claims processor

DAMANA

<div>
 <p>
  At Damana Insurance, we are looking for a nurse/doctor by education with experience in
  <strong>
   medical coding
  </strong>
  to join our TPA in Bahrain as a Medical Claims Processor.
 </p>
 <p>
  <br/>
 </p>
 <p>
  The Medical Claims Processor is responsible for claims processing of UAE and non-UAE markets. This includes electronic claims, manual paper claims and reimbursement claims. As a Claims Processor, you will be required to analyze a claim based on policy conditions, regulatory requirements, international medical guidelines and internal process and procedures.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Key Responsibilities:
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   Data entry / Medical review claims that are assigned in CMS at batch level or claim level as the case may be.
  </li>
  <li>
   Adjudicate each claim and associated services based on coding rule (UAE market) and policy conditions that includes system driven eligibility checks, coding checks and perform medical investigations.
  </li>
  <li>
   Follow pre-approval protocols as per provider handbook.
  </li>
  <li>
   Adhere to system driven price list information for financial accuracy of the claims.
  </li>
  <li>
   Approve up to the authority matrix.
  </li>
  <li>
   Coordinate with pre-approval team and network team on a case-by-case manner where relevant for the claims adjudication.
  </li>
  <li>
   Coordinate with providers in explaining the rejections on claims.
  </li>
  <li>
   Assist Team Leader and Operations Manager in enhancing and developing the process and system.
  </li>
  <li>
   Adhere to the contents of the Operating Procedures Manual (OPM) and the Company&rsquo;s overall procedures and policies.
  </li>
  <li>
   Miscellaneous tasks within the scope of work, as assigned by the direct manager.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <u>
   Qualifications:
  </u>
 </p>
 <ul>
  <li>
   Bachelor's degree in nursing or MBBS
  </li>
  <li>
   Experience and certification in medical coding is a must.
  </li>
  <li>
   1 &ndash; 2 years' experience in health insurance field preferred.
  </li>
 </ul>
</div>


Medical Claims Processor - Nurse/ Doctor

Star Secutech pvt ltd

<p><b>Greetings from Star Secutech Pvt Ltd!!!</b></p><p>Job Role: CPE/SPE Dental Claims</p><p>Experience: <b>Minimum 1yr into Indian/International Healthcare</b></p><p><b>Job Description: </b></p><ul><li>All the rest of countries except US claims are getting loaded in the portal (Octopus) in paper /electronic format.</li><li>We have 2 baskets where the claims are pended.</li><li>The coding basket has claims which are mainly for coding process to be performed and claim review basket to work on review (Coding, Cost review, MNR, IBR).</li><li>We have a portal (Health cloud) for further information/ communication and pre authorizations.it helps us to converts the unstructured forms to structured format.</li><li>The complex process are performed on health cloud (MNR, IBR, Cost Savings) Trained Nurses &amp; Dentist with claims processing skills would pick up these claims and load them into the CAS (Mainframe) and follow all the workflows to load / process and adjudicate these claims for payments.</li></ul><p><b>Qualification &amp; Skills:</b></p><ul><li><b>BDS Graduate </b>(Mandatory)</li><li>Astute understanding of MS Office Tools</li><li>Displays a High Level of Integrity and Maturity</li><li>Displays high level of People Management practices</li><li>Displays High level of Communication Skill</li></ul><p>Shift: U.S Shift (1:30 PM &ndash; 10:30PM)</p><p>Location: Bangalore</p><p>Working Hours: 5 Days weekly (Sat &amp; Sun Fixed Weekoff)</p><p>Both the way cab will be provided!!!</p><p><b>For further details contact HR @9087726632</b></p><p>Job Types: Full-time, Fresher</p><p>Pay: &#8377;400,000.00 - &#8377;550,000.00 per year</p><p>Benefits:</p><ul><li>Commuter assistance</li></ul><p>Education:</p><ul><li>Bachelor's (Preferred)</li></ul><p>Experience:</p><ul><li>Insurance Claims: 1 year (Preferred)</li></ul><p>Location:</p><ul><li>Bengaluru Urban, Karnataka (Preferred)</li></ul><p>Shift availability:</p><ul><li>Night Shift (Preferred)</li></ul><p>Work Location: In person</p>

Dental Insurance Processor

Dealer Services Network

<div><div><b>Job description</b></div>
<div>We currently have a great opportunity for an Agency Title Clerk at one of our Tag Agencies.</div>
<div></div><div>This location offers a great working environment, and great pay, vacation, life insurance paid by company, 401k with a match.</div>
<div></div><div>*We will train the right candidates*. Relatable experience is a plus. such as:</div>
<ul><li>Loan Processor</li>
<li>Claims Processor</li>
<li>Mortgage Loan Processor</li>
<li>Bank Teller</li>
<li>Insurance Agent</li>
<li>Credit Union Clerk</li>
<li>Knowledge of transactions / paperwork processing</li>
</ul>
<div></div><div><b>Qualifications:</b><br>
 To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>
<div></div><div><b>General Abilities:</b></div>
<div>Strong communication skills, both verbal and written.</div>
<div>Excellent interpersonal skills and ability to remain calm and courteous under pressure.</div>
<div>Attention to detail and ability to accurately record information.</div>
<div>Basic computer proficiency, including familiarity with relevant software applications.</div>
<div>Ability to work independently and as part of a team.</div>
<div>Flexibility to adapt to changing priorities and work schedules.</div>
<div></div><div><b>Duties and Responsibilities </b>include the following. Other duties may be assigned.</div>
<ul><li>Provides direct customer service.</li>
<li>Provides telephone and/or email customer service.</li>
<li>Completes Motor Vehicle forms and title documents.</li>
<li>Keeps office and paperwork organized.</li>
<li>Stops, starts, and returns to interrupted tasks.</li>
<li>Scans and files documents.</li>
<li>Maintains inventory control.</li>
<li>Prepare transactions for Motor Vehicle Run.</li>
<li>Reviews and corrects completed transactions.</li>
<li>Checks through completed transactions and/or pending transaction files and contacts clients as reminder.</li>
<li>Research, verify and process documents for titles and registrations on vehicles, boats and recreational vehicles.</li>
<li>Processing of handicap permits.</li>
<li>Maintain a positive, empathetic, and professional attitude toward customers at all times.</li>
<li>Interacting with the general public on a daily basis.</li>
<li>Responding promptly and politely to customer inquiries.</li>
<li>Acknowledging and resolving customer issues.</li>
</ul>
<div></div><div><b>Language Ability:</b><br>
 Ability to read and comprehend simple instructions, short correspondence, and memos.<br>
 Ability to write simple correspondence. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.</div>
<div></div><div><b>Math Ability:</b><br>
 Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.</div>
<div></div><div><b>Reasoning Ability:</b><br>
 Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.</div>
<div></div><div><b>Education/Experience:</b><br>
 High school diploma or general education degree (GED); and equivalent combination of education and experience.</div>
<div></div><div><b>Certificates and Licenses:</b><br>
 Ability to pass criminal background check</div>
<div></div><div><b>Physical Demands:</b><br>
 The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>
<div>While performing the duties of this job, the employee is regularly required to stand, use hands, reach with hands and arms, and talk or hear. The employee is occasionally required to walk, sit, climb or balance, and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, ability to adjust focus, and ability to see color.</div>
<div></div><div><b>Work Environment:</b><br>
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>
<div>The noise level in the work environment is usually moderate.</div>
<div></div><div><b>Benefit Conditions:</b></div>
<ul><li>Benefits waiting period after 30 days, the 1st day of the next month would apply.</li></ul>
<ul><li>Only full-time employees are eligible for benefits</li></ul>
<div></div><div><b>Benefits:</b></div>
<ul><li>401(k)</li></ul>
<ul><li>401(k) matching</li></ul>
<ul><li>Dental insurance</li></ul>
<ul><li>Employee assistance program</li></ul>
<ul><li>Health insurance</li></ul>
<ul><li>Life insurance</li></ul>
<ul><li>Paid time off</li></ul>
<ul><li>Retirement plan</li></ul>
<ul><li>Vision insurance</li></ul>
<div></div><div><b>Schedule:</b></div>
<ul><li>8-hour shift</li></ul>
<ul><li>Full Time - Day shift</li></ul>
<ul><li>Monday to Friday with alternate Saturdays</li></ul>
<div>Experience:</div>
<ul><li>Tag Agency: 3 years (Preferred)</li>
<li>Title processing: 3 years (Preferred)</li>
<li>Data entry: 4 years (Preferred)</li>
<li>Document management: 4 years (Preferred)</li>
<li>Ability to commute to the location</li>
</ul>
<div></div><div>Pay &ndash; Hourly pay will be based on experience and knowledge.</div>
<div>If an applicant is qualified, an interview will be set up with the hiring Manager. If selected for the position, an application and background check form will be forwarded for completion. Once the results of the background are received and cleared, an offer of employment will be forwarded, and a start date can be determined. The Onboarding (new hire) process will be forwarded on the first day of employment.</div></div><div></div>

Agency Title Clerk - So. Orlando

3DS Global Private Limited

<ul><li>Process and manage cardiology-related claims in EPIC, ensuring accuracy and compliance.</li><li>Monitor and follow up on outstanding accounts receivable to reduce aging.</li><li>Review and resolve claim denials, rejections, and underpayments .Understand how to analyze and resolve unpaid claims.</li><li>Experience reading, interpreting and entering insurance EOBs.</li><li>Understand CMS-1500 and UB-04 claim formats.</li><li>Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.</li><li>Voice process with the US-based insurance carriers.</li><li>Must have an understanding of denial management and appeal process.</li><li>Should be able to track and follow up on claims within given timelines.</li><li>Must achieve daily targets.</li></ul><p><b>Experience Required:</b> Minimum 2 Years<br/><b>Qualification:</b> B.com, M.com, Any graduate<br/><b>Location:</b> Mohali, 74sector</p><p>Interested candidates, kindly share resume at Jyotika.thakur@3dsolutionsllc.net or call/whatsApp at 86992 26646</p><p>Job Types: Full-time, Permanent</p><p>Pay: &#8377;25,000.00 - &#8377;30,000.00 per month</p><p>Benefits:</p><ul><li>Provident Fund</li></ul><p>Work Location: In person</p>

AR Specialist– EPIC & Cardiology

Propel Consult

<p><b>KEY RESPONSIBILITIES, ACCOUNTABILITIES AND ACTIVITIES</b></p><p><b>General </b></p><p>&middot; Process and validate payment requests from workshops, recovery services, and rental car providers accurately and on time.</p><p>&middot; Verify and reconcile invoices and supporting documentation to ensure compliance with contractual agreements and company policies.</p><p>&middot; Coordinate with the Motor Claims and Finance teams to resolve payment discrepancies or queries.</p><p>&middot; Maintain updated payment records and ensure proper documentation for audit purposes.</p><p>&middot; Liaise regularly with service providers to address payment status, disputes, and other inquiries.</p><p>&middot; Monitor outstanding payments and ensure timely follow-up on delayed invoices.</p><p>&middot; Support the implementation of process improvements to enhance payment efficiency and accuracy.</p><p>&middot; Collaborate with service providers, including workshops, property repairers, and other insurers.</p><ul><li>Validate and process settlements under various coverages (Hire car, Towing, Loss Adjusters, etc.).</li></ul><p><b>BACKGROUND, QUALIFICATIONS &amp; EXPERIENCE</b></p><p><b>Qualifications</b></p><p>&middot; Proven experience in claims processing, preferably within the insurance or finance industry.</p><p>&middot; Strong knowledge of claims management processes and payment procedures.</p><p>&middot; Familiarity with motor insurance and related services is an advantage.</p><p><b>Skills</b></p><p>&middot; Proficiency in SQL for data analysis and reporting.</p><p>&middot; Strong attention to detail and accuracy.</p><p>&middot; Excellent communication skills&mdash;both written and verbal, with fluency in English; Arabic language skills are a plus.</p><p>&middot; Proficiency in Microsoft Office applications, particularly Excel.</p><p>&middot; Strong organizational and problem-solving abilities.</p><p>Job Types: Temporary, Contract</p>

Motor Claims Executive - Payments

Mercedes-Benz Group

<div><div><div><div><div><div><div><div>T&auml;tigkeitsbereich:Supply Chain Management</div></div><div><div>
Fachabteilung:Global Logistics, Customer Business, ICE EOP</div></div><div><div>
Gesellschaft:Mercedes-Benz Research and Development India Private Limited</div></div><div><div>
Standort:Mercedes-Benz Research and Development India Private Limited, Bangalore</div></div><div><div>
Startdatum:01.02.2026</div></div><div><div>
Ver&ouml;ffentlichungsdatum:06.12.2025</div></div><div><div>
Stellennummer:MER0003V5F</div></div><div><div>
Arbeitszeit:Vollzeit</div></div></div></div><div><div><div>
</div></div></div></div></div></div><div><div><div><div>Aufgaben<div><div><p>
About MBRDI</p><p>
Mercedes-Benz Research and Development India (MBRDI), headquartered in Bengaluru with a satellite office in Pune, is the largest R&amp;D center for Mercedes-Benz Group AG outside of Germany. Our mission is to drive innovation and excellence in automotive engineering, digitalization, and sustainable mobility solutions, shaping the future of mobility.</p>
Business Process Analyst &ndash; Claims &amp; ReturnsRole Overview<p>
The Business Process Analyst for Claims &amp; Returns ensures that the MS Dynamics 365&ndash;based SMS solution effectively supports all processes related to dealer claims, supplier returns, and credit note management within the automotive logistics domain. The role bridges business operations and IT, ensuring efficient, compliant, and high-quality handling of reverse logistics and claims processing.</p>
Key Responsibilities<ul><li>
Monitoring daily processes in the SMS solution and identifying opportunities for improvement.</li><li>
Providing first-line analysis of issues, coordinating resolution with IT and consultants.</li><li>
Gathering, documenting, and prioritizing enhancement requests from business stakeholders.</li><li>
Collaborating with Global Governance Owners to align solution changes with global process standards.</li><li>
Testing and validating changes (UAT, data checks) before release.</li><li>
Creating and maintaining process documentation, test cases, and training materials.</li><li>
Supporting training, onboarding, and adoption of the SMS solution by end users.</li><li>
Contributing business input to continuous improvement and roadmap discussions.</li></ul>
 Must Have Skills<p>
Minimum 5+ years&rsquo; experience in ERP-driven automotive logistics processes, with hands-on expertise in MS Dynamics 365.</p></div></div></div></div></div><div><div><div>
Qualifikationen<div><div><p>
Why Join Us?</p><ul><li>Be part of a purpose-driven organization that is shaping the future of mobility</li><li>Work on cutting-edge technologies and global projects</li><li>Thrive in a collaborative, diverse, and inclusive environment</li><li>Access world-class infrastructure and continuous learning opportunities</li></ul><p>
Equal Opportunity Statement</p><p>
At MBRDI, we are committed to diversity and inclusion. We welcome applications from all qualified individuals, regardless of gender, background, or ability.</p></div></div></div></div></div></div><div><div><div>
Benefits</div><div></div><div><div><div>
Mitarbeiterrabatte m&ouml;glich</div><div></div><div>
Gesundheitsma&szlig;nahmen</div><div></div><div>
Mitarbeiterhandy m&ouml;glich</div><div></div><div>
Essenszulagen</div><div></div><div>
Betriebliche Altersversorgung</div><div></div><div>
Hybrides Arbeiten m&ouml;glich</div><div></div><div>
Mobilit&auml;tsangebote</div><div></div><div>
Mitarbeiter Events</div><div></div><div>
Coaching</div><div></div><div>
Flexible Arbeitszeit m&ouml;glich</div><div></div><div>
Kinderbetreuung</div><div></div><div>
Parkplatz</div><div></div><div>
Kantine, Caf&eacute;</div><div></div><div>
Gute Anbindung</div><div></div><div>
Barrierefreiheit</div><div></div><div>
Betriebsarzt</div></div></div></div></div><div></div><div><div><div>
KontaktMercedes-Benz Research and Development India Private Limited<div><div>
Plot No. 5-P, EPIP 1st Phase560066 BangaloreDetails zum Standort</div><div>
MBRDI Recruitment E-Mail: mbrdi_recruitment@mercedes-benz.com</div></div></div></div></div></div><div></div>

Business Process Analyst - Claims & Returns

Livingston HealthCare

<div><p><b><i>JOB SUMMARY:</i></b><b>
</b></p><p>Responsible for the timely and accurate submission of Insurance claims. Coordinate billing procedures and working payer edits in conjunction with updated Payer requirements and guidelines.
</p><p><b>Schedule:</b></p>
<ul><li><b>1.0FTE (40 hours)</b></li>
<li><b>Mon-Fri</b></li>
<li><b>8:00am-4:30pm</b></li>
</ul>
<p><b>Compensation:</b></p>
<ul><li><b>$21.20/hr +DOE</b></li>
<li><b>Robust Benefits Package</b></li>
</ul>
<p><b><i>ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
</i></b></p><div><ul><li>Review and check final bills for accuracy according to specific Payer billing requirements.</li></ul>
<ul><li>Understand payer edits and update claims appropriately.</li></ul>
<ul><li>Understand UB and 1500 billing to apply condition codes, value codes, occurrence codes and patient status codes as required to assure compliant billing to payers.</li></ul>
<ul><li>Receive, communicate and assist Supervisor with the implementation of system updates as directed by Payer bulletins and notifications.</li></ul>
<ul><li>Process claims daily in the system work queues and Payer clearinghouse for electronic claims processing.</li></ul>
<ul><li>Research, prepares, and provides all required reports.</li></ul>
<ul><li>Prepares and submits timely adjustments for Managers approval.</li></ul>
<ul><li>Prepares timely refunds for Managers approval</li></ul>
<ul><li>Knowledge of the medical coding processes including CPT, ICD10 and revenue codes are helpful.</li></ul>
<ul><li>Responsible for entering in operating system ,detailed notes indicating the current claim status and documentation of all transactions on assigned accounts.</li></ul>
<ul><li>Responsible for being courteous and polite to patients, their agents, coworkers, and other hospital staff at all times, whether on the telephone or in person.</li></ul>
<ul><li>Provide quality customer service, both internally and externally.</li></ul>
<ul><li>To be cross trained in other areas of the hospital as necessary.</li></ul>
<ul><li>Perform other duties as assigned by Manager.</li></ul>
</div>
<p><b><i>QUALIFICATIONS (Required):
</i></b></p><div><ul><li>To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
</li></ul><ul><li>High School Diploma or GED
</li></ul><ul><li>Preferred, a minimum of two years&rsquo; medical billing experience.</li></ul>
<ul><li>Minimum of two years&rsquo; computer experience which includes Microsoft Word, Excel.</li></ul>
<ul><li>Demonstrated ability to be accurate and attentive to detail</li></ul>
<ul><li>Analytical and problem-solving skills
</li></ul><ul><li>Excellent communication skills, both written and verbal
</li></ul></div><p><b><i>ADDITIONAL DESIRABLE QUALIFICATIONS:
</i></b></p><div><ul><li>Mature personality, sense of responsibility, and integrity.</li></ul>
<ul><li>Excellent organizational skills and time management skills.</li></ul>
<ul><li>Analytical and decision-making skills.</li></ul>
<ul><li>Ability to multitask and maintain a flexible daily work schedule.</li></ul>
<ul><li>Seek opportunities to provide quality customer service.</li></ul></div></div>

Patient Account Analyst/Insurance Billing

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