Medical Claims Reviewer

We are seeking a Medical Adjudication Specialist to fill a key role in our claims adjudication department.Review medical claims for potential fraud, waste, or abuse.Investigate questionable claims by collaborating with medical providers and internal stakeholders.Apply clinical expertise to support fair and consistent decisions.Key ResponsibilitiesNegotiate...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Medical Claims Consultant page is loaded## Medical Claims Consultantlocations: Singaporetime type: Full timeposted on: Posted Todayjob requisition id: Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for...

Medical Claims ConsultantThis is an opportunity to work in a dynamic environment where medical expertise plays a vital role in ensuring the integrity, fairness and accuracy of medical claims decisions.The ideal candidate will be involved in reviewing and interpreting complex medical reports, diagnostic test results, and treatment plans to assess validity of...

**About the team** Doctor Anywhere's Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top priority. **The role we...

Claims Assessor Job DescriptionWe are seeking a skilled Claims Assessor to review, assess, and approve shield claims in a timely manner.Key Responsibilities:Review and assess shield claims to ensure accuracy and compliance with internal policies and regulatory requirements.Investigate claims and respond to customer inquiries in a professional and courteous...

Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...

Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...

Job Title: Medical Claims ConsultantThis position requires a qualified and experienced medical professional to support claims teams in various lines of business, concerning but not limited to claims assessment, adjudication and cost containment.Key Responsibilities:Review and interpret complex medical reports, diagnostic test results, and treatment plans to...

Job OpportunityThe role of Medical Adjudication Specialist involves reviewing and evaluating complex medical claims, identifying potential fraud or abuse. This position requires expertise in clinical decision-making, analytical thinking, and effective communication to collaborate with healthcare providers and internal stakeholders.Key...