462 Claim Settlement Jobs - Page 14

Process: Insurance BPO Designation: Executive & Sr. Executive Job Responsibilities: Efficiently handle and process insurance claims, ensuring accurate documentation, timely initiation, and resolution of claims such as First Notice of Loss (FNOL) and First Report of Injury (FROI). Collaborate with clients, claimants, and internal/external teams to gather necessary information, evaluate claims for coverage and liability, and determine appropriate payment amounts. Maintain detailed and accurate records of claims transactions, ensuring compliance with industry regulations and company policies while safeguarding sensitive client information. Identify potential fraud or discrepancies in claims, es...

DEPS Process Compliance Ensure strict adherence to DEPS processes across all Operational Units (OUs). Monitor and ensure: Timely closure of tickets as per the defined SOP. Resolution of shortages following all required process steps. Continuous training and upskilling of DEPS coordinators on company policies and procedures. Claim Settlement Ensure settlement of claims within the defined SLA and policy: SBU & Siemens (COFs): within 3 working days Other clients (Credit Note, RCS, COFs): within 7 working days DEPS Case Closure Timely resolution of DEPS cases including: Unclean PODs Client escalations Cases to be closed within the specified SLA CCTV Compliance Ensure CCTV systems are effectively...

Job Description: Processing of Claims Health files. Claim Registration and Claim Adjudication. Identifying the Fraud. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, provider, sales and grievance teams. Eligibility Criteria: Pharm-D, BSc Nursing, B .Pharmacy freshers only(Qualified Graduates with all certificates in hand). Any Graduate with minimum 2+ years of Claims Health processing experience. Salary Budget - up to 4 lakhs. Job location Ameerpet, Hyderabad. Evaluation would be based on competency, age, experience, stability

Position Vacant Non EB - Claims (Manger /Senior Manager) No. of Vacancy 1 Qualification Academic - Graduate and above Job Description / Responsibilities Good Interpersonal connection with IBAI. Knowledge of Claim intimation process Knowledge of Surveyor appointments based on quantum of loss. Coordinating with Insurance co. & Customer for documentation. Knowledge of claim documents required for various LOB. Claim processing & settlement of admissible claims. Handling Customer Grievances. Handling escalations, solving the Queries. Scrutiny of claims. Arranging Joint meetings with all stake holders for claims discussions in case of ambiguity. Conducting survey of vehicles. Building relationship...

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

*2-4 years exp. in Indian Insurance end-to-end group medical claims, *Resolved queries via Freshchat/Freshdesk (Customer Support) *Policy Document assessments *Stakeholders Mgmt., Collaboration & led escalations *Email/WhatsApp comms. Required Candidate profile *2-4 years exp. in Indian Insurance claims processing, CRM/Servicing/Claims handler roles in Insurer /TPA. *Graduate in healthcare, insurance *Verbal proficiency in English & Hindi must.

We are hiring for Automobile claim settlement process. - Helping customer through email and voice for settlement of claim - Skills Required: Knowledge of warranty claim process in automobile industry / Service Advisor in workshop. HR - 75488 27248 Required Candidate profile Qualification: Diploma in Automobile / Diploma in Mechanical Experience: Experience in Automobile / Internship experience in Automobile Language - Tamil or Hindi or Telugu and English Day shift

1.Oversee claims process - commercial insurance products (Fire, Marine, Property) 2.Interpret insurance policy language to determine coverage 3.Conduct investigations to establish facts and assess damages. 4.Identify potential fraudulent claims. Required Candidate profile Handles the process of managing commercial insurance claims, from initial notification to settlement.

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Job Title : Claims Admin (Sr Process Executive) Qualification : Any Graduate Experience : 1-4 Years Must Have Skills : l Working experience in SAP. Experience in English communication skills both written and verbal. The ability to work within a deadline focused environment. Excellent knowledge of MS word, excel, Work from office Good to Have Skills : NA Roles and Responsibilities : Claims Administration: l Good understanding on claim processing, creating claims/tickets, dealing with suppliers, credit note handling investigation, follow up on credit note, Booking CN, Creation of Manual RFC (request for credit) l Match RFC to credit, categorize of items refund process. Idea on debit note l Goo...

Educational Bachelor of Engineering Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define the to-be-processes and detailed f...

Manage group insurance, claims, compliance, audits, assets, and policy renewals; ensure risk coverage, legal adherence, cost efficiency, and insurer coordination across all business units.

To be liaison between the patient, the hospital, and TPA, managing claim processing by coordinating with the TPA to facilitate timely claim settlements and patient billing, all while adhering to insurance guidelines and regulations.

Primary responsibility of TPA Executive is Follow ups and Clearing of outstanding dues with TPA’s & other govt. agencies and split billing. Required Candidate profile Reporting of daily, weekly, monthly on dues outstanding follow ups to the reporting manager. Insurance patient billing, Packages and other billing process, Resolve queries.

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

About Client Hiring for One of the Most Prestigious Multinational Corporations! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric app...

Responsibilities: * Manage claims from intake to settlement. * Adjudicate medical necessity & settle claims fairly. * Ensure timely claim payment & employer satisfaction. * Process mediclaim & health insurance claims accurately.

To co-ordinate with cashless patients, Insurance companies and corporate for smooth functioning of cashless treatment provided to the patient. To send the pre-authorization forms to the concerned TPAs and to follow-up till receipt of initial approval

Manage existing contracts with PSU Contract Mgmt, Negotiation, and Execution, Compl., Risk and Claim Mgmt,Performance Monitoring & Reporting,Collaboration & Stakeholder Mgmt, Contract Administration & Documentation,Legal and Regulatory Compl. Required Candidate profile -B.E/Tech + (Contract Mgmt is a value addition OR NICMAR), Minimum of around 1 years of exp, exposure.

Medical Billing (Claim Settlement)(voice+backend) AR Trainee - HSC/Graduate Freshers AR Associate SR AR (female) Location - Airoli/Andheri Education - HSC/Graduate fresher Shift- 5.30pm - 2.00am/6.30pm -3.30am/8.30pm-5.30am Contact - 9819009366 Required Candidate profile Salary AR Trainee - 10,700k for 3 months after 3 months 13.5k+5k after 6 months 14.5k+5k AR Associate-15knon bpo & 17k for bpo SR AR-25K In-hand sat & sun fixed off (home drop will be given)

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-: 6m- 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 determinin...

Role & responsibilities - Having experience in drafting, reviewing, negotiating, and managing contracts to ensure compliance, protect organizational interests, and optimize outcomes. - They also provide expert advice on contractual matters and stay updated on relevant laws and regulations. - Negotiating contract terms and conditions to achieve favorable outcomes for the organization. - - Managing contracts throughout their lifecycle, including amendments, extensions, and terminations. - Ensuring contracts are compliant with relevant laws, regulations, and company policies. - Overseeing contract implementation and monitoring performance. - Candidate must have at least 5 years of experience in...

Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach. 7.Ability to multi-task in a fast-paced and compliance-driven environment...

About the client Hiring for One of the Top Multinational Corporation !!!! Job Title : P&C Claims Management Qualification : Any Graduate and Above Relevant Experience : 1 to 5 years Must Have Skills : 1.Experience in P&C Claims Management, preferably with BPO/Insurance process exposure. 2.Strong experience handling FNOL (First Notice of Loss) or FROI (First Report of Injury) cases. 3.Knowledge of claims systems like Guidewire, Duck Creek, Majesco, or similar platforms. 4.Familiarity with ISO, NCCI, and WCIRB reporting requirements. 5.Proficient in MS Office (Excel, Word) and data entry with attention to detail. 6.Strong communication and interpersonal skills with a customer-centric approach....