales processOn roll jobExcellent working culture
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Service Claim Executive Claim Processor Claims Specialist Claims Executive Claim Associate JCB JCB Portal MIS Reporting
Dear Candidates,Greetings from Odisha Job Consultancy!!We are looking for a skilled Automobile Service Claim Executive to join our team in Bhubaneswar. As an Automobile Service Claim Executive, you will play a crucial role in managing and processing service claims efficiently. Your work is essential in ensuring customer satisfaction and maintaining the company's reputation in the automotive industry. You will be involved in handling various service claim projects, resolving issues promptly, and optimizing the claim process for maximum efficiency.Qualification: Any Bachelor's DegreeExperience: 2-5YrsSalary: 20,000/m to 25,000/m and PF, ESIResponsibilities:Review and analyze service claims to determine their validity and accuracy.Communicate with customers, service advisors, and technicians to gather necessary information for claim processing.Ensure all required documentation is complete and accurate before submitting claims for approval.Collaborate with insurance companies and third-party administrators to expedite claim approvals.Investigate and resolve any discrepancies or issues related to service claims.Maintain detailed records of all service claims and related correspondence.Provide timely updates to customers on the status of their service claims.Identify opportunities for process improvements to enhance claim processing efficiency.Requirements:Prior experience in handling automobile service claims.Strong knowledge of automotive systems and components.Excellent communication and interpersonal skills.Attention to detail and ability to analyze complex information.Proficiency in using claim processing software and tools.Ability to work efficiently in a fast-paced environment.Problem-solving skills and a proactive approach to resolving issues.Good organizational skills and the ability to prioritize tasks effectively.Contact HR Saumya Interview Venue- Odisha Job Consultancy, 1st Floor, MRF Tyre Building, Opposite Baramunda Bus Stand, Bhubaneswar
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Urgent Requirement For Claims Executive

Zeev HR Consultants & Placement Services

Claims Specialist Claims Executive Claim Processor Claims Officer Life Insurance General Insurance
Roles and Responsibilities: -1) facilitate insurance claims non motor. (Life and Non-Life) 2) Handle high-volume claim processing, including document review, data entry, and investigation.3) Research, analyze, and resolve claims and process payments follow-ups. 4) Experience in to Life & General insurance Claim (Broking firm experience) 5) Provide superior customer service to internal and external customers via phone, email, and in-person encounters6) Research and validate benefits, address discrepancies, and resolve customer complaints7) Stay current with changes in the industry through coursework, training, and conferences8) Develop and maintain workflow processes to optimize productivity and reduce costs
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TPA Coordinator

Dr Shroffs Charity Eye Hospital

  • 2 - 5 yrs
  • 2.8 Lac/Yr
  • Delhi
TPA Executive TPA Coordinator Claim Processor Claim Associate
Responsible to check the OPD bill of TPA/PSU/Corporate as per their agreed MOU for particular on daily basis.Responsible to check the TPA & PUS (CGHS) OPD (health Insurance) bill as per approved terms & condition by particular TPA.Responsible for final checking (OPD bills) of TPA/Corporate before dispatch for make the payment at particular TPA or Corporate/PSU.Responsible to communicate ant kind of billing error or any kind of document related dispute to OPD Billing team.Responsible for final checking (OPD Bills) of TPA/Corporate/PSU before dispatch for make the payment at particular TPA or corporateCoordinating with IT department regarding any software error on the billing or for any new implementation.Responsible for update the status of dispatch for E-Prapti.Responsible to maintaining a TAT.Responsible to Query reply TPA/Corporate/PSU
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Nurse

Medico Placements

  • 1 - 7 yrs
  • Bangalore
Nurse TPA Coordinator Claim Processor Claim Associate Walk in
To confirm the claim is received in correct MAID, Hospital, etc,To capture the bifurcation of Admissible and Non-admissible paymentsTimings : 8 hrs /6 daysRequired Candidate profileQualification : BSC / MSC Nursing,Fresher & experience both are welcomed!!
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  • 1 - 4 yrs
  • 2.5 Lac/Yr
  • Bangalore
Claim Processing Executive Claim Processor TPA Coordinator TPA Executive TPA
Managing the insurance desk in hospitals, Preauth processing, patient coordination, Claim adjudication .Follow up with insurance and TPAs .Healthcare management domain.
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Claim Advisor

Manav Management

  • 0 - 1 yrs
  • 2.3 Lac/Yr
  • Rajasthan
Claim Processor Claims Executive Verify Documents Insurance Claim Insurance Officer Walk in
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
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BAMS / BHMS/ BUMS Doctors

Medico Placements

Homeopathic Doctor Ayurvedic Doctor TPA Coordinator Claim Processor Walk in
1. Candidates should be flexible with rotational shifts, rotational week off, working on 1 Sunday and Public holiday. Candidate is eligible for 6days week off monthly.2. Please find the shift detail-1. Morning shift- 8am to 4.30pm2. General Shift- 10 am to 6.30pm
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Homeopathic Doctor Ayurvedic Doctor Unani TPA Coordinator TPA Insurance Health Insurance Claim Processor Walk in
Dear Doctors,we have openings for TPA insuranceLocation ; MumbaiWorking hours:8hrsSalary : negotiable
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Claims Executive

Atharav Enterprises

  • 1 - 3 yrs
  • 3.0 Lac/Yr
  • Keshav Nagar Pune
Claim Processor Mediclaim Medical Billing
Insurance Claim / Mediclaim Advisor Keshav Nagar, Mundhwa, PuneHelping clients with insurance claim & mediclaim processGuiding documentation & approvalsSupporting hospitals / patients during claimsBasic knowledge of insurance / mediclaimGood communication skillsFresher / Experienced both can applyAtharav Enterprises Placement Services 9011935513 atharavent5@gmail.com www.atharaventerprises.com
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