Barakhamba Delhi Delhi Customer care specialist Jobs – 59 Open Jobs Today

Claims - Associate
Wellcove —Delhi, Delhi
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
Technical Project Specialist - PMO
R1 RCM, Inc. —Noida, Uttar Pradesh
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- PMP
Specialist, Information Security
Pearson —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Microsoft Excel
- Data analysis skills
- English
1d
Data QA Associate
YipitData (Alternative) —Delhi, Delhi
- Remote
- Microsoft Excel
- Computer Science
- ERP systems
- Flexible schedule
Transfer Pricing Specialist
Allianz —Noida, Uttar Pradesh
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
8d
12OAH SAP SuccessFactors Specialist
ROHDE & SCHWARZ GmbH & Co. KG —Delhi, Delhi
- Online application
- Remote
- Computer Science
- Engineering
- Master's degree
- Health insurance
Security Analysis Specialist
NTT Ltd —Noida, Uttar Pradesh
- Night shift
- Computer Science
- Analysis skills
- Bachelor's degree
1d
Applications Development Module Lead
TELUS Digital —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Computer Science
- B.Sc
- Master's degree
Senior People Data Reporting Specialist (HR Reporting; Cognos BI, SQL)
UKG (Ultimate Kronos Group) —Noida, Uttar Pradesh
- Data analysis skills
- SQL
- Analysis skills
Senior Manager, Marketing Operations
Daxko —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Marketing
- Salesforce
- SQL
8d
Area SV Coordinator Sales Execution
Hapag-Lloyd AG —West District, Delhi
- Sales
- Customer service
- Salesforce
Solutions Consultant 2
Palo Alto Networks —Delhi, Delhi
- Full-time
- Travel
- Communication skills
Sr. Executive - Transaction Finance
Finance, Procurement, Legal, Privacy, Property —Noida, Uttar Pradesh
- Full-time
- Microsoft Excel
- Oracle
- English
- Health insurance
SAP FICO Specialist
TELUS Digital —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- SQL
- Accounting
- APIs
6d
Account Manager II
UKG (Ultimate Kronos Group) —Noida, Uttar Pradesh
- Customer service
- Human resources
- SharePoint
17h
Recipient Services Specialist - North (Udaipur)
Cochlear Ltd —Delhi, Delhi
- Full-time
- Sales
- Salesforce
- Engineering
Strategic Pricing Lead Analyst
FedEx AMEA —Delhi, Delhi
- Full-time
- Microsoft Excel
- PMP
- Finance
2d
Sr ServiceNow Developer
Product and Technology —Noida, Uttar Pradesh
- Full-time
- JavaScript
- Software development
- APIs
- Health insurance
Business Development Engineer (India)
Vitrox —Delhi, Delhi
- Full-time
- Electrical experience
- Presentation skills
- Diploma
- Health insurance
- Food provided
Engineer - IT
R1 RCM, Inc. —Noida, Uttar Pradesh
- Full-time
- Bachelor's degree
- Communication skills

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Claims - Associate

Wellcove
Delhi, Delhi

Quick apply

Job details

Fresher

Qualifications

Medicine
Medical coding
Basic math
English
MBBS
Analysis skills
Bachelor's degree
CPT coding

Full job description

Who We Are
Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.

Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.

Key Skills: Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing and familiarity with medical coding systems (CPT, ICD, HCPCS) to understand and interpret medical procedures and diagnoses.

SUMMARY

A Healthcare Complex Claims Specialist is responsible for the thorough investigation, adjudication, and processing of complex healthcare claims in adherence to industry regulations and organizational policies. This role requires a deep understanding of analyzing medical records, healthcare coding systems (e.g., CPT, ICD-10, HCPCS) to accurately assess claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing.
Evaluate claims against established guidelines, contracts, and regulatory requirements.
Conduct detailed research on complex claims, pre-existing conditions, and other intricate scenarios.
Analyze medical records, policy documents, and other relevant information to make informed claim decisions.
Demonstrate proficiency in healthcare coding systems (e.g., CPT, ICD-10, HCPCS, Revenue codes, medical terminologies, Human Anatomy, Inpatient Vs. Outpatient claims) to accurately assess claims.
Apply knowledge of healthcare benefits and payment policies.
Provide clear and concise explanations of claim decisions to relevant parties.
Identify trends and patterns in complex claims to contribute to process improvements.
Candidate should be able to correctly calculate claim amounts for the customers.
Complying with company regulations regarding HIPAA, confidentiality, and private health information.

QUALIFICATIONS

Medical Graduates – MBBS, Physiotherapists, B-Pharma or life science graduates with minimum 1 year of experience in handling US Health Insurance claims.
Graduates and Fresher.

LANGUAGE SKILLS

Should have strong English comprehension, verbal and written skills
Strong medical science knowledge to comprehend medical reports

MATHEMATICAL SKILLS

Should have basic math knowledge of calculating simple interest, compound interest.

REASONING ABILITY

Should have good English comprehension and analytical skills
Should have excellent problem-solving skills with an eye for detail

WORK ENVIRONMENT

Should be open to work 24*7 and mandatory US timings, night shift

Ready to handle work pressure and ensure deliverables within timelines

At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

Quick apply

Refine Your Search

customer care specialist jobs in barakhamba delhi delhi

Claims - Associate

Technical Project Specialist - PMO

Specialist, Information Security

Data QA Associate

Transfer Pricing Specialist

12OAH SAP SuccessFactors Specialist

Security Analysis Specialist

Applications Development Module Lead

Senior People Data Reporting Specialist (HR Reporting; Cognos BI, SQL)

Senior Manager, Marketing Operations

Area SV Coordinator Sales Execution

Solutions Consultant 2

Sr. Executive - Transaction Finance

SAP FICO Specialist

Account Manager II

Recipient Services Specialist - North (Udaipur)

Strategic Pricing Lead Analyst

Sr ServiceNow Developer

Business Development Engineer (India)

Engineer - IT

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