Hiring for US Medical Claims Processing - CTC
- Core 2 Code. Hiring
- 50 Positions
- Chennai
- 1 month ago
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Job Description
- Greetings, We are looking for dynamic graduates for system based work in various departments In the US, claims departments within insurance companies handle the process of receiving, evaluating, and paying out insurance claims. They also investigate claims to detect potential fraud and ensure compliance with policy terms. Claims department work involves a variety of tasks, including managing claims expenses, setting spending policies, and using appropriately priced providers and services. Here's a more detailed look at the types of work done by claims departments: 1. Receiving and Processing Claims:
- Claims departments receive claims from policyholders, who may have experienced losses due to events covered by their insurance policies.
- They process these claims, ensuring they are submitted correctly and meet the requirements of the policy.
- Claims adjusters, appraisers, examiners, and investigators evaluate claims to determine if they are valid and covered by the policy.
- They investigate claims to gather information, assess the extent of damage, and determine the appropriate payout.
- They may also investigate potential fraud or other issues that could affect the validity of the claim.
- Claims adjusters negotiate and settle claims with policyholders, aiming to reach a fair agreement on the amount of payment.
- They may also involve legal counsel if necessary to resolve complex or disputed claims.
- Claims managers oversee the entire claims process, ensuring it is efficient and cost-effective.
- They manage claims expenses, set spending policies, and may negotiate with providers for services.
- Claims departments must ensure compliance with relevant regulations and laws.
- They may also need to comply with specific requirements of the insurance policies they manage.
Contact
Ramya HR
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Employement Category:
Employement Type: Full timeIndustry: Medical / Healthcare
Role Category: Back Office Operations
Functional Area: Not Specified
Role/Responsibilies: Hiring for US Medical Claims Processing - CTC
Contact Details:
Company: Core 2 Code. HiringLocation(s): Chennai
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Keyskills: medical coding physician coding compliance healthcare management insurance operations
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