1 Opening(s)
10.0 Year(s) To 15.0 Year(s)
Not Disclosed by Recruiter
Primary Role Description: The individual will head reimbursement claims process (Claim reporting to final decision). He / She will play a key leadership role in driving Reimbursement claim strategy, managing the claims team, collaborating with other departments to ensure the organizational goals on finances, customers, processes and people are met.
Key ...
1 Opening(s)
8.0 Year(s) To 12.0 Year(s)
Not Disclosed by Recruiter
Primary Role Description: - Responsible for leading claims-focused training, learning & development, and quality management across Financial and Medical claims operations. The role ensures high-quality, compliant, and efficient claims processing through robust training frameworks, continuous learning initiatives, and quality assurance programs.
Key Roles & Responsibilities:
Design and deliver structured training programs for Financial and Medical ...
5 Opening(s)
0.6 Year(s) To 3.0 Year(s)
Not Disclosed by Recruiter
Key Responsibilities
Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources
Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
Deep understanding of medical coding, billing, and medical terminologies
Operates with urgency in a real time service environment
Defines, communicates and manages workflow and data coordination to support various ...
1 Opening(s)
0.6 Year(s) To 2.0 Year(s)
3.50 LPA TO 4.50 LPA
KEY RESPONSIBILITIES:
Handling of claim rejections/ claim related query over calls and emails.
Floor support
Walk-in customers
MEASURES of SUCCESS:
Satisfaction of customer
Team satisfaction
Learning and knowledge for team
QUALIFICATION & EXPERIENCE:
BPT/Experienced claim adjudicator
KEY COMPETENCIES & SKILLS REQUIRED:
Professionalism, interpersonal and communication skills.
System bases knowledge
Medical Knowledge in depth.
Must be comfortable for 6 day with rotational shift ...
10 Opening(s)
6.0 Year(s) To 8.0 Year(s)
4.00 LPA TO 6.50 LPA
About Niva Bupa Health Insurance Company - Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading ...
1 Opening(s)
8.0 Year(s) To 12.0 Year(s)
10.00 LPA TO 15.00 LPA
About Niva Bupa Health Insurance Company - Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading ...
1 Opening(s)
10.0 Year(s) To 15.0 Year(s)
15.00 LPA TO 18.00 LPA
About Niva Bupa Health Insurance Company - Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), a leading Indian private equity firm, and the Bupa Group, a leading ...