2 insurance appraiser jobs found in tamil nadu.

Job Description: Process Executive (PE) - Claims Adjudication: Job Summary: We are seeking a detail-oriented and motivated Process Executive (PE) to join our growing US Healthcare Operations team. As a fresher, you will undergo comprehensive training to evaluate, validate, and adjudicate medical claims submitted by healthcare providers. Your core objective will be to ensure that every claim is processed accurately, efficiently, and in strict compliance

Job Description:Verify medical codes, diagnosis and procedure to ensure compliance with industry standards (e.g. ICD 9, ICD 10, CPT)Review Clinical & Day Case claims and approve/reject basis the SOP.Review Hospital Inpatient & Outpatient Claims, analyze the vouchers/medical documents, categorize the benefits as per the SOP and approve/reject basis the SOP.Provide guidance and support to facilitate junior advisors resolve complex claims.Identify potential