Delhi Document specialist Jobs – 104 Open Jobs Today

Claims - Associate
Wellcove —Delhi, Delhi
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
Product Sales Specialist AV
Proactive Data Systems —West District, Delhi
- Sales
- System design
- Microsoft Office
Content Writer
Crypto Mize —Delhi
- Full-time
- Writing skills
- English
- Research
Digital Marketing Specialist
Sivora Consultancy —Delhi, Delhi
- ₹30,000 - ₹50,000 a month
- Full-time
- Walk-in
- Restaurant experience
Quick apply
Spanish Language Expert
Crypto Mize —Delhi
- Full-time
- Spanish
- Analysis skills
- Diploma
International Travel Consultant (Europe Specialist)
Vardhman Holidays India —Pitampura, Delhi, Delhi
- ₹35,000 - ₹55,000 a month
- Full-time
- In-person
- Communication skills
Quick apply
Recruitment Specialist
Techmagnate —Unknown, Delhi
- B.Sc
- Master's degree
- Databases
Quick apply
Visa Counselor
Global Udaan —Delhi, Delhi
- ₹20,000 - ₹40,000 a month
- Full-time
- English
- Bachelor's degree
- In-person
Quick apply
Regulation Manager
PST.AG —Unknown, Delhi
- English
- Research
- Master's degree
- Flexible schedule
Quick apply
Principal Field Service Engineer
Waters Corporation —Delhi, Delhi
- Software troubleshooting
- Master's degree
- Bachelor's degree
Personal Secretary
Crypto Mize —Delhi
- Full-time
- Microsoft Office
- Finance
- Administrative experience
Technical Support Executive
YOCTEL SOLUTIONS PVT. LTD —Hauz Khas, Delhi, Delhi
- ₹12,000 - ₹20,000 a month
- Full-time
- Computer Science
- Software troubleshooting
- Customer service
Quick apply
5d
Software Developer
Skiify Solutions —Delhi, Delhi
- Java
- Master's degree
- Bachelor's degree
Logistics Specialist
AMETEK, Inc. —Delhi, Delhi
- Inventory control
- Data entry
Compliance Analyst
AlphaSense —Delhi, Delhi
- English
- Research
- AI
Online Form Automation / JotForm Specialist
ASI-Apex Sourcing —Delhi, Delhi
- Full-time
- Azure
- Windows
- Bachelor's degree
- Commuter assistance
Senior Salesforce Business Analyst
ERM Group —Delhi, Delhi
- Full-time
- Hybrid work
- Salesforce
- Continuous improvement
- Agile
3d
Interior Designer
Gautam & Gautam Associates —Delhi
- Microsoft Powerpoint
- Microsoft Office
- Business development
Communications Intern (Media)
Council on Energy, Environment and Water —Delhi, Delhi
- English
- Master's degree
- Bachelor's degree
cardiologist
Jagatmitra Foundation —Vikaspuri, Delhi, Delhi
- ₹24,715.12 - ₹1,16,856.55 a month
- Part-time
- Medicine
- Bachelor's degree
- In-person
Quick apply
12d

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Claims - Associate

Wellcove
Delhi, Delhi

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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

document specialist jobs in delhi

Claims - Associate

Product Sales Specialist AV

Content Writer

Digital Marketing Specialist

Spanish Language Expert

International Travel Consultant (Europe Specialist)

Recruitment Specialist

Visa Counselor

Regulation Manager

Principal Field Service Engineer

Personal Secretary

Technical Support Executive

Software Developer

Logistics Specialist

Compliance Analyst

Online Form Automation / JotForm Specialist

Senior Salesforce Business Analyst

Interior Designer

Communications Intern (Media)

cardiologist

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