Claims

In the construction industry, claims and counter claims refer to disputes that arise between parties involved in a construction project. Claims can be made by either the owner or the contractor, and they often involve issues such as delays, cost overruns, or defective work. Counter claims are made in response to a claim and are used to defend against or challenge the original claim. A construction claim is a request for additional compensation or other relief due to unexpected events or changes that occur during a construction project. Claims can be made for a variety of reasons, such as delays caused by changes in the design or scope of the project, unforeseen site conditions, or other issues that affect the cost or schedule of the project. A counter claim is a response to a claim made by the other party in a construction dispute. It can be used to challenge the validity of the original claim or to present evidence that the claim is not justified. Counter claims can be made by either the owner or the contractor and are usually based on the terms of the contract or other agreements between the parties. It is important for both parties in a construction project to understand the difference between claims and counter claims and to be familiar with the process for resolving disputes. This may involve negotiating a settlement, using alternative dispute resolution methods such as mediation or arbitration, or going to court. http://www.theseacity.com/blog/construction-claim/construction-claims-and-counter-claims/

1)Automation: Improve Productivity through Automation of Claims Handling with AI-powered Workers Comp Claims Management Software: KlearClaims 2)Artificial Intelligence: Leverage cutting edge AI to know claims which require urgent attention and Enable the system to recommend claims administration 3)Collaboration: Extend the claims handling program by seamlessly integrating multiple teams into the workflow 4)Performance Management: ​Objectively quantify the accuracy of examiners, the contribution of auditors, and the ROI of the claims handling program to your organization.

Excellent Communication Skill (UK) Able to Understand UK accent and Professional in deliverable Shift Timings: UK [EMEA] Job Responsibility Providing support to the wider insurance team. Ensuring individual and team targets are met. Processing payments, fees and new claims Knowledge of Computer packages e.g. Microsoft word & Excel Adhering to claims philosophies. Handling claims within client authority levels ensuring any referral requirements are adhered to. Adhere to Insurance Services policies and procedures. In particular to ensure operational controls are carried out in accordance with laid down procedures, to ensure the ongoing mitigation of business risk. (In this regard regular training should be agreed with the Team manager / Service Delivery Director). Undertake reasonable ad hoc tasks/projects as requested by Line Management. Job Related Experience: 0.5 - 3 years Qualifications and Skills: Graduate Freshers with Computer Knowledge Essential Investigation, evaluation and decision making skills A commitment to and evidence of first class customer service skills The ability to adapt to and implement change Initiative to identify and act upon process and service improvements Strong team-working skills A positive 'can do' attitude The drive to consistently meet challenging deadlines and achieve quality service standards Preferable Background knowledge of insurance preferably in a claims environment desirable but not essential

Job Description: We are currently looking for dedicated professionals to fulfill the following job responsibilities: - Responsible for the accurate processing and completion of medical claims. - Process claims that route out of automatic adjudication, within current turnaround standards. - Proficiency in product lines applicable to processing unit. - Ability to understand and apply plan concepts to include: Deductible, Coinsurance, Co-pay, Out-of-pocket, State variations. Desired Candidate Profile: - Should be comfortable with Night Shifts (5:45 PM to 3:15 AM & 8:45 PM to 6:15 AM). - Should be a Graduate. - We are hiring for Chennai location. - BE/ B.tech/ BCA/ MCA are not eligible for claims hiring Contact: Akila HR Number: 9884844385

If your practice gets bogged down with medical billing and coding issues, you must consider outsourcing the work to MGSI and our medical practice consultants especially on Medical Claims Processing. Our medical billing experts will solve your problem with medical claims processing. For more information visit our website. https://www.mgsionline.com/medical-claims-billing.html

Immediate Openings Walk- Ins For Claims Associatefrom - June 989I322266 Any Graduate Can Apply!!Exp Yr To Years In Any Technical Support!!Starting Salary L+Benefits+Cab!!Well Known It Giant In India Is Hiring For Technical Support!!Rotational... 9891322266

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We will support to claim your PF amount from your previous company. If, any issue to get signature from your previous company employer. No issue, we will organize. First preference AIRTEL, ADECCO, TNL and TEAMLEASE.

Outsource your medical billing services to e-care, a HIPAA compliant medical billing company in India, offers end-to-end medical billing outsourcing services to improve your collection in a comprehensive price. Click on the link to Learn the benefits of outsourcing your medical billing Services and know-how e-care solutions help improve your cash flow and collections and reduce risk and errors. https://www.mgsionline.com/medical-claims-billing.html

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We have Tie-ups with all major insurance companies & Save up to 100% on windshield replacement with a one-year warranty. Best part - We do the quick & Digital paper work. For More Information Call Us: + 91 show contact info Visit at: www.windshieldworld.in

Excellent verbal and written communication skills. Exceptional reading and listening comprehension abilities. Outstanding typing skills. Strong organization and time-management skills. Detail-oriented. Proficient in MS Office. High school diploma or equivalent.

Openninga for fresher in BPO and NON VOICE job in fresher Performing actions based on the EOB, Insurance website to collect outstanding Accounts Receivables. Identify the outstanding claims with payers through the reports from clients and check website and imaging application with regard to outstanding claims and document the details in the client software for claims resolution. Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Ensuring accurate and timely completion of transactions to meet or exceed client SLA Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Identify the outstanding claims with payers through the reports from clients Check EOB and Insurance websites with regard to outstanding claims Salary: 12 k to 15 k Location: chennai Regards: HR. DEVI PH. 9176074708

We are urgently recruiting a Senior AR Caller for our client company in Cochin!! Project: Healthcare Position: Senior AR caller Responsibilities: • Initiate telephone calls to insurance companies requesting status of claims in queue. • Contact insurance companies for further explanation of denials and underpayments • Take appropriate action on claims to guarantee resolution. • Ensure accurate and timely follow-up where required. • Review denials with Billing Account Liaison to determine necessary steps for claim review. • Document actions taken in claims billing summary notes Skills Required: • Good voice and demonstrate professional demeanor via phone. • Must have 4 + yrs. of experience in US Healthcare stream in AR • Good organizational skills demonstrating the ability to execute timely follow-up. • Ability to multitask. • Excellent analytical skills with unde rstanding of health care claims processing. • Willingness to be a team player and show initiative where needed Location: Kochi Office Timings: Should be ready to work in US shifts Interested candidates can apply soon.

*Accounting of claims, related cost. *Monthly closure of books, *Claims disbursement as per TAT, *Monthly MIS and dashboard relating to claims accounting, Accounting of reinsurance recoveries *Preparation of claims trend, Process automation, Preparation and review of SOPs, Coordination and submission of details for statutory and internal audit. *Submission of compliance reports

Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. Good understanding of Accounts Receivable. Calling Insurance Companies to follow up on Claims filed, to expedite payment. Should possess knowledge in AR analysis, AR calling and denial management. Undertakes denial follow-up and appeals work wherever required. Reviewing, appealing and rejecting unpaid and denied claims. Documents and takes appropriate action of all claims which has been analyzed and followed-up in the clients software. Verifying patients insurance coverage Answering patient billing questions. Should possess knowledge in eligibility and verification calls (EV calls). Experience indirectly working with insurance companies. Analyses outstanding claims and initiates collection efforts as per the aging report.

Medsave health insurance TPA is one of the best TPA of India. We are providing best TPA services in the health insurance sector because Medsave has a large network of hospitals, cashless claims facility, a fast claim settlement process, and manage everything digitally. We process of accepting intimations, approving cashless claims and settlement and disbursement of claims to TPAs, which issue identity cards to policyholders that are used at the time of hospitalization and filing of claims. To know more Details you can visit us at www.medsave.in

Dear Candidate, Greetings from We are hiring for Payment Posting for the US Health Care Process. Job description: Processes billing to patients and third party reimbursement claims,maintains supporting documentation files and current patient addresses Responsible for filing the processed documents in a neat and orderly manner Responsible to keep track of all unprocessed items and persistently follows all unprocessed items until subsequent processing Processes patient statements, keys data, post transactions, and verifies accuracy of input to reports generated Responsible for getting the claims processed in compliance to the billing rules mentioned and should be accountable for any denied claims due to the entry error. Job specifications: Knowledge of medical insurance claims procedures and documentation Strong knowledge into Demo,Charge and payments Knowledge of medical billing procedures. Basic data entry and / or word processing... Salary upto 15k fotr freshers Regards nithiya hr 91502 and 61060

Hiring for Medical Billing for Fresher in 2021 batch Job Skills: Perform posting charges and completion of claims to payers in a timely fashion Convert dosages to billable units Submit billing data to insurance providers Work claims and claim denials to ensure maximum reimbursement for services provided Perform Medicare/Medi-Cal reviews and audits Implement, maintain and report on programs initiated by the practice salary: 12k to 15 k Location: Chennai Qualification: any degree Regards: Hiring for Medical Billing for Fresher in 2021 batch Job Skills: Perform posting charges and completion of claims to payers in a timely fashion Convert dosages to billable units Submit billing data to insurance providers Work claims and claim denials to ensure maximum reimbursement for services provided Perform Medicare/Medi-Cal reviews and audits Implement, maintain and report on programs initiated by the practice salary: 12k to 15 k Location: Chennai Qualification: any degree Regards: HR.DEVI PH.91760 - 74708

Dear job seekers, We have openings for, POSITION: AR TRAINEE: Job Description: Initiate telephone calls to insurance companies requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes. POSITION: MEDICAL CODING Job Description: Coders will be involved in Coding charts of different specialties using ICD9, CPT, HCPCS, NDCs and modifiers Work towards Service Levels and meet the productivity and quality requirements Strive to keep updated regularly on latest developments Skills Required: Graduates/Postgraduates in B.Sc with specialization in Zoology, Biology, Botany, Bsc-Nursing, Biotechnology (Bsc,Msc,BTech / MTech), Micro-Biology, B-Pharm and M-Pharm Ability to multi-task Willingness to be a team player and show initiative where needed. Note- Registration Fee is 200 Venue: Dxt Techniologies 50,Hari Sree Center, 1st Floor Ramnagar Behind (Hotel Velan) Sarojini st Gandhipuram. Contact-

Dear job seekers, Openings for Medical Transcriptionist. AR TRAINEE: Job Description: Initiate telephone calls to insurance companies requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes. MEDICAL CODING: Job Description: Coders will be involved in Coding charts of different specialties using ICD9, CPT, HCPCS, NDCs and modifiers Work towards Service Levels and meet the productivity and quality requirements Strive to keep updated regularly on latest developments Skills Required: Graduates/Postgraduates in B.Sc with specialization in Zoology, Biology, Botany, Bsc-Nursing, Biotechnology (Bsc,Msc,BTech / MTech), Micro-Biology, B-Pharm and M-Pharm Ability to multi-task Willingness to be a team player and show initiative where needed Venue: Dxt Techniologies 50,Hari Sree Center, 1st Floor Ramnagar Behind (Hotel Velan) Sarojini st Gandhipuram. Contact-

AR TRAINEE: Job Description: Initiate telephone calls to insurance companies requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes. MEDICAL CODING: Job Description: Coders will be involved in Coding charts of different specialties using ICD9, CPT, HCPCS, NDCs and modifiers Work towards Service Levels and meet the productivity and quality requirements Strive to keep updated regularly on latest developments Skills Required: Graduates/Postgraduates in B.Sc with specialization in Zoology, Biology, Botany, Bsc-Nursing, Biotechnology (Bsc,Msc,BTech / MTech), Micro-Biology, B-Pharm and M-Pharm Ability to multi-task Willingness to be a team player and show initiative where needed Note- Registration Fee is 200 Venue: Dxt Techniologies 50,Hari Sree Center, 1st Floor Ramnagar Behind (Hotel Velan) Sarojini st Gandhipuram. Contact-

Dear job seekers, Hiring Graduates for Medical Coding/Transcriptionist. AR TRAINEE: Job Description: Initiate telephone calls to insurance companies requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes. MEDICAL CODING: Job Description: Coders will be involved in Coding charts of different specialties using ICD9, CPT, HCPCS, NDCs and modifiers Work towards Service Levels and meet the productivity and quality requirements Strive to keep updated regularly on latest developments Skills Required: Graduates/Postgraduates in B.Sc with specialization in Zoology, Biology, Botany, Bsc-Nursing, Biotechnology (Bsc,Msc,BTech / MTech), Micro-Biology, B-Pharm and M-Pharm Ability to multi-task Willingness to be a team player and show initiative where needed. Note- Registration Fee is 200 Venue: Dxt Techniologies 50,Hari Sree Center, 1st Floor Ramnagar Behind (Hotel Velan) Sarojini st Gandhipuram. Contact-

Dear All. Greeting form ASPEN(Health Quist) ASPEN(HealthQuist) is a revenue cycle management company focused on providing customized full-service medical billing to its healthcare clients We have a huge opening for AR Callers international process for experienced candidates in our leading US based HEALTH CARE BPO concern in Chennai. Designation: AR Caller Educational qualification: Education is not a constrain. Skills required: • Good communication skill • To call US Insurance companies to resolve Healthcare claims. • Follow up on the claims for collection of payments • Analyze medical claims and resolve issues. Experience: 0.6-2year Salary: Negotiable for experienced. Shift: US shift(Timings: 5.30pm-2.30am) Job Location: Chennai Added advantage: Dinner provided and Cab facility available for free of cost. Interested can walk-in to the address given below. Interview timings:3pm-8pm(Mon-Fri) Aspen Medical Services(Health Quist India Pvt Ltd) Plot No 20, North Phase Developed Plots. Guindy Industrial Estate Orbis India Building, Ekkaduthangal. Ch-32. Land mark: Next to kasi bridge,Oppo to jaya tv office, behind pudhiya thalaimurai. For more information and clarification contact us or send your updated CV to the mail id given below . Regards, Lalithamanivel (HR) 044-/

Who Can Take This Insurance? Any person between 60 and 75 years of age at the time of entry can take this insurance. The sum insured under this insurance is per individual member covered. Policy Benefits Hospitalisation Cover Protects the insured for in patient hospitalisation expenses for a minimum of 24 hrs.These expenses include room rent,nursing and boarding charges, Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees,Cost of Medicines and Drugs upto the limits specified. Ambulance charges for emergency transportation to hospital as per specified limits. Post-hospitalisation paid as lump-sum upto the limit specified. Specific day-care procedures covered. Sub-limits applicable for specified illness. Co-Payment: 30% for other than claims for Pre-Existing Diseases and 50% for Pre-Existing Diseases claims. Pre-Existing Diseases / Illness: Are covered after 12months of continuous Insurance with any Indian Insurance Company where the person has been availing treatment for the diseases. Pre- Acceptance medical screening: There is no pre-acceptance medical screening. How much to pay? Please click here Tax Benefits Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80D of the Income Tax Act. Free look period: A free look period of 15 days from the date of receipt of the policy is available for reviewing the policy terms and conditions. In case insured is not satisfied he can seek cancellation of the policy and in such event the Company will allow refund of premium after adjusting the cost of pre-acceptance of medical screening, stamp duty charges and proportionate risk premium for the period concerned provided no claim has been made until such cancellation.Free look cancellation is not applicable at the time of renewal. Top Star Advantages No Third Party Administrator - direct in - house claims settlement. Faster & hassle-free claim settlement. Cashless hospitalization. Network of more than hospitals across India. Free expert medical consultation over phone 24 x 7 Toll Free Helpline.

Who We Are HGS is a leader in optimizing the customer experience and helping our clients to become more competitive. HGS provides a full suite of business process management services from marketing and digital enablement services, consumer interaction services to platform enabling back office business services. By applying analytics and interaction transformation design to deliver innovation and thought leadership, HGS increases revenue, improves operating efficiency and helps to retain valuable customers INTERNATIONAL NON VOICE REQUIREMENT Process: The process involves verification and billing of medical claims from customers. Verification involves editing of duplicate/wrong claims and pay to the claims which are valid. REQUIREMENT: 50 No s Requirement: Graduation pass outs can apply. (Strictly non BE/B. Techs and No Post graduates) Candidate should possess good English Communication and Written skill, (Email Etiquettes) Candidate should be good at analytical ability (simple mathematic calculations) Candidate should be willing to work in rotational shifts Candidates should be willing to sign an agreement of two years on their day of joining. Candidates who have already applied for passport/possess a passport/ has passport ACK are only preferred. Salary: CTC-1.75 LPA Transport Facility Shall be provided both sides (within the city limits). VENUE: HGS Center Chamundi Tower 2 Garvebhavi Palya, Hosur road, Bangalore 68. Contact #- Contact Person-Divya LANDMARK: opposite to Saibaba Temple (GB Palya Signal) TIMINGS: AM TO 3:00 PM Thanks & Regards Divya Venkatesh | Executive Recruitment HGS Centre Tower II, #115, Garvebhavi Palya, 11th Mile, Hosur Road, Bangalore , India Cell: +91 / | Phone: +) | www.teamhgs.com CANADA | FRANCE | GERMANY | INDIA | ITALY | JAMAICA | MAURITIUS | NETHERLANDS | PHILIPPINES | UK | USA

JOB PROFILE, Keywords / Skills: Claims Adjudication, Healthcare, US Healthcare, Non voice. RESPONSIBILITIES: 1. Medical Claims Adjudication, involving interpreting claim comments, checking benefits and applying business rules to process claims. 2. Reading Client Correspondence, interpret reason for correspondence, and take suitable actions according to business rules. 3. Good in English Written Comprehension Skills. 4.Ability to read and interpret correspondences / claim forms Knowledge of medical terminologies is an added advantage. 5. Good Typing and MS Office Skills. Experience: 0 to 2 years. Educational Qualification: Any Graduate Diploma - 12 + 3 years will be eligible. Candidate with arrears also can attend. Contact: AKILA-HR(9884844385) Refer your friends also

Investigate and process insurance claims filed by policyholders. Interview claimant and witnesses to gather pertinent information. Handle and process variety of claims, including automobile, life, and home insurance claims.

Initiate telephone calls to in requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes.