Claim Specialist

Year    Thane, MH, IN, India

Job Description

About the Company



Quantanite is a global customer experience and digital solutions partner that blends cutting-edge AI with the human touch. Headquartered in London and operating across four continents, our 2,000-strong team helps some of the world's fastest-growing brands scale smarter, work faster, and deliver better service--every time.

We're not your typical outsourcing company. We believe great service is built on two things: smart tech and even smarter people. From our proprietary AI tools like MoBIUS to our collaborative, people-first culture, we give our teams the tools, training, and trust they need to make an impact.

If you want to be part of a forward-thinking, fast-moving, and inclusive global team that values both results and relationships, you'll feel right at home here.

About the Role



We are seeking a detail-oriented and proactive

Claims Specialist

to join our team. In this role, you'll manage the end-to-end claims process--reviewing, submitting, and following up on insurance claims to ensure timely and accurate reimbursement. You will work closely with internal teams, insurance companies, healthcare providers, and patients to resolve billing discrepancies, appeal denials, and maintain compliance with regulations.

Key Responsibilities



Review claims for assigned offices and ensure submission within a timely manner. Perform quality control checks on patient accounts for accurate billing. Review and analyze denial queues to identify outstanding claims and unpaid balances. Follow up on denied, underpaid or rejected claims with insurance companies to resolve billing discrepancies and ensure proper reimbursement. Investigate and resolve any claim rejections or denials, including appealing or demanding denied claims when necessary. Collaborate with the Insurance Verification team to ensure eligibility and coverage is uploaded for patients, ensuring accurate billing information is obtained. Communicate with insurance companies, patients, and healthcare providers to gather additional information required for claim processing.

Skills & Qualifications



Education:

High school diploma or equivalent required; certification in medical billing or coding preferred.

Experience:

Minimum 2 years in claims processing, medical billing, or related roles.

Technical:

Proficiency in claims management systems and Microsoft Office Suite.

Knowledge:

Strong understanding of insurance claim procedures, denial management, and reimbursement processes.

Attributes:

Excellent attention to detail, analytical thinking, clear communication, and ability to work independently or collaboratively.

What We Offer



Comprehensive Training:

Tools, resources, and ongoing support for your success.

Career Growth:

Opportunities for advancement within a growing global organisation.

Collaborative Culture:

A people-first environment valuing diversity, inclusion, and teamwork.

Global Impact:

Partner with leading global brands to deliver exceptional results.
Quantanite is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Type: Full-time

Pay: ?15,000.00 - ?20,000.00 per month

Application Question(s):

Mention your Current Location Mention your highest educational qualification Are you comfortable working in a Night Shift set up? (Drop Service is available) What is your total work experience? Are you an Immediate Joiner? Mention your Current Salary (CTC) * Mention your Expected Salary (CTC)

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Job Detail

  • Job Id
    JD4059414
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Thane, MH, IN, India
  • Education
    Not mentioned
  • Experience
    Year