189 Claim Payment Jobs - Page 8

Job Title: Billing Executive Job Location: Baroda Shift Timings: 5:30 PM to 2:30 AM IST (US Shift) https://www.linkedin.com/showcase/collaberagtc/ https://collabera.com/globaltalentcenter/ https://www.collabera.com/ https://www.youtube.com/@CollaberaGTC/videos https://instagram.com/collaberagtc?igshid=ZWQyN2ExYTkwZQ== Collabera is looking for an Accounts Payable Executive who is generally responsible for processing invoices and issuing payments. The role of the Accounts Payable involves providing financial, administrative, and clerical support to the organisation. Their role is to complete payments and control expenses by receiving payments, plus processing, verifying and reconciling invoices. A typical Accounts Payable job also highlights the day-to-day management of all payment cycle activities in a timely and efficient manner. What youll do: To approve draft invoice created by the system after a 3-way verification with hours approved in the client timesheets, on the Collabera timesheet system and reflecting on the draft invoice. Generate and send invoices to the client through email or through client web-interface for payment processing. Handle discrepancies if any and prepare billing issue log (cases where billing is not done) to the sent AR team, who in turn will consolidate all the issues from different groups and sent it to Sales team. Must work on weekly unbilled and other audit reports. Coordinate and communicate with timesheet team, operation team and sales team through email or phone calls for the invoices which are still unbilled in the system and to ensure that we should have minimum unbilled amount. Understand the ST/OT hours (US federal laws), billing cycle, different timesheet formats. What You’ll Need: Exceptional interpersonal skills; communications skills - specifically written and oral Bachelor’s degree in commerce Excellent analytical skills Computer skills – should have knowledge of Outlook and MS-office. Should have expert knowledge of Excel and should be able to use various formulas in excel. Attention to detail and organizational skills evident in the preparation of accurate weekly and monthly reports within tight deadlines. Good understanding of general accounting procedures. Bonus Points : Ability to resolve conflict. Ability to meet deadlines. Possess strong organizational and time management skills. Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medico-legal reports, wage records, and compensation eligibility.End-to-End Claims Handling:Independently handle WC claims from First Notification of Loss (FNOL) through investigation, assessment, computation, and final settlement.Claim Computation:Accurately calculate compensation based on disability type (temporary, partial, permanent, or fatal), wages, and applicable statutory provisions.Legal & Regulatory Compliance:Ensure all claims are managed in line with local labor laws, WC Act, and relevant court rulings or authority guidelines (e.g., Commissioner of Labour).End-to-End Claims Handling:Independently handle WC claims from First Notification of Loss (FNOL) through investigation, assessment, computation, and final settlement.Claim Computation:Accurately calculate compensation based on disability type (temporary, partial, permanent, or fatal), wages, and applicable statutory provisions.Legal & Regulatory Compliance:Ensure all claims are managed in line with local labor laws, WC Act, and relevant court rulings or authority guidelines (e.g., Commissioner of Labour). What are we looking for? Education:Graduate/Postgraduate in any discipline; preference for degrees in Law, Commerce, or Insurance.Experience:Minimum 3 years of experience in Workmen Compensation or Liability Claims handling.Technical Knowledge:oProficient in compensation calculations and understanding of wage structures.oKnowledge of Permanent Partial Disability (PPD), Permanent Total Disability (PTD), Temporary Total Disability (TTD), and fatal accident compensation.oFamiliar with labour codes, WC Act, ESIC provisions, and IRDAI guidelines related to liability claims.Experience handling claims under industrial accident policies or group personal accident insurance is a plus.Exposure to legal proceedings involving WC claims or coordination with labour courts.Certifications from insurance bodies (CII, III, IRDAI) in general insurance or liability lines are desirable. 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 Qualification Any Graduation

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606556306 / 9606523804 !!!Thanks & Regards HR TEAM!!!

Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 year About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com 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.Team prepares a case studyGroup disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Problem-solving skills. Written and verbal communication. Collaboration and interpersonal skills. Ability to meet deadlines. Process-orientation Roles and Responsibilities: 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 Qualification Any Graduation

Overview Medical Editor - Lead(Veeva Promomats) Shift - 6:30pm - 3:30am IST. Work Mode - Work from home. India | All Omnicom Global Solutions offices www.annalect.com/in www.annalect.com/in We have an exciting role of Medical Editor to drive and translate creative and contemporary ideas to solid design and impact. You will have a key role in design and deployment of creative campaigns with our global clients, including many Fortune 50 companies. About US We are an integral part of Annalect Global and Omnicom Group, one of the largest media and advertising agency holding companies in the world. Omnicom’s branded networks and numerous specialty firms provide advertising, strategic media planning and buying, digital and interactive marketing, direct and promotional marketing, public relations, and other specialty communications services. Our agency brands are consistently recognized as being among the world’s creative best. Annalect India plays a key role for our group companies by providing stellar products and services in areas of Creative Services, Technology, Marketing Science (data & analytics), Market Research, Business Support Services, Media Services, Consulting & Advisory Services. We are growing rapidly and looking for talented professionals like you to be part of this journey. Let us build this, together! Responsibilities This is an exciting role and would entail you to Read content and correct errors in grammar, punctuation, and spelling. Check copy for readability, style, and agreement with editorial policy. Suggest revisions such as changing words and rearranging content to improve clarity and accuracy. Conduct research, confirm sources for writers, and verify facts, dates, and statistics using standard reference sources. Provide feedback to writers and project teams via email or virtual collaboration tools. Ensure all client-facing communications are error-free and consistent with agency standards. Approve final versions of updated materials submitted by staff. Create, update, and enforce agency style guides and standards as required. Maintain familiarity with clients/brands, including brand style guides and regulatory guidelines. Work with designated agency liaisons to clarify content questions and resolve discrepancies. Adhere to brand-specific spellings/styles and regulatory requirements. Manage own workload and adhere to project deadlines. Qualifications You will be working closely with Our global creative agency teams. You will also be closely collaborating with our team of talented and designers to deliver high-quality services. This may be the right role for you if you have, Need an experience of 9-10 yrs. Lead editor on one product and a team member on other products in the cluster Editing, fact checking, and proofreading all promotional and educational materials for physicians, other healthcare professionals, and patients from manuscript through publication Managing workflow and supervising staC for a cluster of products, including training new team members Advising manager about departmental evaluations, training, and scheduling Coordinating timing and quality control of projects, including content editing, styling, proofreading, and fact checking initial manuscript though publication Working with account executive, project manager, writer, art director, and other team members to ensure that materials are of the highest quality in terms of accuracy, utility, clarity, readability, and appeal. Working closely with writers to resolve content/referencing issues. Creating and maintaining style guides and reference citation lists

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(Domestic) - Intermediate About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com 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 dataDevelop and deliver 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? Commitment to qualityDetail orientationAbility to meet deadlinesAbility to perform under pressureAbility to work well in a teamClaims Processing 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 Qualification Any Graduation

Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. Required Qualifications: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine).

Senior Analyst Insurance Operations An opportunity to understand end to end lifecycle for UK Claims Service. A place to enhance your knowledge on work which is undergoing transition. In the first month, we expect you to understand the service or process. Learn about risk associated with service and deeper understanding of workflow by the end of second month of joining and within three months we would want you to become a process expert with knowledge on at least one of the Lines of Business. We have robust training around understanding insurance concepts and business knowledge. Learn about new system and process. Enhance your skills via various development programs offered in-house. Opportunity to build on your insurance knowledge through CII course All benefits as per the location HR policy will be applicable We will count on you to: Processing and Submission of Claim Advices and Collections to the market. Monitoring responses from Carriers and XCS and follow up as necessary. Liaison with Carriers, XCS & Internal Stakeholders Liaise with broking and fiduciary teams to resolve all queries which may delay in paying funds on time. Provide ideas and suggestions for improving working methods taking into account client and member experience, where appropriate implement and document to line manager for adoption across the business. Ensure that all statutory regulations and company procedures are followed to protect clients, colleagues and the business interest of the company Appropriate usage of Marsh Speciality's systems to monitor, record and retain information Demonstrate clear understanding of regulatory requirements Proactively ensures compliance with regulatory and risks framework Adheres to policies, guidelines and operating procedures Keeps own knowledge and expertise up to date and relevant Identifies and evaluates risks appropriately. Recognises how own actions impact on compliance What you need to have: Good verbal and written communication skills Attention to detail Ability to learn new processes and systems, ability to adapt to change Ability to prioritize and organize tasks Ability to work independently and as a part of a team Graduate Job Location - Mumbai 6 months - 4 years of experience in insurance broking domain 2:30pm - 3:30am Shift What makes you stand out? CII certification Post-Graduation/Certificate Courses in Insurance Experience on handling Insurance claims. Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine)

Position: Billing (Must be Multitasking) Location: Kochi, Gurgaon Gender: Male Shift: 9.30 AM to 6 PM , 6 days working Qualification: Graduate Experience: minimum 6 months of hospital billing experience Required Candidate profile Good communication skills Previous healthcare experience preferred. Email: career@seedsofinnocence.com Call: 8448180806 /8448180805

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determining whether the loss falls within the coverage. Exercise judgement to determine liability by gathering and analysing relevant facts, images; utilizing applicable coverages. Identify anomalies and patterns to identify fraudulent claims and refer to SIU team based on SOPs Work to have a timely resolution to claims with complete ownership from initiation/intake to settlement. Assess damages by calculating applicable damage or range of damages. Negotiate settlement of a claim by establishing the appropriate negotiation strategy and utilizing available resources within authority limits. Meet quality standards by following best practices Responsible for data integrity and the appropriate documentation of the claim file as well as for compliance with regulatory requirements. Accountability in customer satisfaction and execute on the strategy to provide the best claims service for host damage protection. Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions. Ensure legal compliance by following federal laws and regulations, and internal control requirements. Key skills required: Bachelor's degree or college Diploma. • Experience in P&C, Healthcare Claims dealing with damage, liability or injury claims. • Good knowledge of Insurance claims end-to-end value chain activities, challenges and best practices. • Good knowledge of how to evaluate injuries and damage using market tools and technology. •General knowledge of the coverages available under the damage protection, liability policy and some common exclusions. • Results driven, ability to multi-task, pay attention to detail and follow procedures. Proven leadership and time management skills in a team environment. Job Type: Full-time Qualification :Any graduates (Note: All the rounds are Held through telephonic) Email : careers@glympsehr.com NOTE: - Please call or whatsapp Manya @ 9606523804 / 9606556306 !!!Thanks & Regards HR TEAM!!!

Overview The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Responsibilities Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems Maintains documentation and reporting regarding payer enrollments in process. Retains records related to completed CMS applications Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation Maintains provider demographics in all applicable enrollment systems Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment Performs special projects and other duties as assigned Qualifications Associate's degree (2 years), required and Bachelor's degree in any related field, preferred. At least one (1) year of provider enrollment experience preferred.

Min 3years into End to End Adjudication & Claims (Mandate) Hands on exp in Payments Authority & end to end case handling Process: Insurance Salary: Up to 8.5 LPA Rotational Shifts(24*7) Location: Mumbai Hiring for Graduates Only. 9049866622=shweta

We are seeking a talented individual to join our Claims Servicing team at Marsh. This role will be based in Mumbai. This is a hybrid role that has a requirement of working at least three days a week in the office. An opportunity to understand end to end lifecycle for UK Claims Service. A place to enhance your knowledge on work which is undergoing transition. In the first month, we expect you to understand the service or process. Learn about risk associated with service and deeper understanding of workflow by the end of second month of joining and within three months we would want you to become a process expert with knowledge on at least one of the Lines of Business. We have robust training around understanding insurance concepts and business knowledge. Learn about new system and process. Enhance your skills via various development programs offered in-house. Opportunity to build on your insurance knowledge through CII course All benefits as per the location HR policy will be applicable We will count on you to: Processing and Submission of Claim Advices and Collections to the market. Monitoring responses from Carriers and XCS and follow up as necessary. Liaison with Carriers, XCS & Internal Stakeholders Liaise with broking and fiduciary teams to resolve all queries which may delay in paying funds on time. Provide ideas and suggestions for improving working methods taking into account client and member experience, where appropriate implement and document to line manager for adoption across the business. Ensure that all statutory regulations and company procedures are followed to protect clients, colleagues and the business interest of the company Appropriate usage of Marsh Speciality's systems to monitor, record and retain information Demonstrate clear understanding of regulatory requirements Proactively ensures compliance with regulatory and risks framework Adheres to policies, guidelines and operating procedures Keeps own knowledge and expertise up to date and relevant Identifies and evaluates risks appropriately. Recognises how own actions impact on compliance What you need to have: Good verbal and written communication skills Attention to detail Ability to learn new processes and systems, ability to adapt to change Ability to prioritize and organize tasks Ability to work independently and as a part of a team Graduate Job Location - Mumbai 6 months - 4 years of experience in insurance broking domain What makes you stand out? CII certification Post-Graduation/Certificate Courses in Insurance Experience on handling Insurance claims.