Claims Auditor in India

Opportunity Overview: We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and

Opportunity Overview: We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends,

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. XO Health Product Manager, Claims - India (Remote) About the Role : XO Health believes healthcare is fixable. Become a part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone, from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. XO Health is building its own claims processing platform to power a new generation of claims adjudication, pricing, and payment. The Product Manager for Claims will own the product vision and strategy for this build, translating complex claims operations, EDI, and payer requirements into a clear roadmap the technical team can execute against. This role sits at the intersection of the business and engineering. The Product Manager will partner closely with Claims Operations, EDI, Network, and Compliance stakeholders to understand real-world claims workflows, translate that knowledge into detailed, clear business requirements, and serve as the primary liaison between the business and the technical build team throughout design, development, testing, and launch. This position requires strong product management fundamentals, deep curiosity about claims and healthcare operations, and the judgment to set realistic timeline goals

Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: Global Operations: AirCover: Scaled Ops & Optimization is dedicated to building the world's most loyal travel community through exceptional service. Our vision is to design and deliver unmatched products and services so everyone can host and travel with confidence. Our objectives are to provide Aircover for Hosts, Guests and Travel Insurance. The Difference You Will Make: The Supervisor Aircover is directly accountable for the performance of their team of assigned specialists and for working to drive efficiency and quality, in collaboration with peers and cross-functional stakeholders, to achieve the objectives and strategic vision set by the Global Service Manager. Supervisors are responsible for the coaching and development of specialists on their team and for connecting our functional strategy into specific, meaningful goals and measurable results for the day-to-day work of their teams. The Claims team Lead will also work closely with Legal, Communications, Public Policy, Public Affairs, and other cross-functional teams to inform the policies, programs, and systems that improve the overall quality and performance of the department and support the Airbnb community. A Typical Day: Manage the day-to-day operations of your team through driving key performance indicators on a team and individual level (productivity, quality, operational health) whilst maintaining a superior level of team support and wellness. This includes: Volume/SLA management Supporting your team in the handling urgent escalated cases Manage the day-to-day operations of your team through

ABOUT US Nestem Technologies is ISO 9001:2008 Certified and Govt Registered Leading Healthcare BPO Service Provider. Medical Coding and Billing Job offered For US Healthcare BPO. MEDICAL BILLING Medical Billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs Self Supportive Training will be provided for Freshers with Placement. BILLING INDUSTRY Employment is expected to grow faster than average. Job prospects is very good; persons with a strong background in medical billing and coding will be particularly high demand. PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai. 9000/- to 12000/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 979 1196 983 / 044-2481 4757.

ABOUT US Nestem Technologies is ISO 9001:2008 Certified and Govt Registered Leading Healthcare BPO Service Provider. Medical Coding and Billing Job offered For US Healthcare BPO. MEDICAL BILLING Medical Billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs Self Supportive Training will be provided for Freshers with Placement. PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai. 9500/- to 12000/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 9791196983

Job Description: A Licensed Surveyor assesses damaged property (primarily vehicles, equipment, or commercial assets) to determine the cause, extent, and financial cost of loss for insurance claims. An active Insurance Regulatory and Development Authority of India (IRDAI) License is mandatory for this role to legally sign off on survey reports. Job Overview •Position: Licensed Insurance Surveyor & Loss Assessor •Required Certification: Valid IRDAI License (SLA Number required) •Objective: Inspect insured losses, verify damage authenticity, negotiate repair costs, and submit final assessment reports for claim settlement. Key Responsibilities •Site & Physical Inspection: Inspect damaged assets, vehicles, or property directly on-site or at workshops. •Loss Assessment: Evaluate the extent of damage, identify cause of loss, and verify coverage against the insurance policy terms. •Cost Estimation: Review repair estimates, negotiate labor/parts costs with workshops, and calculate depreciation and salvage value. •Report Submission: Draft and submit clear, accurate, and compliant Survey & Loss Assessment reports within regulatory timelines. •Fraud Detection: Spot discrepancies, pre-existing damages, or misrepresentations in claim submissions. Qualifications & Requirements •License: Valid IRDAI Surveyor & Loss Assessor License is preferable. •Education: B.E., B.Tech, or Diploma in Mechanical, Electrical, or Civil Engineering •Experience: 2 5+ years in field surveying, loss assessment, or automobile/property insurance •Skills: Strong technical knowledge of repairs and estimation, thorough understanding of IRDAI guidelines, and excellent communication skills What's App Number: 8897534176

End to end responsible for: • project design integration under D&B by converting product intent into organization’s Requirements and coordinated deliverables. • stage-gate reviews and interface management across Arch–Str–MEP to ensure buildability, compliance and cost alignment. • design change governance with quantified impacts, protecting baselines and reducing claims and rework. • construction-stage design assurance via submittal reviews, mockups and deviation control without duplicating PMC. • Ensures transparent MIS, audit-ready records and SLA-driven closures across stakeholders. Source: Adani Group | Job ID: 54250

This role is responsible for executing operational tasks within the insurance function, ensuring comprehensive coverage for assets, liabilities, and business ventures. This role focuses on managing annual insurance renewals, preparing and issuing RFPs, handling claims, and maintaining accurate policy documentation. By collaborating with internal teams and engaging with insurers, the Team Member ensures seamless insurance operations, compliance with regulatory standards, and effective risk mitigation. Through standardized processes and strong stakeholder management, this role supports the group’s resilience and operational continuity. Source: Adani Group | Job ID: 58504

WHO WE ARE: Zinnia is the leading technology platform for accelerating life and annuities growth. With innovative enterprise solutions and data insights, Zinnia simplifies the experience of buying, selling, and administering insurance products. All of which enables more people to protect their financial futures. Our success is driven by a commitment to three core values: be bold, team up, deliver value – and that we do. Zinnia has over $180 billion in assets under administration, serves 100+ carrier clients, 2500 distributors and partners, and over 2 million policyholders. WHO YOU ARE: Accounts Payable Specialist is responsible for performing daily accounts payable activities including invoice processing, expense claims processing, payment runs & vendor account reconciliations. This is a new position and will take on interesting and challenging responsibilities as our organization grows. This position will report to Assistant Manager, Finance and work closely with India team. WHAT YOU’LL DO: • Processing of PO based invoices in Tally and matching them to correct GRN. • Processing of non-PO based invoices & ensuring that they are authorized in line with company policy and that they have the correct general ledger code, budget center, client / project details etc. for proper information gathering. • Process all invoices in a timely manner to ensure they are processed in line with supplier payment terms and reporting requirements. • Reconcile supplier statements and resolve any queries relating to the same. • Maintain invoice query log and resolve queries on a timely basis. • Process supplier payments using internet banking facility on a weekly basis. Reconcile and process invoices against the company credit card and ensure invoices are received for all payments made. • Process staff expenses on a weekly basis • Maintain complete documentation accurately, in accordance with company policy and accepted accounting practices. • Perform var

Opportunity Overview: We are seeking a Healthcare Analytics Analyst to join our Analytics team. In this role, you will conduct analyses that drive our strategy, inform product performance, and provide insights critical to the development of new clinical intervention strategies and product enhancements. You'll partner closely with cross-functional teams and clients to optimize auto-decisioning performance and deliver increased value. This is an opportunity to directly impact company growth and assist patients at a critical time in their healthcare journey. What you'll do: Research, build, execute and optimize auto-decisioning strategy for new client implementations Work with multiple types of healthcare data to build and maintain analytical and reporting solutions to support strategy and program decision making Identify optimization opportunities based on analyses to improve auto-decisioning performance and drive increased value for clients Perform quantitative analysis of health care cost, operational performance and clinical outcomes using claims and authorization data Track cost, utilization and industry trends to inform stakeholders of solution performance and provide insights around opportunities to optimize clinical value for patients, providers and payers Prepare information for clients, build reports, data visualization and self-service solutions for internal and external stakeholders Develop, review, and analyze detailed data sets leveraged for client reporting/analytics Collaborate with IPA team on rule refinement and metric tracking What you'll need: Must-haves 2-5 years in an analyst role, ideally at a health tech company, health plan, or healthcare consulting firm Has worked hands-on with claims data, authorization data, or utilization management data Proficient in SQL (daily use) Has built and maintained dashboards in Tableau or PowerBI for internal and external stakeholders Bachelor's degree in Health Informatics, Public Health, Data Analytics, o

Industry: Leather Export & Manufacturing Job Location: Kolkata About the Company Our client is a well-established Leather Export & Manufacturing Company based in Kolkata. To support their expanding financial operations, they are urgently seeking a skilled and dedicated intermediate-level accountant to join their core finance team. Key Responsibilities & Skills Required The ideal candidate will independently manage day-to-day accounts, taxation compliances, and financial reporting. Main focus areas include: • GST Compliance: Hands-on experience with GSTR 1, GSTR 2B, and GSTR 3B working, reconciliation, and filing. • GST Refunds: Processing and filing GST Refund claims on a quarterly basis (essential for the export sector). • TDS Filing: Managing and executing Monthly TDS filings (necessary details and data will be provided by the team). • Core Accounting: Maintaining the Balance Sheet and Profit & Loss (P&L) statements accurately within Tally. • Labor Compliances: Handling basic EPFO and ESIC filing procedures. Salary & Compensation • Offered Salary: 15,000 18,000 per month. • Note: Salary is negotiable and highly dependent on the candidate’s relevant experience, skill set, and suitability during the interview. How to Apply If you have experience in manufacturing/export accounting and meet the above requirements, please share your updated resume on an urgent basis for immediate interview scheduling. Contact Timings: 9:00 AM to 8:00 PM Phone Numbers: * +91 87772 11016 • +91 93312 05133 • +91 92317 99122 Office Address: Ideal Career Zone 128/12A, Bidhan Sarani, Shyambazar (Near Shyambazar Metro Gate No. 1, Gandhi Market) Behind Sajjaa Dhaam Bed Sheet Showroom, Kolkata - 700004 #AccountsExecutive #KolkataJobs #HiringAccountants #LeatherIndustry #TallyJobs #GSTFiling #IdealCareerZone #JobsInWestBengal

Experience: 2 3 Years Location: Delhi, India Key Responsibilities Payroll Processing Accurate and timely preparation of monthly payroll, including salary, deductions, arrears and reimbursements. Attendance & Leave Verify attendance, leave, overtime, late coming, absence and other payroll inputs. Statutory Compliance Ensure accurate PF, ESI, PT, TDS and other applicable statutory deductions and timely compliance. Employee Master Data Maintain accurate and updated employee salary, bank, statutory and personal records. Full & Final Settlement PF Withdrawal & Claims Coordinate and process PF withdrawal, transfer, pension and other employee claims.

The Lead – Contract Administration supports the strategic and operational contract management activities across Adani Realty’s residential, commercial, mixed-use, and urban infrastructure development projects. The role is responsible for end-to-end contract administration, including contract execution, change management, claims evaluation, risk identification, and stakeholder coordination to ensure effective contract governance. The position works closely with contractors, consultants, project teams, procurement, finance, and legal functions to ensure contractual compliance, timely documentation, dispute avoidance, and resolution of contractual issues. The role also drives adherence to contractual obligations, strengthens commercial controls, and promotes best practices in contract management across project sites. Source: Adani Group | Job ID: 54255

This role is responsible for leading the company's insurance activities, ensuring comprehensive coverage for the group’s assets, new acquisitions, and projects. This role includes overseeing the insurance renewal process, preparing detailed Request for Proposals (RFPs), handling claims, managing relationships with local insurers and reinsurers, and ensuring compliance with insurance policies. Source: Adani Group | Job ID: 53989