Malviya Nagar Delhi Delhi Claims associate Jobs – 142 Open Jobs Today

Claims - Associate
Wellcove —Delhi, Delhi
- Night shift
- Remote
- Medicine
- Basic math
- English
Quick apply
Associate - Insurance - P&C Claims 5A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
Specialist - Insurance - P&C Underwriting 4A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
Specialist - Insurance - P&C Claims 4A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Finance
- Master's degree
- Bachelor's degree
Quick apply
CSA (Customer Service Associate)
Vitraya Technologies Private Limited —Sarita Vihar, Delhi, Delhi
- ₹2,50,000 - ₹3,00,000 a year
- Full-time
- Customer service
- English
- Microsoft Office
Quick apply
13d
Sr. Associate - Insurance - P&C Underwriting 5B
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
Financial Crime Compliance Analyst, Delhi NCR
AML RightSource India Private Limited —Noida, Uttar Pradesh
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Commuter assistance
Quick apply
Claims Representative Associate
Optum —Noida, Uttar Pradesh
- Full-time
- English
- Research
- Microsoft Office
- Health insurance
Process Associate - US Healthcare
ASI-Apex Sourcing —Delhi, Delhi
- Full-time
- Master's degree
- Bachelor's degree
- Data entry
- Commuter assistance
Associate - Underwriting 5A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
Sr Insurance Associate
MetLife —Noida, Uttar Pradesh
- Full-time
- Microsoft Word
- Microsoft Excel
- English
10d
Executive-Back Office-Claims Medical Bill Review
EXL Service —Noida, Uttar Pradesh
- Full-time
- Diploma
Collections Representative - US Health Care or RCM or AR Calling
Optum —Noida, Uttar Pradesh
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
Associate - Insurance - Life 5A
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Finance
- Master's degree
Quick apply
Sr. Analyst - Process Analytics - Claims & Underwriting 4B
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- Microsoft Excel
- Computer Science
- English
Quick apply
Specialist - Insurance - Life 4A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Remote
- English
- Finance
- Master's degree
Quick apply
Associate - Insurance Broker 5A
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- English
- Finance
- Master's degree
Quick apply
Accounts & Admin Executive
Advit Ventures Private Limited —Daryaganj, Delhi, Delhi
- ₹20,000 - ₹25,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- ERP systems
- Health insurance
- Paid time off
Quick apply
12d
Associate - Reinsurance 5A
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
Medical Billing Associate
Aria Technologies —Noida, Uttar Pradesh
- ₹20,000 - ₹40,000 a month
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- English
- Work from home
- Flexible schedule
Quick apply
20h

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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 associate jobs in malviya nagar delhi delhi

Claims - Associate

Associate - Insurance - P&C Claims 5A

Specialist - Insurance - P&C Underwriting 4A

Specialist - Insurance - P&C Claims 4A

CSA (Customer Service Associate)

Sr. Associate - Insurance - P&C Underwriting 5B

Financial Crime Compliance Analyst, Delhi NCR

Claims Representative Associate

Process Associate - US Healthcare

Associate - Underwriting 5A

Sr Insurance Associate

Executive-Back Office-Claims Medical Bill Review

Collections Representative - US Health Care or RCM or AR Calling

Associate - Insurance - Life 5A

Sr. Analyst - Process Analytics - Claims & Underwriting 4B

Specialist - Insurance - Life 4A

Associate - Insurance Broker 5A

Accounts & Admin Executive

Associate - Reinsurance 5A

Medical Billing Associate

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