Delhi Delhi Claims specialist Jobs – 13 Open Jobs Today

Claims - Associate
Wellcove —Delhi, Delhi
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
CRM & Marketing Automation Specialist
Sunpan —Shahpur Jat, Delhi, Delhi
- Full-time
- Computer Science
- Master's degree
- Bachelor's degree
Quick apply
Health Financing Specialist, Health Analytics and AI Unit - Digital Health
Clinton Health Access Initiative —Delhi, Delhi
- Full-time
- Microsoft Excel
- English
- Master's degree
Behavioral Health Billing Specialist - Hybrid
ASI-Apex Sourcing —Delhi, Delhi
- Full-time
- Bachelor's degree
- Commuter assistance
- Health insurance
Utilization Management Specialist
ASI-Apex Sourcing —Delhi, Delhi
- Night shift
- Bachelor's degree
- EMR systems
- Medical terminology
- Commuter assistance
AI Developer (LLM & Prompt Specialist)
OriginBluy —Delhi, Delhi
- ₹30,000 - ₹40,000 a month
- Email
- Azure
- Master's degree
- Databases
- Commuter assistance
- Health insurance
Quick apply
Medical Billing Executive
Enjence it services pvt ltd —Delhi, Delhi
- ₹25,000 - ₹35,000 a month
- Full-time
- Analysis skills
- EMR systems
- In-person
Quick apply
7d
E-Commerce Specialist
Gaurav Market Enterprises —Paharganj, Delhi, Delhi
- ₹9,792.34 - ₹15,449.10 a month
- Full-time
- In-person
- Analytics
- Flexible schedule
Quick apply
2d
Food Technologist – Product Development & Formulation
Caddy Ventures —Delhi, Delhi
- Full-time
- Data analysis skills
- Research
- Master's degree
Quick apply
4d
Dental Treatment Coordinator
Tarasha Dental Clinic —Lajpat Nagar, Delhi, Delhi
- ₹10,000 - ₹30,000 a month
- Full-time
- Nursing
- 12th Pass
- Bachelor's degree
Quick apply
Accounting Specialist requirement For Ecommerce and Quick-commerce
Sai International Pet Products Pvt Ltd —Kavi Nagar, Ghaziabad, Uttar Pradesh
- ₹25,000 - ₹45,000 a month
- Full-time
- Microsoft Excel
- Finance
- Analysis skills
- Cell phone reimbursement
Quick apply
13d
Business Development Engineer (India)
Vitrox —Delhi, Delhi
- Full-time
- Electrical experience
- Presentation skills
- Diploma
- Health insurance
- Food provided
Picker/Packer
SHUGWAY —Tronica City, Ghaziabad, Uttar Pradesh
- ₹8,381.03 - ₹10,000.00 a month
- Full-time
- Forklift
- 12th Pass
- Organisational skills
Quick apply

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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

claims specialist jobs in delhi delhi

Claims - Associate

CRM & Marketing Automation Specialist

Health Financing Specialist, Health Analytics and AI Unit - Digital Health

Behavioral Health Billing Specialist - Hybrid

Utilization Management Specialist

AI Developer (LLM & Prompt Specialist)

Medical Billing Executive

E-Commerce Specialist

Food Technologist – Product Development & Formulation

Dental Treatment Coordinator

Accounting Specialist requirement For Ecommerce and Quick-commerce

Business Development Engineer (India)

Picker/Packer

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