2 Opening(s)
1.0 Year(s) To 5.0 Year(s)
Not Disclosed by Recruiter
Key Responsibilities:
Review and process incoming medical/health insurance claim investigation requests.
Understand prescriptions, medical bills, diagnosis reports, and hospital records.
Coordinate with field investigators for case updates, doctor verifications, and report follow-ups.
Analyze investigation inputs and draft structured final reports for clients.
Ensure accuracy in medical terminology and pharma-related data entry.
Maintain updated records of claim ...
3 Opening(s)
0 To 3.0 Year(s)
1.00 LPA TO 3.00 LPA
Ensure accurate claim pay-out 100% compliance & the processing of claims within TAT? Responsible to maintain monthly disposal, Settlement, and claim inventory as per defined process? Being updated with policy terms and conditions to ensure prudent adjudication of claims.? Attention to detail with regards to the identification of fraud triggers ...
5 Opening(s)
6.0 Year(s) To 12.0 Year(s)
20.00 LPA TO 38.00 LPA
Role: Guidewire Claim Center Configuration Sr. Developer/Lead
Must have:
Associate level Certified Guidewire Claim Center professional
hands on work experience Guidewire Claim Center modules
Hands on knowledge of Guidewire Configuration and/or Integration
work experience in Java development projects
Strong understanding of Design Patterns Strong background in OOP, UML, Object Oriented analysis and design Application design tools ...
1 Opening(s)
5.0 Year(s) To 12.0 Year(s)
Not Disclosed by Recruiter
Role
Claims Management with the objective of operational efficiency, reducing average Claim Cost and Improvement in Turn Around Time of Claims Settlement.
Analysis and monitoring of claims to identify the Local / Geographical trends
Responsible for Designing and implementation of various policies and procedures for claims Management
Regular engagements with customers and Insurer to build relations
Responsible for claims disposal / settlement ratio
Fraud Detection
Improve TAT in claims and reduce ...
2 Opening(s)
2.0 Year(s) To 5.0 Year(s)
3.00 LPA TO 4.50 LPA
Primary Responsibilitiesi) Access Claimsii) Filing & documentingiii) Create contact list in the core systemiv) Register the claimv) Initial customer contactvi) Follow up for claim documents from insured and surveyors / investigators / advocatevii) Update notes and other claim details in the core systemviii) Generate reports from systemix) Maintain masters in ...
3 Opening(s)
2.0 Year(s) To 10.0 Year(s)
Not Disclosed by Recruiter
Designation – Bodyshop AdvisorWork Timings – 9:00am to 6:00pmWorking Days – Mon - SatWork Location – Taleigao , Margao , KaraswadaSalary - Best in industryQualification – Degree or diploma in Automobile /Mechanical EngineeringOther Employee Benefits – Leave, Bonus, PF, GratuityExperience – 2 Years of min. experience in Automobile industry
Job description in detail:
Receiving ...
1 Opening(s)
1.0 Year(s) To 2.0 Year(s)
Not Disclosed by Recruiter
Primary Role Description: - • Responsible to monitor the quality of investigations carried out by the investigation agencies &verification officers
• To quality check the investigation reports & evidences received from field and submit withrecommendation for claim processing• Co-ordinate with field investigators and help/guide them on claim investigations
Key Roles & Responsibilities: ...
1 Opening(s)
12.0 Year(s) To 25.0 Year(s)
15.00 LPA TO 25.00 LPA
Type of Vacancy
Permanent:
Department
HR & Admin
Designation & Role Level (L2 to M1)
M 3 - Manager IR / ER
Location (Taloja/ Vashi/ Valia)
Valia Plant
Job Description
Proactive Employee Relations through various means i.e. open communication, sharing updates, exploring career growth for employees, their engagement, involvement, timely reward & recognition, liaised with local administration, local ...
1 Opening(s)
3.0 Year(s) To 6.0 Year(s)
6.00 LPA TO 8.50 LPA
Primary Role Description: -
The incumbent will be a part of the advanced descriptive and predictive analytics sub-function to work on analysis/reports/dashboards related to superior risk selection, risk assessment and risk management.
To help data evidence-based decision-making for the business to enable better understanding and management of the health risks.
The role requires a good understanding ...
1 Opening(s)
2.0 Year(s) To 5.0 Year(s)
4.00 LPA TO 6.00 LPA
Job Title: Gastroenterology AR Specialist (Experienced in eClinicalWorks EMR)Location: RemoteJob Type: [Full-Time]Department: Health CareAbout the Role:We are seeking a detail-oriented Accounts Receivable (AR) Specialist with hands-on experience inGastroenterology billing and eClinicalWorks (eCW) EMR to join our healthcare revenue cycle team.The ideal candidate will manage claims follow-up, denials, and collections, ensuring ...