Claims Specialist Jobs

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

We are looking Any Degree Graduate for Denial Management Specialists with 0 to 2 years experience in Coimbatore.Managing aging reports, allocating tasks efficiently among associates, and training & mentoring team members.Ensuring high-quality denial management by maintaining AR days within HBMA and MGMA standards.Adhering to strict HIPAA guidelines and maintaining confidentiality.

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

Job profile: To ensure to publish MIS, Regulatory Data submission, Analysis on periodic basis with effective controls built in and allied activities by overcoming system and infrastructure constraints. To identify trends, alert and suggest strategies towards risk/fraud mitigation strategies and policies within the framework of Compliance/ Groups Policies. To identify and prevent regulatory breach of Claims TATs, and timely data submission by overcoming challenges related to systems and infrastructure, using manual methods where required. Accurate and timely submission of periodic and ad-hoc reports related to Claims to the Regulatory Authority/GI Council Audits: IRDA, Internal, Stat, others Data submission/query response/ad-hoc reports to IRDA/GI Council Closure of audit observations Monthly / Quarterly / Annual Data submission Policyholders protection committee, Quarterly board meetings, monthly Ops Review, Weekly Claims Review Develop, Implement shortcuts, macros, formulae on excel, using alternative tools/methods for timely submission Develop, train the team, delegate and review their accountability Do cursory/sanity check before submission Team training, Time management, DelegationStrong coordination skills with other departments, sharp and on the spot thinking, proactive approach, soft skills, excel skills, working with other tools/macros Work closely with Finance, Actuary, Operations, Internal Claims team. To decide on complex claims, reconsideration claims and claims beyond the authority of the Claims Department To decide on complex claims, ex-gratia claims, reconsideration claims and claims beyond the authority of the Claims Committee Business forecast, MIS, query resolutions etc. Claims status, query resolutions, MIS System issues, queries, testing and system developments/ enhancementsTechnical skills: Reimbursement claims, MIS , Insurance, health insurance, medical insuranceSoft skills: Team leader

We are looking Any Degree Graduate for Payment Post Specialists with 0 to 2 years experience in Coimbatore Performing end-to-end AR follow-up on outstanding edits, claims, denials, and appeals, along with claim analysis.Identifying and resolving issues through root cause analysis to ensure effective case resolution.Generating and analyzing reports using Excel tools such as VLOOKUP and Pivot Tables.Managing aging reports, allocating tasks efficiently among associates, and training & mentoring team members.Ensuring high-quality denial management by maintaining AR days within HBMA and MGMA standards.Adhering to strict HIPAA guidelines and maintaining confidentiality