5 Claim Management Jobs

Claims- Review and process property insurance claims, including analyzing policies, assessing damage, and determining coverage and settlements. Work with insurance adjusters, clients, and third-Frty vendors to gather necessary information and documentation for claims processing. Collation of data and information of claims for reporting purposes Investigate and evaluate claims to ensure accuracy and completeness. Prepare and present reports and recommendations to management regarding claims status, trends, and outcomes. Involvement in subrogation requests and required follow-ups. Communicate with clients and stakeholders regarding claims status and resolution. Provide support to other departments and teams as needed. What You Bring To The Role Bachelor's degree in business, finance, or related field. At least 3 years of experience in property insurance claims analysis. Strong analytical and problem-solving skills. Excellent verbal and written communication skills. Detail-oriented with the ability to manage multiple tasks simultaneously. Proficient in Microsoft Office Suite and other relevant software programs. Knowledge of property insurance policies, procedures, and regulations. Other skills: Ability to work independently as well as be a team player. Able to take direction and ask questions. Strong organizational skills. Eye for detail. Resourcefulness. Excellent communication skills Mandatory Skills: Institutional_Finance_Buy_Side_Others.

Responsibility for analyzing and commenting on customer specification, writing clarifications and seeking amendments Responsibility for preparation of technical and commercial bidding documents for high voltage equipment. Technical support of sales and project management Technical responsibility of designing and standardization of High Voltage equipment for HVDC and Grid Access projects with regard to design to cost Responsibility for writing equipment specifications, verifying test plans and optimizing the design of equipment under consideration of the HVDC-system specific requirements Responsibility for checking and approving drawings, bills of material and other documentation Technical responsibility for timely and cost-effective management of components to be processed Responsibility for coordination of acceptance tests, participation in tests and customer support; Assurance of test documentation in accordance with customer requirements Responsibility for technical evaluation of proposals from sub-suppliers. Support in commercial evaluation with procurement. Technical support in finding the most suitable technical solution and qualified sub-suppliers Responsibility for negotiation of contracts with suppliers and technical support for procurement; Responsible management of orders of HVDC high-voltage components Responsibility for supplier monitoring and claim management Technical support of commissioning personnel Responsibility for giving Technical internal and external (Customer-) Trainings Responsibility for supporting in Technical clarification meetings with customer Coordination with internal departments and sub-suppliers for individual main components and subsystems We dont need superheroes, just super minds Knowledge acquired in 5-9 years in High Voltage engineering or similar B achelors degree in Electrical Engineering or comparable Technical Skills: Experience with any of the following: HV measuring components, HV transmission transformers, HV switchgear, HV Reactors/Resistors/Capacitors Understanding of HVDC and/or FACTS technologies Knowledge about Testing Techniques of HV components Experience in understanding and managing complex customer specifications Knowledge of applicable norms and standards Experience in tendering or execution of large turnkey projects Key Skills: English fluency in business Communication with international stakeholders Pronounced Communication skills for clarifying requirements/solutions and resolving misunderstandings Proactive mindset and approach to serve colleagues, internal and external customers Mindset of growth and service to support colleagues and always think win-win Intercultural sensitivity and ability to work in a multi-national and multi-cultural team Time management and Prioritization Skills Understanding the importance of techno-commercial design optimization and the mutual influence of technical and commercial aspects Readiness to dig deep into techno-commercial topics, also understanding surrounding interface requirements Quality Focus

Establish systems and processes to ensure sustainable levels of performance. Monitor transactions to improve performance. Report/analyze performance using appropriate tools/mechanisms and take corrective action where necessary. Appropriate Corrective

Job title: Implementation Specialist Location: Gurugram- Work from office Shift: Night Shift Mandatory Skills: 3+ yrs in Healthcare client implementation role, Client Coordination, Healthcare Revenue and Claim Management, The Client Implementation Analyst will support the implementation team by gathering and analyzing business requirements, documenting workflows, and translating them into functional specifications for technical teams. The role involves close collaboration with project managers, developers, and testers to ensure successful client implementations. Key Responsibilities: Omnichannel Communications: - Create and maintain letters and communication templates. - Work with stakeholders to define requirements, review data, and ensure letter accuracy. - Coordinate reviews and approvals for letter production and compliance. Post-Implementation Workflow Updates: - Manage workflow updates, documenting changes and updating system templates. - Coordinate testing, user acceptance, and validation of implemented changes. - Ensure workflow changes align with business needs and escalate issues when needed. Project Management: - Support onboarding of new clients, assist with setup tasks, and manage project tickets. - Facilitate end-to-end testing and resolution of issues during the implementation process. - Assist with post-implementation audits and client audits. Process Improvement: - Identify and recommend process improvements to enhance efficiency and client profitability. - Foster innovation and teamwork to improve operations. Other Duties as Assigned. Experience: Proven experience as a Client Implementation or Implementation Business Analyst role, ideally in Accounts Receivables, Credit & Collection, or Healthcare. Skills: Proficiency in Microsoft Office, Artiva Healthcare, FACS, Epic, and project management tools (e.g., Monday.com). Communication: Strong written and verbal communication skills. Analytical: Ability to analyze data, validate information, and solve problems. Collaboration: Strong interpersonal skills for working with cross-functional teams. Work conditions: Night Shift, Work from office

OVERVIEW: Screens, reviews, evaluate claims based on set audit requirements and shares audit findings for further action, following organizational policies and procedures as part of retrospective quality control review under risk and governance area. Reviews processed claims and inquiries to determine corrective action which can include adjusting claims. Takes the corrective action steps using enrollment, benefit, and historical claim processing information. Translate foreign language claims into English using software and code appropriately. ESSENTIAL RESPONSIBILITIES: Determine if the claim information is complete and correct. Enter/verify claims data. Resolve claim edits (suspensions), review history records and determine benefit eligibility for service. Review payment levels to arrive at final payment determination. Meets all production and quality standards. Elevates issues to the next level of supervision, as appropriate. Maintains accurate records, including timekeeping records. Other duties as assigned or requested. QUALIFICATIONS: Bachelors Degree/Diploma in any stream Freshers - Exposure to claims processing preferred. Typing speed of at least 50 words per minute Basic computer knowledge (MS Office- excel, word, PowerPoint) KNOWLEDGE, SKILLS, AND ABILITIES: Ability to take direction and navigate through multiple systems simultaneously. Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. Ability to use mathematics to adjudicate claims. Ability to solve problems within pre-defined methods and guidelines. Knowledge of operating systems specific to claim processing. WORK ENVIRONMENT Work from the office or home environment as the situation demands. Indian or US Holiday schedules as per client requirements. Ready to work in shifts as required by the client. Split week-offs, ready to w