Delhi Delhi Claims specialist Jobs – 15 Open Jobs Today

Claims - Associate
Wellcove —Delhi, Delhi
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
Behavioral Health Billing Specialist - Hybrid
ASI-Apex Sourcing —Delhi, Delhi
- Full-time
- Bachelor's degree
- Commuter assistance
- Health insurance
Insurance Specialist / Business Partner
Multi Credit Private Limited —Delhi, Delhi
- ₹50,000 - ₹80,000 a month
- Sales
- Business development
- Bachelor's degree
- Health insurance
- Paid time off
Quick apply
On & Off Trade Specialist - Bangalore
Campari Group —Delhi, Delhi
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Outlook
Programme Assistant - Social and Human Sciences
UNESCO —Delhi, Delhi
- Online application
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Paid sick time
On & Off Trade Specialist - Mumbai
Campari Group —Delhi, Delhi
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Outlook
On & Off Trade Specialist - Delhi
Campari Group —Delhi, Delhi
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Outlook
E-Commerce Specialist
DAYAL TEXTILES —Karol Bagh, Delhi, Delhi
- ₹15,000 - ₹25,000 a month
- Full-time
- English
- In-person
- Communication skills
Quick apply
5d
Utilization Management Specialist
ASI-Apex Sourcing —Delhi, Delhi
- Night shift
- Bachelor's degree
- EMR systems
- Medical terminology
- Commuter assistance
AMEI Category Manager
Air Liquide —Delhi, Delhi
- Full-time
- Project management
- Bachelor's degree
- Communication skills
Business Development Engineer (India)
Vitrox —Delhi, Delhi
- Full-time
- Electrical experience
- Presentation skills
- Diploma
- Health insurance
- Food provided
Dental Treatment Coordinator
Tarasha Dental Clinic —Lajpat Nagar, Delhi, Delhi
- ₹10,000 - ₹30,000 a month
- Full-time
- Anatomy knowledge
- In-person
- Medical terminology
Quick apply

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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 specialist jobs in delhi delhi

Claims - Associate

Behavioral Health Billing Specialist - Hybrid

Insurance Specialist / Business Partner

On & Off Trade Specialist - Bangalore

Programme Assistant - Social and Human Sciences

On & Off Trade Specialist - Mumbai

On & Off Trade Specialist - Delhi

E-Commerce Specialist

Utilization Management Specialist

AMEI Category Manager

Business Development Engineer (India)

Dental Treatment Coordinator

I want to receive the latest job alerts for claims specialist in delhi delhi

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