Senior Claims Adjudication - Hyderabad

We are hiring for Claims Adjudication. A claims examiner needs to analyze multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. · The claims examiner should also route the claim to different depar ...

We are hiring for Claims Adjudication. A claims examiner needs to analyze multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. · ...

Job description: · We are hiring Claims Adjudication · HR SPOC (Reference): Sam Jeshurin · Position: CSA/Sr.CSA · Division: Healthcare International Business · Job Location: · Firstsource Solution Limited, · Block 1, 1st & 5th Floor, BSR Builders IT SEZ, Nanakramguda, Serilingamp ...

We are Hiring for Senior Claims Adjudication - Hyderabad · HR SPOC - Aiswarya M · ...

We are Hiring for Senior Claims Adjudicator payer Side · Analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. · ...

Job Description · Job TitleSenior Process Executive Report ToTeam LeadVerticalInsuranceSite DeploymentHyderabad · Qualification · Bachelors degree and equivalent work experience required · Strong MS-Office skills · 3-5 years overall experience (within the financial services indu ...

We are Hiring for Senior Claims Adjudicator payer Side Job Title CSA and Senior CSA Grade H1/H2 Job Category Associate Function/Department Operations Reporting to Team Lead Roles & Responsibilities A claims examiner needs to analyse multiple documents / contracts and decide to pa ...

Life & Annuity Insurance (Claims Adjudication / retirement only) - SPE lpa, SME -6.7 lpa - Non Voice - Hyd - Immediate Joiners only - No Relocation strictly - Daily walkin · Job Description · Job TitleSubject Matter Expert Report ToTeam LeadVerticalInsuranceSite DeploymentHyderab ...

We are hiring for Claims Adjudication · HR SPOC: Madhubala · Contact: · or kindly share your updated resume to · Job Title: CSA and Senior CSA · Function/Department: Operations · Reporting to: Team Lead · Minimum Eligibility: · Graduation is Mandatory · Minimum 1 year of experi ...

A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. · In-depth Knowledge and Experience in Claims Processing. · Should have Excellent Analytical skills to revi ...

Qualification · Bachelors degree and equivalent work experience required · Strong MS-Office skills · 3-5 years overall experience (within the financial services industry) with a focus on Life and Annuity Insurance preferably Annuity Insurancele & responsibilities · Skills · Stron ...

* Processing of Cashless Requests & Health Insurance Claims for TPA / Insurance company · * Process and Provide Medical opinion for Health Insurance Claims · * Understanding of Claims adjudication / Claims Processing · ...

Department: Payment Integrity · This JD outlines the primary duties for a Payment Integrity Specialist who will focus on contract loading, claim validation, and flagging discrepancies to ensure payment accuracy and integrity. The role demands strong analytical skills, attention t ...

This role involves overseeing health claims processing , prior experience in medical billing,coding.Familiarity with Insurance policies and coverage criteria · Maintain strong stakeholder relationship · ...

We are QA Leads with US Healthcare experience to join our team at Hyderabad / Chennai. · 7 Years overall Information Technology experience. · Hands on with Java Coding. · Hands on Experience with Selenium. · ...

We are seeking a qualified and experienced medical professional with a strong background in health insurance claim settlement and customer service. · Medical Review & Claims Adjudication: · Assess and validate medical claims based on clinical documentation and policy coverage. · ...

Evaluate and process health insurance claims in accordance with policy terms and conditions. Identify and flag potential cases of medical abuse or discrepancies in treatment protocols. Determine claim eligibility based on thorough review of medical documentation and policy guidel ...

· for an insurance client , we are currently looking for a Business Analyst (m/f/d) for Claims Management. · Key details: · Project start: January 2026 · Workload: Fulltime · English-skills required · Role Summary: · Owns design and documentation of claims processing workflows, ...

Gather, analyze, and document business requirements across claims, enrollment, eligibility, membership, provider management benefits and authorization workflows in the Payor domain. Support enhancements in claims adjudication including rules configuration benefits validation COB ...

Manage overall health and accident claims processes across India. · ...