Delhi Claims associate Jobs – 21 Open Jobs Today

Claims - Associate
Wellcove —Delhi, Delhi
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
Process Associate - US Healthcare
ASI-Apex Sourcing —Delhi, Delhi
- Full-time
- Master's degree
- Bachelor's degree
- Data entry
- Commuter assistance
Customer Support Associate
PHOTO MEDIA —Delhi
- ₹18,000 - ₹22,000 a month
- Full-time
- Microsoft Excel
- Customer service
- English
- Paid time off
Quick apply
Audit Executive / Audit Associate
B A R S AND CO —Okhla, Delhi, Delhi
- ₹25,000 - ₹35,000 a month
- Part-time
- Microsoft Excel
- Travel
- Accounting
Quick apply
5d
Accounts & Admin Executive
Advit Ventures Private Limited —Daryaganj, Delhi, Delhi
- ₹20,000 - ₹30,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- ERP systems
- Health insurance
- Paid time off
Quick apply
Senior Associate. TPA
Manipal Health Enterprises —Delhi, Delhi
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Assistant Manager
GAA —Delhi
- Microsoft Powerpoint
- Microsoft Word
- Civil engineering
Non- Marine Claim Executive
Sapient Insurance Surveyors and Assessors Private Limited —Delhi, Delhi
- From ₹20,000 a month
- Full-time
- Writing skills
- English
- Bachelor's degree
- Health insurance
Quick apply
Assistant Manager-Operations
Arion Insurance brokers —Delhi
- Master's degree
- Bachelor's degree
Credit Collection
Manipal Health Enterprises —Delhi, Delhi
- Master's degree
- MBA
- Leadership
Relationship Associate - Credit Life
AxisMaxlife —Delhi
Senior Manager
GAA —Delhi
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Lead Consultant
GAA —Delhi
- Microsoft Powerpoint
- Microsoft Word
- Civil engineering
Sr. Manager
GAA —Delhi
- Microsoft Powerpoint
- Microsoft Word
- Civil engineering
Business Development - Client Relations
StarClinch —Unknown, Delhi
- Salesforce
- Communication skills
- Health insurance
- Paid time off
Quick apply

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Process Associate - US Healthcare
ASI-Apex Sourcing —Delhi, Delhi
Stay updated on industry standards and best practices in utilization management. Candidates should be open to working in night shift.
Claims - Associate
Wellcove —Delhi, Delhi
Should have excellent problem-solving skills with an eye for detail. A Healthcare Complex Claims Specialist is responsible for the thorough investigation,…
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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.

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Refine Your Search

claims associate jobs in delhi

Claims - Associate

Process Associate - US Healthcare

Customer Support Associate

Audit Executive / Audit Associate

Accounts & Admin Executive

Senior Associate. TPA

Assistant Manager

Non- Marine Claim Executive

Assistant Manager-Operations

Credit Collection

Relationship Associate - Credit Life

Senior Manager

Lead Consultant

Sr. Manager

Business Development - Client Relations

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