Punjabi Bagh Delhi Delhi Claims associate Jobs – 68 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
Senior Process Associate
HCLTech —Gurugram, Haryana
- Microsoft Excel
- Finance
- Analysis skills
- Health insurance
Claims Representative Associate
Optum —Gurugram, Haryana
- Full-time
- English
- Research
- Master's degree
- Health insurance
Associate - Insurance - Life 5A
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Finance
- Master'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
Specialist - Insurance - P&C Underwriting 4A
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Finance
- Master's degree
Quick apply
Financial Crime Compliance Analyst, Delhi NCR
AML RightSource India Private Limited —Gurugram, Haryana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Commuter assistance
Quick apply
Sr. Associate - Insurance - P&C Underwriting 5B
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Finance
- Master's degree
Quick apply
Analyst - Finance Managed Services
KPMG —Gurugram, Haryana
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Finance
Associate - Reinsurance 5A
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
Senior - Finance Managed Services
KPMG —Gurugram, Haryana
- Microsoft Powerpoint
- Microsoft Excel
- Finance
Process Developer- Insurance/ Underwriting
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Master's degree
- Bachelor's degree
Quick apply
Finance Associate (Accounts Payable)
LEAPWORK —Gurugram, Haryana
- Salesforce
- ERP systems
- Finance
7d
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
6d
Customer Service Associate
Accenture —Gurugram, Haryana
- Full-time
- Microsoft Excel
- Customer service
- Bachelor's degree
Specialist - Insurance - Life 4A
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Finance
- Master's degree
Quick apply
Insurance Operations Associate
Accenture —Gurugram, Haryana
- Full-time
- Microsoft Office
- Bachelor's degree
- Typing
Risk Consulting Senior Associate - Investigations & Disputes
RSM —Gurugram, Haryana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Front Line Manager - Insurance - P&C Underwriting 4B
Genpact India Pvt. Ltd. —Gurugram, Haryana
- Full-time
- English
- Finance
- Master's degree
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.

Quick apply

Refine Your Search

claims associate jobs in punjabi bagh delhi delhi

Claims - Associate

Process Associate - US Healthcare

Senior Process Associate

Claims Representative Associate

Associate - Insurance - Life 5A

CSA (Customer Service Associate)

Specialist - Insurance - P&C Underwriting 4A

Financial Crime Compliance Analyst, Delhi NCR

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

Analyst - Finance Managed Services

Associate - Reinsurance 5A

Senior - Finance Managed Services

Process Developer- Insurance/ Underwriting

Finance Associate (Accounts Payable)

Non- Marine Claim Executive

Customer Service Associate

Specialist - Insurance - Life 4A

Insurance Operations Associate

Risk Consulting Senior Associate - Investigations & Disputes

Front Line Manager - Insurance - P&C Underwriting 4B

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