US healthcare openings for experienced @ Careernet

Job Description

Job Summary

Job Position: Claims Associate

Job Location: Gurgaon

Shift: should be flexible for shift timing

Position Summary:

• Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
• Works without significant guidance w/ basic understanding of multiple products (HMO, PPO,COB, etc.).
• Must be able to successfully perform all the duties.
• Primary duties may include, but are not limited to: Able to handle more complex claims.
• Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, govt regs, coordination of benefits, && healthcare terminology.
• Good working knowledge of claims and products, including the grievance and/or re-consideration process.
• Excellent knowledge of the various operations of the organization, products, and services.
• Reviews, analyzes and processes claims/policies related to events to determine extent of company liability and entitlement. Researches and analyzes claims issues.
• Responds to inquiries, may involve customer/client contact.
• Requires a1-4years claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience, which would provide an equivalent background.

Kindly share your updated resume and Pls do Acknowledgment

If interested, Kindly share your updated resume to li****************r@ca******t.in

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   claim processing us healthcare claims claims adjudication