92 Claim Payment Jobs - Page 4

Seeking a Medical Claims Processor with 3+ years in self-funded health plans. Expertise in ICD-10, CPT, HCPCS coding. Proficiency in VBA, Plexis, and Trizetto systems preferred. Strong attention to detail; certifications like CBCS or CPC are a plus.

Role & responsibilities Data Entry: Accurately enter and update customer information and application details into the system. Compliance: Ensure all applications comply with company policies, state regulations, and underwriting guidelines. Multi-tasking: Research and process requests while working on multiple screens and applications. Coordination: Coordinate with various departments to facilitate the smooth processing of applications. Documentation: Review, verify, and process documents related to post-issue transactions. Communication: Communicate with clients and agents to obtain necessary information, resolve issues, and provide updates on request status. Issue Resolution: Address and resolve moderately complex policy-related questions and issues following pre-established guidelines. Customer Service: Provide excellent customer service to clients and agents, ensuring satisfaction and striving to meet and exceed service standards. Industry Knowledge: Develop and maintain a solid understanding of the life and annuity insurance industry, products, services, and processes. Preferred candidate profile Educational Background: Graduation in any stream, with a preference for Commerce graduates. Experience: 1-3 years experience into Health care domain/ Claims processing/ Insurance backend process experience with a focus on quality, attention to detail, accuracy, and accountability for work product. Experience in a professional/office-related environment requiring regular scheduled shifts. Technical Skills: Proficient in using a computer with Windows PC applications, including the ability to use a keyboard, navigate screens, and learn new software tools. Ability to type 30+ WPM with 95% accuracy. Basic understanding of Microsoft Excel. Perks and benefits Cabs available two ways OT

Role & responsibilities Post business transactions, process invoices, verify financial data for use in maintaining accounts payable records Provide other clerical support necessary to pay the obligations of the organization Maintain meticulous records of outstanding payables Ensure the accuracy of an organizations financial documents for payment, auditing and tax purposes Protect businesses against unintentional overpayment Practice effective monitoring to ensure payments are made to vendors in a timely manner Clarify any questionable invoice items, prices or receiving signatures Assemble and review invoices to be completed for payment Maintain copies of vouchers, invoices or correspondence necessary for files Type periodic reports and other records Obtain proper information and/or data regarding invoice payments Check vendor files for any previous payments and assign voucher numbers Prepare vouchers listing invoice number, date, vendor address, item description, amounts and coding per accounting policies and procedures Reconcile bank statements Input daily bookkeeping and record keeping Verify invoices against purchase orders and ensure goods or services were received before issuing payment to vendors Preferred candidate profile MBA(Finance)/M.Com with 2 to 5 yrs of experience in Accounts Payable Should have excellent presentation and communication skills.

We are Hiring for Claims Handler !! Qualification :Grad (Min 6m exp in claims) Location: Bangalore Salary:Upto 4.2L Shifts :rotational Virtual interview !! Email: Careers@glympsehr.com Call Manya @ 6364803282 /9606557106 / 6364822002 Required Candidate profile Fixed weekend off Communication skills. Service reps should be pleasant and empathetic while they're interacting with customers. Competent technical knowledge. Ability to multitask.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 - 1 Year What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Property and Casualty InsuranceWriten & Verbal Communication Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 6 years What would you do? - Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. What are we looking for? Ability to work well in a team Adaptable and flexible Ability to perform under pressure Ability to meet deadlines Ability to establish strong client relationship Bachelor's degree in Business, Insurance, or related field preferred. Proven experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Roles and Responsibilities: - Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices. Qualifications Any Graduation

Job Title: Lead Claims Adjudicator (Auto Insurance) Department: Claims Reports to: Claims Manager Location: Bangalore Employment Type: Full-time Position Overview: We are seeking a highly skilled Lead Claims Adjudicator with 7-8 years of experience in handling Auto Insurance claims to join our dynamic team. As a key member of the Claims department, you will lead the adjudication of auto insurance claims and manage the process to ensure accurate and timely resolutions. If you are highly knowledgeable about auto insurance regulations, claim handling, and have a solid background in managing complex claims, we invite you to apply. Roles & Responsibilities: Lead the adjudication process for auto insurance claims, ensuring compliance with all relevant regulations and company policies. Liaise with insurance companies, location managers, and other stakeholders to ensure smooth processing of claims. Oversee and guide a team of claims adjusters, providing mentorship and support in handling complex cases. Ensure all paper formalities related to claims are completed accurately and in a timely manner. Coordinate with internal departments and external parties to gather necessary documentation and resolve claim-related issues. Review and analyze claims, making fair and informed decisions based on policy terms, coverage, and regulatory guidelines. Manage the entire claims process, from claim intake to final resolution, ensuring all required actions are taken. Maintain accurate records of claims activities and provide reports on claims status, trends, and outcomes to senior management. Resolve customer inquiries and concerns regarding claims status and outcomes, ensuring high customer satisfaction. Perform other job-related duties as assigned. Skills & Qualifications: 7-8 years of experience in auto insurance claims handling or adjudication, ideally with a background in an insurance company or brokerage. Strong knowledge of local auto insurance regulatory laws and claims procedures. Excellent communication and negotiation skills , both verbal and written. Solid understanding of auto insurance policies and claim adjudication processes. Ability to handle multiple claims simultaneously in a fast-paced environment. Strong analytical and problem-solving skills to assess claims and make sound judgments. Excellent organizational and time-management abilities to meet deadlines effectively. Ability to work independently and as part of a team in a collaborative environment. Bachelors degree in a related field or equivalent work experience. Compensation: Fixed Salary + Incentive-based compensation (Performance-driven). 8-10 LPA (depending on experience and interview performance). Comprehensive benefits package. Shift: Night Shift (Canadian timings) 6 days working per week. Location: Serene Building No. 106, 4th Floor, 4th C Cross Rd, 5th Block, Koramangala Industrial Layout, S.G. Palya, Bengaluru, Karnataka 560095 Interview Process: 2 rounds of interviews. Immediate joining after the second round of interviews. Background check and verification will be required. Application Process: If you are interested and have auto claims experience , Please Apply and can visit our office for a face-to-face interview . Notes: Only candidates with auto claims experience should apply. If you have hands-on experience in auto insurance claims adjudication and a passion for the field, we strongly encourage you to apply! We look forward to welcoming a new Lead Claims Adjudicator who can contribute to the growth and success of our Claims department.

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claims processing team collects end-end data dataReporting to the Head of Analytics, Intel and Reporting, the F&R Reporting Analyst in Accenture will be responsible for repeatable reporting tasks for Property & Casualty (P&C) Claims Fraud and Recovery (F&R). This role will involve working with global data, performing data quality and management, and delivering data and reporting across all regions and lines of business. What are we looking for? Responsible for delivering reporting and metrics for GI Claims Fraud and Recovery on a cyclical basis. Work with large datasets to manage quality control process of data for Fraud and Recovery, i.e. gathering, cleansing, reconciling, and correcting data. Manage month-end process to submit and publish monthly data results for Fraud and Recovery, e.g. Fraud Preliminary Results, Monthly Claims Mapping Exercise, Activity Report, Fraud Regional Exhibits, Recovery MPR's, Expense Reports, GREAT Monthly Extract, Country Production Reports, etc. Produce monthly, quarterly, and annual results at a Global/ Regional/ LOB level, including but not limited to Monthly Business Reviews, Quarterly Business Reviews, Deep Dive reporting, etc Ability to learn quickly, produce high-quality results, team-player but can also work independently. Experience working with and interpreting large sets of data. Possess strong analytical, critical thinking, and problem-solving skills. Roles and Responsibilities: Responsible for delivering reporting and metrics for GI Claims Fraud and Recovery on a cyclical basis. Work with large datasets to manage quality control process of data for Fraud and Recovery, i.e. gathering, cleansing, reconciling, and correcting data. Manage month-end process to submit and publish monthly data results for Fraud and Recovery, e.g. Fraud Preliminary Results, Monthly Claims Mapping Exercise, Activity Report, Fraud Regional Exhibits, Recovery MPR's, Expense Reports, GREAT Monthly Extract, Country Production Reports, etc. Produce monthly, quarterly, and annual results at a Global/ Regional/ LOB level, including but not limited to Monthly Business Reviews, Quarterly Business Reviews, Deep Dive reporting, etc Qualifications Any Graduation

Interview Rounds: 1. HR 2. SHL Test 3. SD ONLY WALKIN INTERVIEWS @ 08 MARCH 2025 You should have voice or semi voice claims experience, knowledge on property And casualty claims with a minimum of 12 months experience. Agent will be supporting Global customers except China and Japan No relocations International claim experience mandatory Excellent communication skills Rotational shift work from office 5 days working 2 days rotational offs salary up to 4.6 LPA + incentives both ways cab

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English - Intermediate What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Ability to manage multiple stakeholders,Ability to perform under pressure,Agility for quick learning,Collaboration and interpersonal skills,Commitment to qualityAbility to manage multiple stakeholders,Ability to perform under pressure,Agility for quick learning,Collaboration and interpersonal skills,Commitment to quality Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualifications Any Graduation

Skill required: Reinsurance - Collections Processing Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsThe Collections Operations team focuses on managing collections and disputes such as debt collection, reporting on aged debt, bad debt provisioning, trade promotions, and outperform cash reconciliations. The team is responsible for follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, and ensure compliance to internal controls, standards, and regulations.Experience in reinsurance company handling roles within claims and technical accounts What are we looking for? Ability to perform under pressure Problem-solving skills Results orientation Prioritization of workload Strong analytical skillsKnowledge of German language would be added advantage Roles and Responsibilities: Analyze and process various treaty and facultative premiums statements in the system Ensure cash call refunds are booked on time Maintain adequate trackers for all aspects of SOAs are maintained Analyse and process various types of claims in the system Analyse, Process and track large losses Ensure payment transactions are revied and cash is allocated in timely manner Ensure adequate follow ups are done to ensure to keep unallocated cash to the minimal Ensure outstanding balances are tracked, followed up and reported periodically to the stakeholders. Liaise and work with various stake holders to ensure all queries are addressed on time Taking ownership and be accountable for activities performed Have good analytical skills Good and effective communication with good networking skills Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Hiring for US Healthcare Voice process -Thane Location - Work from office THANE LOCATION Rounds : HR-Amcat- Writex-Ops- Typing Quality: C2 HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Required Candidate profile Comms skill - Excellent Assessments - Amcat - SVAR score of 69 mandatory Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5days of working. Any 2 Rotational week offs

Hi We are hiring for HRO - Claims Processing and Adjudication for our leasing ITES client. Please go through the JD and Apply. Key Responsibilities: 1. Claims Processing & Adjudication: Efficiently process and adjudicate India-specific and global benefits claims, ensuring accuracy and compliance with policies. Validate claims documentation, including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions Identify discrepancies in claims and ensure timely resolutions in line with company guidelines Experience in similar claim processing is a must Knowledge and working experience of Darwin and Workday is a plus Knowledge of ticket management tools like SNOW is a Plus. 2. Stakeholder Engagement: Collaborate with global stakeholders to align claims processing practices with global standards. Communicate effectively with internal teams, external vendors, and claimants to ensure smooth claim management. 3. SLA & KPI Management: Demonstrate a strong understanding of Service Level Agreements (SLAs) and Key Performance Indicators (KPIs). Consistently meet or exceed SLA requirements for claims processing while maintaining high-quality standards. 4. Policy Adherence & Process Improvement : Ensure adherence to company policies, local regulations, and international best practices in claims management. Proactively identify and recommend process improvements to enhance efficiency and accuracy. Qualification & Skillset: Graduate and specialization in Human resources 1-5 years of experience in India / Global claims processing and adjudication. Strong understanding of various types of claims, advances ,reimbursements and benefits eligible for claims Expertise in verifying and validating claim-related documents. Exceptional command of English, with the ability to communicate fluently and professionally. Attention to detail Proven experience collaborating with global stakeholders across regions. Deep understanding of SLAs and KPIs and a track record of achieving or exceeding them. Key Skills: Claims Processing experience including gym reimbursement claims, vaccination claims, wellbeing benefits claims, school reimbursement claims, Salary advance claims etc. for global regions Knowledge of Darwin and Workday tool is an advantage Documentation Validation Global Stakeholder Management Process Improvement and Compliance SLA & KPI Adherence Excellent Communication and Analytical Skills Working Conditions: Work Shift will be dependent on geography/region coverage requirements across a 24-hour * 7 service delivery Work from Office (No work from home) Agile to extended work hours when needed to meet deadlines without prompting To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Bangalore Search : Job Code # 336

Profile Overview : Graduate with 1-3 years Benefit and Authorization Specialist (Verification of Benefits). Role focuses on obtaining necessary prior authorizations & Referrals from insurance companies. Maintain accurate records of requests and approvals. Familiarity with insurance processes and payer guidelines. Key Responsibilities : Manage correspondence with insurance companies, physicians, specialist, and patients as needed, including documenting in the EHR as appropriate. Receive requests for prior authorizations through the electronic health record (EHR) and/or via phone or fax and ensure that they are properly and closely monitored. Completes accurate and timely third party payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available. Ensures services scheduled by outside providers have approved authorization as required Preferred candidate profile Perks and benefits

Account Manager for US RCM process. The ideal candidate should have a minimum of 7 years’ experience & be a SME in the entire RCM process. In addition, they should have proven track record of effectively managing team & strong client relationships.

Skill required: Reinsurance - Collections Processing Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsThe Collections Operations team focuses on managing collections and disputes such as debt collection, reporting on aged debt, bad debt provisioning, trade promotions, and outperform cash reconciliations. The team is responsible for follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, and ensure compliance to internal controls, standards, and regulations. What are we looking for? Ability to perform under pressure Problem-solving skills Written and verbal communication Commitment to quality Agility for quick learning Knowledge of German Language would be an added advantage. Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problems Your day to day interaction is with peers within Accenture before updating supervisors In this role you may have limited exposure with clients and/or Accenture management You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments The decisions you make impact your own work and may impact the work of others You will be an individual contributor as a part of a team, with a focused scope of work Please note that this role may require you to work in rotational shifts Roles & Responsibilities Analyze and process various treaty and facultative premiums statements in the system Ensure cash call refunds are booked on time Maintain adequate trackers for all aspects of SOAs are maintained Analyse and process various types of claims in the system Analyse, Process and track large losses Ensure payment transactions are revied and cash is allocated in timely manner Ensure adequate follow ups are done to ensure to keep unallocated cash to the minimal Ensure outstanding balances are tracked, followed up and reported periodically to the stakeholders. Liaise and work with various stake holders to ensure all queries are addressed on time Taking ownership and be accountable for activities performed Qualifications Any Graduation

Skill required: Reinsurance - Collections Processing Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsThe Collections Operations team focuses on managing collections and disputes such as debt collection, reporting on aged debt, bad debt provisioning, trade promotions, and outperform cash reconciliations. The team is responsible for follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, and ensure compliance to internal controls, standards, and regulations. What are we looking for? Ability to perform under pressure Problem-solving skills Written and verbal communication Commitment to quality Agility for quick learningKnowledge of German Language would be an added advantage. Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Roles & Responsibilities Analyze and process various treaty and facultative premiums statements in the system Ensure cash call refunds are booked on time Maintain adequate trackers for all aspects of SOAs are maintained Analyze and process various types of claims in the system Analyze, Process and track large losses Ensure payment transactions are revied and cash is allocated in timely manner Ensure adequate follow ups are done to ensure to keep unallocated cash to the minimal Ensure outstanding balances are tracked, followed up and reported periodically to the stakeholders. Liaise and work with various stake holders to ensure all queries are addressed on time Initiate process improvements through automation and assist in implementing the same. Actively participate in knowledge sharing and training Taking ownership and be accountable for activities performed Actively get involved in cross departmental activities and show eagerness to learn all activities. Qualifications Any Graduation