Medical Claims Executive

**Responsibilities**: - Claims Assessment and Adjudication. - Assessment of Outpatient claims in accordance with policy contract and guidelines. - Ensuring claim is assessed correctly in accordance with policy contract and guideline and approved within Authority Limit given. - Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT). -...

**Responsibilities**:- Claims Assessment and Adjudication.- Assessment of Outpatient claims in accordance with policy contract and guidelines.- Ensuring claim is assessed correctly in accordance with policy contract and guideline and approved within Authority Limit given.- Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT).-...

**Business**: We are a leading Marine and Transport Insurance Claims Settling & Recovery Agent providing Transport Insurance Claims and Recovery Services for marine insurers worldwide since 1960. The company's objective is to reduce claims and to maximise recoveries to improve our insurance company clients' bottom line. Due to the expansion of our...

Roles & ResponsibilitiesResponsibilities:Claims Assessment and Adjudication. Assessment of Outpatient and Inpatient claims with accuracy and within SLA Prompt handling of claims as well as Letter of Guarantee (LoG) enquiries and escalations at client's premises Ensuring emails enquiries are well-managed and respond in a timely manner Ensuring claim is...

**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...

**Medical Claims Officer** You will provide oversee medical claims of patients and provide general administrative support to the department. - Oversees hospital and doctor's fees billing upon patient's discharge. - Seek clarifications and liaise with medical institution and policyholders on outstanding requirements - Promptly process final bills and provide...

Job SummaryWe are seeking a seasoned Medical Adjudication Specialist to join our team. In this role, you will be responsible for reviewing and adjudicating complex medical claims, identifying potential fraud, waste, or abuse (FWA), and collaborating with medical providers, third-party administrators, and internal stakeholders to investigate questionable...

Claim Assessor RoleThis role requires an individual to review, assess, and approve health and medical claims within a specified timeframe.Key responsibilities include ensuring accuracy and compliance with internal policies and regulatory requirements, investigating claims issues, and resolving disputes with customers.We seek a detail-oriented and organized...

Job Title: Shield Claims SpecialistWe are looking for an experienced Shield Claims Specialist to review, assess, and approve claims efficiently. Key Responsibilities include:Reviewing and processing claims according to company guidelines.Investigating claims disputes and resolving issues promptly.Collaborating with medical professionals to clarify claim...

Job Title: Medical Claims Support SpecialistJob Description:Key ResponsibilitiesWe are seeking a highly organized and detail-oriented Medical Claims Support Specialist to assist with employee medical claims processing. The ideal candidate will ensure accurate and timely processing of claims, communicate effectively with stakeholders, and provide exceptional...