Talent.com
No longer accepting applications
Claims Process Executive

Claims Process Executive

thinkbridgeBangalore, IN
12 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 • Bangalore, IN

    Related jobs
    • Promoted
    Process Analyst (O2C, Claims) - Insurance

    Process Analyst (O2C, Claims) - Insurance

    Galleon ConsultantsBengaluru, IN
    Founded in 2016, Galleon Consultants is a global management consulting firm providing services to large and multinational corporations across Australia, USA, Canada, Philippines, UK, and India.Our ...Show moreLast updated: 1 day ago
    • Promoted
    Senior Claims Manager - Medical Claim Audit

    Senior Claims Manager - Medical Claim Audit

    NaviBengaluru, Karnataka, India
    The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions.As the quality audit function, the team conducts regular audits of agent communicati...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Support Executive (Cashless)

    Claims Support Executive (Cashless)

    ConfidentialBengaluru / Bangalore
    You will answer customer queries and complaints in a positive and effective manner, both via email and over the phone.The role requires you to identify and assess customer needs to ensure their sat...Show moreLast updated: 30+ days ago
    • Promoted
    Process Improvement Executive

    Process Improvement Executive

    ConfidentialBengaluru / Bangalore
    Life Insurance experience mandatory.Group and Retail life operations portfolio monitoring and steering.Regularly review the portfolio and provide inputs to improve the processes.Drive initiatives t...Show moreLast updated: 27 days ago
    • Promoted
    Claims Clerk

    Claims Clerk

    Scry AIBengaluru, Karnataka, India
    Position : Claims Clerk – Subject Matter Expert (SME) Location : India (Remote) Employment Type : Full-Time Schedule : Monday to Friday, Day Shift Experience : 2+ years in insurance / TPA claims oper...Show moreLast updated: 12 days ago
    • Promoted
    Claims Specialist

    Claims Specialist

    Classic Search Private LimitedBengaluru, Karnataka, India
    Role - Research Sensory & Claims Substantiation.Personal Care / Consumer Care / Household Products / Personal Hygiene / Cosmetics and Beauty. Experience – 4-5yrs in core domain.The position will be re...Show moreLast updated: 9 days ago
    • Promoted
    Vice President - Claims Subject Mater Expert – P&C Insurance Industry

    Vice President - Claims Subject Mater Expert – P&C Insurance Industry

    GenpactBengaluru, India
    Inviting applications for the role of Vice President - Claims Subject Mater Expert – P&C Insurance Industry.In this role, you are required to have strong expertise in the P&C claims domain to devel...Show moreLast updated: 12 days ago
    • Promoted
    • New!
    ▷ (Apply in 3 Minutes) Claims Manager - Medical Claim Audit

    ▷ (Apply in 3 Minutes) Claims Manager - Medical Claim Audit

    NaviBengaluru, Karnataka, India
    About the Team The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions. As the quality audit function, the team conducts regular audits of a...Show moreLast updated: 5 hours ago
    • Promoted
    Purchasing Executive

    Purchasing Executive

    Chemplast Sanmar LimitedHosur, Tamil Nadu, India
    Purchase Executive capable to handle Chemical purchase related activities in site.Handling Purchase of Raw Material / Packing material / Misc Items. Handling Import / general purchase.Sourcing for chemica...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Executive

    Claims Executive

    ConfidentialBengaluru / Bangalore
    Claims Processing & Management : .Verify and process claims related to .Validate documentation for sales returns, promotional schemes, discounts, and incentive claims. Ensure claims are processed with...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Manager

    Claims Manager

    ConfidentialBengaluru / Bangalore
    Claims Processing and Resolution : .Oversee end-to-end claims validation, approval, and settlement processes.Ensure claims related to stock returns, pricing errors, incentives, and disputes are.Imple...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Billing Executive-Account Management

    Medical Billing Executive-Account Management

    ConfidentialBengaluru / Bangalore
    Receive and check claim documents for completeness and advice employees regarding pending documents, if any.Track and control documents to ensure TAT of claims / cards as per SLA.Feedback from Insure...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Process Executive - AML and KYC

    Senior Process Executive - AML and KYC

    ConfidentialBengaluru / Bangalore
    The role involves executing and enhancing Anti-Money Laundering (AML) and Know Your Customer (KYC) processes for financial institutions. The candidate will be responsible for transaction monitoring,...Show moreLast updated: 30+ days ago
    • Promoted
    Purchasing Executive (Dine in)

    Purchasing Executive (Dine in)

    CurefoodsBengaluru, Karnataka, India
    Curefoods is a Bangalore-based house of F&B brands, founded in 2020.The company operates 500+ locations across 50 cities in India, offering a diverse range of cuisines. Curefoods brings together bra...Show moreLast updated: 1 day ago
    • Promoted
    Fluence - Manager - Contracts & Claims

    Fluence - Manager - Contracts & Claims

    FLUENCE BESS INDIA PRIVATE LIMITED (FLUENCE BESS INDIA PRIVATE LIMITED)(23432)Bangalore, India
    Skills Required : Contracts and Claims Manager APAC for upstream and downstream.Bachelor's degree in engineering (preferably Electrical) / Contracts Management from a well-recognized university....Show moreLast updated: 21 days ago
    • Promoted
    • New!
    ▷ Apply in 3 Minutes : Purchasing Executive (Dine in)

    ▷ Apply in 3 Minutes : Purchasing Executive (Dine in)

    CurefoodsBengaluru, Karnataka, India
    About Curefoods Curefoods is a Bangalore-based house of F&B brands, founded in 2020.The company operates 500+ locations across 50 cities in India, offering a diverse range of cuisines.Curefoods br...Show moreLast updated: 5 hours ago
    • Promoted
    Executive 2 - Health Insurance Claims

    Executive 2 - Health Insurance Claims

    NaviBangalore Urban, Karnataka, India
    The Claims team at Navi is responsible for delivering a fast, transparent, and.From initial intimation to final settlement—whether. The team works closely with the Hospital.Partnerships team to stre...Show moreLast updated: 13 days ago
    • Promoted
    AML and KYC - Senior Process Executive

    AML and KYC - Senior Process Executive

    ConfidentialBengaluru / Bangalore
    Preference given to candidates with hands-on.We are looking for a detail-oriented Senior Process Executive with strong experience in AML Transaction Monitoring, KYC Due Diligence, and Compliance pr...Show moreLast updated: 30+ days ago
    • Promoted
    Process Associate

    Process Associate

    ConfidentialBengaluru / Bangalore
    Excellent communication skills.Years of relevant experience in any International Insurance will be preferred.Candidates having experience in Life & Annuity will be an added advantage.Minimum 15 yea...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Manager - Medical Claim Audit

    Claims Manager - Medical Claim Audit

    NaviBengaluru, Karnataka, India
    The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions.As the quality audit function, the team conducts regular audits of agent communicati...Show moreLast updated: 30+ days ago