37 Claim Jobs

Call insurance companies to follow up on unpaid/denied claims. Work on denials, rejections and appeals to ensure maximum reimbursement Perform claim status checks, eligibility verification and refilling. Review EOs/ERAs and analyze recurring denials. Health insurance Over time allowance Gratuity Provident fund Maternity leaves Paternity leaves Job/soft skill training

Key Responsibilities: Help in day to day working Partners Utilizations Balance Sheet working MIS Invoice generation Tally entriesPetty cash Monthly monitoring & controlling on all functions (Claim, Accounts etc) Controlling & monitoring all the statutory compliance Cash flow management Preparation of various reports for partners as & when required

Candidates with demonstrated experience in Data Breach Response, or Incident Response will be preferred Medical or Pharma bill process experience, Insurance claim or claim processing Mode- WFO Working days- 5

Job Summary: Minimum of 2 to 8 years of experience Role: Guidewire Claimcenter developer Minimum Degree Required Bachelors Degree Willingness to work Second Shift (2 pm IST to 11 pm IST) to support US based clients Knowledge/Skills : Demonstrates abilities solutioning the Guidewire Suite of applications on premises and SaaS, with proven success executing all aspects of complex engagements within the Guidewire product suite achieving on-time and on-budget delivery, as well as the following: Demonstrates abilities providing solution strategy and Application Evolution Services (AES, formerly AMS) delivery as a Senior Guidewire Developer. Employees in the Senior Developer position should think o...

Role Overview: You will be responsible for designing and modifying existing workflows necessary for Billing Integration. It is essential to have experience in SCRUM Agile methodologies, and being a Certified Scrum Master (CSM) is preferred. Your expertise in these areas will be instrumental in ensuring the smooth functioning of our systems and processes. Key Responsibilities: - Design and modify workflows for Billing Integration - Utilize SCRUM Agile methodologies - Preferably be a Certified Scrum Master (CSM) - Hands-on experience with at least one of the Guidewire products such as Claim, Policy, or Billing Qualifications Required: - Experience in SCRUM Agile methodologies - Certification a...

As a candidate for the role at Wipro Limited, you will play a crucial part in working with Java, Spring Boot, Microservices, and Angular8 and above. Your responsibilities will include: - Hands-on experience with Core Java/J2EE (Spring, Hibernate, MVC) - Working knowledge of Spring Boot, RabbitMQ & JBoss - Expertise in Microservices and familiarity with CI/CD and DevOps initiatives - Proficiency in the Spring Framework & Spring MVC - Experience with a JS framework (Angular, React) or MEAN stack - Working with IDEs like IntelliJ, Eclipse, or RAD - Rest-based web services, SQL queries, and MySQL - Testing experience in JUnit/Spock/Groovy - Agile methodologies (Scrum, Kanban) - Familiarity with ...

Middle Office - IC1Responsible for processing, monitoring, researching and analyzing transactions and resolving non-complex inquiries. May coordinate with both internal stakeholders and external stakeholders and/or clients to gather, disseminate, and resolve basic information about transactions. With guidance, conducts research to gather information on non-complex transactions and data-related, straightforward inquiries. Responsible for reconciliations to third parties (cash, asset, trade matching, and market value) and analysis, break assignment and resolution of reconciliation breaks and failing trades. Responsible for or facilitating the maintenance of trade static data, trade enrichment,...

We re seeking a future team member for the role of Associate, Middle Office II to join our MO team. This role is located in Pune, Maharashtra - HYBRID In this role, you ll make an impact in the following ways: Responsible for overseeing quality control of processing, work allocation and workflow of a Middle Office team and outsourced functions in accordance with SLD. Reviews and approves work conducted by more junior levels in accordance with function policies and procedures. Performs analysis and research on the most complex transactions and identifies solutions to complex inquiries. Serves as subject matter expert and conducts research to gather information on the most complex, multi-facet...

As a Guidewire Developer with 3+ years of experience, you will have the following responsibilities: - Working on Policy, Billing, Claims, Integration, Configuration, Insurance Now, Portal, and Rating modules - Hands-on experience in at least one of the Guidewire products such as Claim, Policy, or Billing - Knowledge of Admin data loading and proficiency in Web services, XML, GxModel, Messaging, and Batch implementation - Integrate with 3rd Party Systems and utilize Document composition tools like Xpressions and Thunderhead - Experience with databases such as Oracle or SQL Server and strong SQL skills - Designing and modifying existing workflows, specifically for Billing Integration Qualifica...

Company : MNC with 1.3 Lakhs Employees Job role: Insurance Claim (Non-voice) Location : Bangalore and Noida (Must be in Bangalore or Delhi NCR Region) Experience: 0-4 year Qualification : BCOM, BBA, BA, MBA, MCOM, MA (Others are not eligibele) Salary Package: 3.3 LPA - 5.3 LPA Working model : Hybrid Cab Facility : Yes - 2 Way Shift : Rotational shift including night shift Year of passing : 2025 or before Note : Candidates in different cities willing to relocate are not eligible Key Responsibilities : Responsible for Policy administration and related services of Life Insurance Policies Performs routine, recurring processing and quality tasks in support of outsourced services within a specific...

As a Field Technical Service Expert at Apollo Tyres Ltd in Faridabad, your role will involve the following responsibilities: - Claim and complaint management - Providing product feedback to R&D and Sales teams - Engaging in demand generation activities - Conducting training sessions for both internal and external staff - Gathering market intelligence - Implementing marketing and service initiatives - Providing sales support To qualify for this position, you should meet the following requirements: - Hold a B.Tech/B.E degree in Mechanical - Possess knowledge of market assessment - Have a strong understanding of product knowledge - Demonstrate customer service orientation About Apollo Tyres Ltd...

Role & responsibilities Lead requirements definitions for complex projects and multi-year strategic initiatives. Identify & translate business needs into clearly defined requirements. Create Documentation inclusive of business use cases, process / data flows, traceability matrices, and report mock-ups . Plan, facilitate, and conduct requirements gathering sessions, meetings, and presentations. Lead review sessions for completed business / functional requirements, with key business users focused on gaining consensus and final business approval. Cultivate strong professional relations within business units to thoroughly understand business needs. Collaborate with the development and testing te...

The Field Technical Service Expert at Apollo Tyres Ltd, based in Faridabad, will play a crucial role in providing technical support and expertise in the field of tyre manufacturing. As a part of the Field Technical Service department, you will report to the Regional FTS and collaborate closely with internal and external stakeholders to ensure the highest level of customer satisfaction and product performance. Your key responsibilities will include managing claims and complaints, providing valuable product feedback to the Research & Development and Sales teams, conducting demand generation activities, delivering training sessions to both internal and external staff members, gathering market i...

The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients" underwriting processes. EXL's consultants deliver industry-leading professionalism, quality, and turnaround time, and our innovative solutions help our clients stay ahead of the competition. The Position EXL Risk Control is looking for self-directed independent contractors who possess excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. You will work from your own home o...

Looking for experienced folks from Member or group enrollment process . Job Title: Assistant manager Enrollment & Claims Adjudication (US Healthcare) Experience: 6-10 years Qualification: Bachelors degree Shift: Night shift Transportation: Pick up and drop would be provided Job Summary: The Assistant manager - Enrollment and Claims Adjudication will oversee a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process improvement, and client satisfaction. Key Responsibilities: Team Management...

Responsible for all service issues related to Sales development. Responsible for full utilisation of slots and achievement of Sales and Revenue targets. Giving advance information about expected bookings.Ensure / Control bookings within weight Allocations on Vessel to Vessel. Formulating pricing policies within Principal parameters and disseminating information to regions / locations. Compile and monitor approved company sales budgets, marketing Plans for different Trade Lanes/ Services. Report to principals on budget performance / variance through weekly bookings. Reporting to Principals on trade development and competition activities. Proposing service pattern improvements / schedule chang...

Competency Description Technical 1. Insurance regulations and laws 2. Claims handling procedures 3. Risk management principles 4. Industry standards 5. Maritime law and regulations Soft Skills Communication (verbal and written) 2. Negotiation and conflict resolution 3. Analytical and problem-solving 4. Planning && Prioritizing 5. Customer service and relationship-building 6. Collaboration and teamwork 7. Adaptability and flexibility Behavioral 1. Integrity and ethics 2. Results-driven and accountable 3. Customer-focused and empathetic 4. Competitive 5. Patient 6. Innovative Collaboration 1. Collaborative mindset 2. Effective communication 3. Adaptability and flexibility 4. Constructive feedb...

Guidewire cloud Certification is mandate Location details Hyderabad Phoenix City Bangalore Jigani Chennai - Sholinganallur Notice period: Immediate to max 45 days Role : Hybrid model Transportation : Cab / Bus facilities available within 25 kms range Experience ranges: Lead: 7 10 Years Architect 9 14 Years (Exp no limit, but budget 55 LPA) Guidewire implementation experience and Guidewire technical certification (Guidewire Cloud certification (Associate level) minimum; Additionally Guidewire Specialist in PC or CC on top of GW cloud certification) Extensive experience in Guidewire PolicyCenter and ClaimCenter integration with external systems and tools. Identify gaps in the integration Teamc...

You will be responsible for responding to patient inquiries by phone and email in a timely and professional manner. Your duties will include performing data entry and filing to accurately record patient and insurance information. Additionally, you will confirm insurance coverage with insurance companies using diagnostic and procedural codes, and schedule appointments and procedures while verifying insurance details. As part of your role, you will conduct research to resolve claim and billing issues, as well as assist patients with questions regarding eligibility and benefit coverage. You will be expected to ensure that all documents meet the necessary standards and requirements. This positio...

Description The Claim Analysis role involves evaluating and processing insurance claims to ensure accurate and fair assessments, contributing to the overall efficiency of the claims department. Responsibilities Analyze and assess insurance claims to determine validity and coverage based on policy terms. Investigate claims by gathering relevant information, interviewing claimants, and consulting with medical professionals when necessary. Prepare detailed reports documenting findings and recommendations for claim resolution. Collaborate with underwriting and legal teams to ensure compliance with policies and regulations. Communicate effectively with clients, claimants, and colleagues to provid...

Good understanding of commercial in contracts. Understanding of Bank Guarantees, Insurance, Letter of credit etc. Experience in project costing Understanding of Claim management Preparation of Supply Bill Annexure with the help of Challan & MIR. Required Candidate profile Experience in project costing, contract, claim, billing

Wipro Limited is a leading technology services and consulting company that is dedicated to creating innovative solutions to meet the complex digital transformation needs of clients. With a comprehensive portfolio of capabilities in consulting, design, engineering, and operations, Wipro helps clients achieve their ambitious goals and create sustainable businesses for the future. With a global presence of over 230,000 employees and business partners in 65 countries, Wipro is committed to supporting customers, colleagues, and communities in a constantly changing world. For more information, you can visit us at www.wipro.com. You will be responsible for working with Java, Spring Boot, Microservi...

Job Requirements and Preferences: Basic Qualifications: Minimum Degree Required: Bachelor Degree Preferred Knowledge/Skills: Demonstrates abilities solutioning the Guidewire Suite of applications on premises and SaaS, with proven success executing all aspects of complex engagements within the Guidewire product suite achieving on-time and on-budget delivery, as well as the following: Demonstrates abilities and extensive experience working on Application Managed Services projects and solutioning the Integration of Guidewire Suite of applications on premises and SaaS, with proven success executing all aspects of complex engagements within the Guidewire product suite achieving on-time and on-bud...

Customer Service rep represents the Service Centre which is responsible for delivering timely and accurate customer service through any/any/all the mediums i.e. on phone, web chat. The Customer Service Specialist post Go-Live/Certification is required to be an efficient communicator who is well versed with CS tools, domains, client plans and provisions. He/ may be aligned to one or multiple clients across various domains. She/he is required to effectively communicate complex client plans and provisions aimed at driving first call resolution. She/he is expected to provide effective solutions within the scope of defined client plans and provisions helping the participants make an informed deci...

I am hiring for this position for one of our Life Insurance clients. Role & responsibilities Prudent claim Assessment and management of end-to-end claim settlement /repudiations, including Life, Group claims Coordinate with Reinsurers /sales/customers for closure of claims within the regulatory framework and timelines Direct and oversee the maintenance of complete and accurate claim management records. Managing the claim teams on day-to-day claims transactions, guidance on claims philosophy, regulatory, and audit procedures Ensuring daily claim deliverables are met and claims decisions within prescribed SLA with quality Ensure customer centric approach while delivering sensitive area of deat...