Talent.com
This job offer is not available in your country.
Claims Process Executive

Claims Process Executive

thinkbridgeerode, tamil nadu, in
3 days ago
Job description

About think bridge

We are a global digital product development firm that helps growth-stage companies gain the technology sophistication and maturity of leading modern digital businesses. We differentiate ourselves by delivering exceptional quality at scale and speed with our think stack accelerators. We started with the vision of being able to build amazing software fast. A new way to build software without any of the compromises that currently plague software development. A new way to focus on the outcomes instead of the tech, tools, methodologies, processes and vanity artifacts.

Why is think bridge a great place to work?

At think bridge, we are not just paving the way for exceptional digital experiences; we're also redefining the future of work. Our "Remote First" philosophy allows you to take a dive into a world where work doesn’t tie you down. We’re pioneering a Remote First approach, ensuring you’re connected, no matter where you are. We foster and encourage a diverse and inclusive work culture where employees feel valued, respected, are encouraged to voice their ideas, have equal opportunities and are treated fairly. We encourage and provide for our employees health and well-being initiating wellness programs, provide mental health resources, and ergonomically designed workspaces to support employees’ physical and mental health. We understand the value of work-life balance, hence we follow Flexible Work Hours, to ensure they can rejuvenate besides managing their personal commitments without much hassle. At think bridge, it's more than just a job. It's a journey of innovation, growth, and balance. Join us in shaping the future!

think bridge is a place where you can :

  • Think bigger – because you have the time, opportunity, and support it takes to dig deeper and tackle larger issues.
  • Move faster – because you’ll be working with experienced, helpful teams who can guide you through challenges, quickly resolve issues, and show you new ways to get things done.
  • Go further – because you have the opportunity to grow professionally, add new skills, and take on new responsibilities in an organization that takes a long-term view of every relationship.

think bridge..there’s a new way there. ™

We live by five core values : Outcomes, Quality, Ownership, Accountability, and Communication . This role embodies all five - you'll own outcomes, maintain high technical standards, and communicate effectively across all levels.

Experience Level : We’re looking for an Associate-level Claims Executive with 1–3 years of experience in the health insurance domain. The ideal candidate should be a strong communicator and comfortable handling claim-related processes with accuracy.

Role Overview :

For Contact Duration of 6 Months

We are seeking a detail-oriented and analytical Claims / Denials Executive with 1-3 years of experience to join our team. In this role, you will be responsible for reviewing and processing claims for medical services rendered, ensuring accuracy and compliance with regulations. Your primary goal will be to minimise claim denials through a thorough review and timely resolution.

What You'll Do

As part of the job, you will be required to

Claim Processing :

  • Review and analyze incoming claims for accuracy, completeness, and adherence to insurance guidelines.
  • Verify patient information, procedures performed, and provider details against documentation.
  • Ensure all necessary documentation is included with each claim to facilitate timely processing.
  • Enter claim information into the system accurately and efficiently.
  • Denials Management :

  • Investigate and resolve claim denials by reviewing claim details, policy terms, and medical necessity requirements.
  • Identify trends in claim denials and work with relevant stakeholders to address root causes.
  • Appeal denied claims when appropriate, ensuring all necessary documentation and information is provided.
  • Develop strategies to reduce the frequency of claim denials through process improvement and education.
  • Communication :

  • Communicate effectively with insurance companies, healthcare providers, and patients regarding claim status and resolution.
  • Collaborate with internal teams, including billing specialists and healthcare professionals, to gather information and resolve issues.
  • Provide excellent customer service by addressing inquiries and concerns related to claims processing promptly and professionally.
  • Compliance and Reporting :

  • Ensure compliance with regulatory requirements and company policies throughout the claims processing and denial management processes.
  • Maintain accurate records of claims processed, denials resolved and appeals filed.
  • Generate reports on claim status, denial rates, and resolution of outcomes for management review.
  • What We're Looking For

    Must have technical skills

  • Knowledge of medical billing codes (ICD-10, CPT) and insurance claim submission processes.
  • Proven experience in medical claims processing, denial management, or related fields.
  • Failiarity with healthcare regulations and compliance standards (HIPAA, CMS guidelines).
  • Strong analytical skills with attention to detail and accuracy.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and collaboratively in a team environment.
  • Proficiency in using computer systems and software applications for claims processing.
  • Good to have skills

  • Experience with electronic health records (EHR) systems.
  • Knowledge of healthcare reimbursement
  • Work Environment

  • Remote-First Culture : At think bridge, we all work from wherever we choose but come together during set hours to collaborate. Using simple online tools, we stay connected and get great work done.
  • Work-From-Workweek (WWW) : Twice or thrice a year, we come together for One-week sprints to collaborate in person, foster stronger team bonds, and align on goals. All travel expenses are covered in the form of allowance which is called as work week allowance.
  • We organize city-wise, company-sponsored local meetups—fun-filled day outings with your colleagues!
  • At think bridge, you get reimbursed for approved certifications and short courses that support your role.
  • We embrace diversity and ensure equal opportunity for everyone, fostering an inclusive workplace where all voices are valued.
  • Join think bridge to be part of a purpose-driven, innovation-led organization that invests in your growth and empowers you to build a brighter future.

    Create a job alert for this search

    Executive • erode, tamil nadu, in

    Related jobs
    • Promoted
    Transaction Risk Executive – E-commerce(L1) (2 to 5 Years)

    Transaction Risk Executive – E-commerce(L1) (2 to 5 Years)

    AIMLEAPSalem,Tamil Nadu, IN
    Transaction Risk Executive – E-commerce (L1) (2 to 5 Years).Commerce fraud or risk operations.Review transactions flagged as potentially high-risk using. IP, geo, velocity, and account behavior).ATO...Show moreLast updated: 2 days ago
    • Promoted
    Product Executive – DMC

    Product Executive – DMC

    Anyfly Dmctiruppur, tamil nadu, in
    We specialize in destinations such as.This role requires a deep understanding of destination knowledge, cost management, and itinerary planning. Handle all B2B queries and provide accurate quotation...Show moreLast updated: 4 days ago
    • Promoted
    Customer Success Executive

    Customer Success Executive

    StarApps Studiosalem, tamil nadu, in
    Night (7 PM – 4 AM) / Early Morning (4 AM – 1 PM).StarApps Studio is a fast-growing, bootstrapped, and profitable B2B SaaS company empowering 25,000+ Shopify merchants, including 1,000+ Shopify Plu...Show moreLast updated: 19 days ago
    • Promoted
    Telesales Executive

    Telesales Executive

    PixsofficeSalem, Tamil Nadu, India
    Required Sales Executive-SAAS Application We are seeking a dynamic and results-driven Sales Executive to join our team.The ideal candidate will be responsible for initiating contact with potential...Show moreLast updated: 4 days ago
    • Promoted
    Telesales Executive

    Telesales Executive

    TechDoQuesterode, tamil nadu, in
    Respond to customer inquiries via phone, email, chat or other channels in a professional, empathetic, and timely manner.Provide accurate information about ICICI Lombard’s insurance products (motor,...Show moreLast updated: 4 days ago
    • Promoted
    Audit Executive - IC&Q

    Audit Executive - IC&Q

    ConfidentialTiruchengode
    Conduct Schedule and Surprise Visits for.Gather market intelligence on MFI business in the area.Maintain a record of Collection quality in the catchment and advice branches of caution areas.Support...Show moreLast updated: 30+ days ago
    • Promoted
    Investor (Non-Equity, Revenue Sharing)

    Investor (Non-Equity, Revenue Sharing)

    KavodnikErode, Tamil Nadu, India
    Investor / Growth Partner (Non-Equity, Revenue Sharing) – Build the Future With Us Location : India (Remote ) Position Type : Growth Partner / Revenue-Sharing Investor (Non-Equity Model) Looking f...Show moreLast updated: 30+ days ago
    • Promoted
    Duck Creek Claims Developer (V10 or V11)

    Duck Creek Claims Developer (V10 or V11)

    Next VenturesSalem,Tamil Nadu, IN
    Next Ventures are looking for a Duck Creek Claims Developer to join a Fully remote, 4-year implementation program which is due to start in 2 weeks. You'll need experience of both configuration and i...Show moreLast updated: 14 days ago
    • Promoted
    Telesales Executive

    Telesales Executive

    ClearroSalem,Tamil Nadu, IN
    Multiple Openings (Sales | Customer Support | Backend Operations).Join our fast-growing team and be part of a company that values innovation, quality, and customer satisfaction.Enthusiastic and ded...Show moreLast updated: 14 days ago
    • Promoted
    Enterprise Account Executive

    Enterprise Account Executive

    Aviatetiruppur, tamil nadu, in
    At Humantic AI, our mission is to humanize the internet.Our product is at the cutting-edge of AI, Psychology and large-scale data. We believe that we have an opportunity (and even a responsibility) ...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Executive - AR

    Senior Executive - AR

    ConfidentialTiruchengode
    The User is accountable to manage day to day activities of Denials Processing / Claims follow-up / Customer Service.Should handle US Healthcare providers / Physicians / Hospital's Accounts Receivable.T...Show moreLast updated: 30+ days ago
    • Promoted
    Quality Assurance Executive - noon Minutes

    Quality Assurance Executive - noon Minutes

    noonErode, IN
    On December 12th, 2017, noon launched its consumer platform in Saudi Arabia and the UAE, expanding to Egypt in February 2019. The noon ecosystem of services now includes marketplaces for food delive...Show moreLast updated: 4 days ago
    • Promoted
    Customer Sales Executive - Business Loans

    Customer Sales Executive - Business Loans

    ConfidentialErode
    Perform the following under the guidance / direction of Supervisor / Manager.With help of Supervisor / Manager, Identify the customers for protentional Business. Collect the documents from Customers and ...Show moreLast updated: 30+ days ago
    • Promoted
    Client Acquisition Executive / Manager / Leader (Business Development)

    Client Acquisition Executive / Manager / Leader (Business Development)

    Best Infosystems Ltd.Erode, IN
    Hiring | Client Acquisition Executive / Manager (WFH) – IT / Non-IT / Healthcare.We are expanding our Business Development team and looking for dynamic professionals to drive client acquisition across IT...Show moreLast updated: 30+ days ago
    • Promoted
    Telecalling Executive

    Telecalling Executive

    BIONICS ENVIRO TECHSalem,Tamil Nadu, IN
    Telecalling Executive – Sales (Wastewater Treatment Solutions).The candidate should be persuasive, confident, and capable of handling client queries professionally. Make outbound calls to potential ...Show moreLast updated: 14 days ago
    • Promoted
    Business Development Executive

    Business Development Executive

    Aerosapien Technologieserode, tamil nadu, in
    Aerosapien Technologies India Pvt Ltd,.Engineering Services Automotive domain.Aerosapien Technologies is immediately hiring for Business Development Manager. Drive new client sales in the Energy, In...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Process Associate

    Process Associate

    CanadianSME Small Business Magazinetiruppur, tamil nadu, in
    Intermediate qualification with 0 to 3 years of experience t.MS Word with a good understanding of the.We are looking for a self-starter, not a follower. A candidate who is willing to learn fast and ...Show moreLast updated: 9 hours ago
    • Promoted
    Claims Clerk

    Claims Clerk

    Scry AIsalem, tamil nadu, in
    Claims Clerk – Subject Matter Expert (SME).TPA claims operations with SME-level proficiency.Scry AI is a research-led enterprise AI company that builds intelligent platforms to drive efficiency, in...Show moreLast updated: 4 days ago
    • Promoted
    Sales Sucess Executive

    Sales Sucess Executive

    Zanopy AIsalem, tamil nadu, in
    Zanopy AI is an All-in-One AI-Driven Digital Marketing & Sales Enhancement Tool that empowers businesses, startups, and agencies to research, create, and execute high-converting marketing strategie...Show moreLast updated: 4 days ago
    • Promoted
    US Tax Calling Executive

    US Tax Calling Executive

    Veylora Techserve Private LimitedTiruppur, Tamil Nadu, India
    Veylora Techserve Pvt Ltd is a leading Business Process Management (BPM) and Outsourcing partner dedicated to helping businesses streamline operations with efficiency, compliance, and reliability.S...Show moreLast updated: 12 days ago