461 Claim Settlement Jobs - Page 4

POSITION : - OFFICER DEPARTMENT : - BILLING REPORTING TO : - HEAD - FINANCE & ACCOUNTS QUALIFICATION : - GRADUATE /B.COM PREFFERED EXPERIENCE : - MINIMUM 4 YEARS OF EXPERIENCE IN HOSPITAL BILLING JOB REPOSIBILITIES : - The person of this designation will be responsible for auditing/entering/modifying services in order to generate accurate patient bill as per the policies and protocols of the hospital in the TAT as described by the Billing Incharge /Manager/CFO. JOB DUITIES & RESPONSIBILITY : To ensure that bills are generated as per SOP. To ensure that outstanding follow-up is done regularly and any discrepancies in outstanding amounts, as described in policy, are immediately reported to the...

1.Coordinate with insurance companies and third-party administrators (TPAs) for processing patient claims. ECHS/ESIC/CGHS 2.Ensure accurate and timely submission of insurance claims and necessary documentation.

Job Title - Marine Claims Advisor Dear Candidates, Greetings from ExxonMobil! Please copy and paste the below link into your browser to apply for the position in the company website. Link to apply: https://jobs.exxonmobil.com/job-invite/81853/ Please find below JD, What role you will play in our team We are seeking motivated and energetic candidates to join our talented team as a Marine Commercial Advisor in support of our Marine Claims organization. ExxonMobils Global Marine Claims division is accountable for analyzing and negotiating over 20,000 marine demurrage (delay) and oil loss claims annually associated with ExxonMobil’s global trading and sales and purchase activities transported on...

Responsibilities: Manage insurance cases from intake to settlement Collaborate with medical providers on claims resolution Ensure timely claim processing and payment distribution Health insurance Annual bonus

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Role & responsibilities Contract Administration & Tracker Management i. Develop, update, and maintain a Contracts Tracker covering obligations, deliverables, payment milestones, bank guarantees, securities, warranties, and contract closure timelines. ii. Maintain an Insurance Tracker to ensure timely renewals, coverage adequacy (CAR, WC, Third Party Liability, Professional Indemnity), and claim documentation. iii. Regularly track statutory compliances (Labour laws, ESI, PF, BOCW Cess) from contractors and flag deviations. Risk & Compliance i. Ensure timely submission and release of bank guarantees, performance securities, and insurances. ii. Oversee compliance with statutory, regulatory, and...

good communication skills for processing Critical Illness and Personal Accident Claims.

Key Responsibilities: Handle and process cashless claims efficiently and within timelines. Coordinate with TPAs , insurance companies , and internal departments for smooth processing of patient admissions and discharges. Manage pre-authorisation, enhancement, and final approval processes for all cashless patients. Ensure accurate and timely documentation for CGHS , GIPSA , and private insurance claims. Track claim status, follow up on pending claims, and ensure timely reimbursements. Maintain up-to-date records and MIS reports. Coordinate with patients regarding insurance queries and documentation needs. Ensure compliance with standard protocols and hospital policies. Requirements: Minimum 2...

Job Description Job Role : Claims Processor Years of Experience :1-3 Yrs Preferred Location :HYD 3 Shift Timing (IST) :5:45 PM - 3:30AM Short Description Claims Processing for Optum Financial Services Shift should be 5.45 PM to 3.15 AM 100% Work From Office Hyd Location Engagement Duration (in Months): 6 Engagement & Project Overview For OFS-CDH(Consumer Driven Healthcare), the Claims Processor will review claims received through Service Now and enter them on Claims link for further processing through Wex Platform for members related to various employer plans customized through ERISA(Employee Retirement Income Security Act of 1974 (ERISA) and other Retiree Reimbursement Accounts, total Train...

Job Opportunity For Women Returnees We are delighted to share that we will be conducting a walk-in drive in October for women who are currently on a career break and wish to return to the corporate world. Date: Friday, 10th October 2025 Time: 12 P.M. - 2 P.M. Location: WTW GDS, iTHINK Techno Campus, 7th Floor, A&B Wing, Off Pokhran, Road No. 2, Close to Eastern Express Highway, Thane (West) 400 607 Job Title: Insurance claims Great Britain Experience: 3-5 years Role: Insurance Claims Advisor Shift: 1.30 P.M. 10.30 P.M. Work location: Thane Great Britain Claims, a line of business within the Corporate Risk and Broking segments operates to deliver the best client outcomes by fully integrating ...

HDFC ERGO General Insurance is hiring for Manager - Non-Motor Claims | Mumbai - Andheri Key Responsibilities & Skills Required : Candidate should have experience in Claims processing (from survey appointment to settlement) Exposure in handling Commercial claims. Responsible to appoint surveyors, interact & review the surveyors/brokers/agents as per defined TAT Handle Customer Grievances - Retail/Corporate clients Education - Any Graduate Target Companies- Broking & General Insurance If this sounds interesting to you or someone you know, please reach out to me at nancy.bhanushali@hdfcergo.com

Key Responsibilities - 1. Claim Management (Modern Trade & E-Commerce) Process and post trade claims (General Trade, Modern Trade, and E-commerce) in a timely and accurate manner. Reconcile promotional activities with customer deductions and ensure end-to-end claim settlement to improve working capital efficiency. 2. Revenue & Expense Tracking (Provision vs Actuals) Track and monitor trade spends, promotional expenses, and other customer-related costs against provisioned budgets. Analyze variances between actual vs. provisioned spends to provide insights and support accruals for monthly financial closing. 3. Accounts Receivable and Credit Management Manage the accounts receivable cycle by en...

Our client is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy,our Client value proposition of Welcome Change focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero paperwork, instant renewal, same-day claim settlements, and app-based updates on claims,our Client is a 'Welcome Change' from traditional insurers. Having said that, we are not just another conventional insurance firm, or the people consulted solely for "claims! Anchored in a tech-centric philosophy, our Client approach fuels innovation, empowering us t...

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TATA AIG General Insurance Company Limited is looking for Senior Manager - Commercial Claims to join our dynamic team and embark on a rewarding career journey Analysis for the current business practice. Find out the different operational strategies. Work on developing the current operational strategy applied to the company with the most recent technology. Coordinate with the operations manager to take the required steps after brainstorming and research. Optimize the operations in the company. Put the suitable operational strategy to fit with the companys culture. Implement the operational strategy in the different departments of the company. Supervise the strategy, and make sure that all the...

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Role & responsibilities Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues. Process patient claims from admission to discharge, ensuring accurate billing and payment processing. Manage TPA (Third Party Administrator) operations, including CRM (Customer Relationship Management) systems. Handle customer queries related to medical insurance policies, claims status updates, and reimbursement procedures. Maintain accurate records of all interactions with customers and stakeholders. Job Requirements : Strong understanding of health insurance products, medical terminology, and regulations governing TPAs. Proficiency in using CRM software for man...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

As a Claim Assessor at our company, you will play a crucial role in handling insurance claims with efficiency and accuracy. Here is an overview of what your role will entail: **Responsibilities and Duties:** - Act as the primary point of contact between insurers, customers, and repairers. - Verify claim documents to ensure accuracy and completeness. - Assess vehicle damages in alignment with policy conditions. - Determine claim admissibility and prepare detailed reports for insurers. - Proactively follow up on pending documents and escalate delays as necessary. - Submit comprehensive survey reports including all necessary details, photos, and evidence. - Address insurer queries, provide clar...

Experience Level: 9+ Yrs Time Zone: IST Time Job Type: Remote Shift Timings: Candidate should be ready to work from IST 4 PM-12 AM OR IST 5 PM- 1 AM Responsibilities: Solves highly complex problems within the work team, and with cross-functional teams. Must have exposure to direct client interaction. Strong written and verbal communication, presentation, client service, and technical writing. Skills, coupled with a strong interest in further developing and integrating operations with technology skills. Able to Multi-task and work under tight deadlines. Must be an effective problem solver. Experience with global service delivery model. Ability to work independently and collaboratively. Abilit...

Job Description: Under direct supervision, the Associate is responsible for the timely and accurate posting and imaging of new claims. This includes accessing various systems, both internal and external, for eligibility. Other assignments can include managing incoming email inboxes, bulk uploading of claims and managing automated claims kick outs. The essential functions and responsibilities of this job position include, but are not limited to the following: Timely and accurately posts new claims in the Administrative System within established turnaround time Codes incomplete claims as appropriate Research claims eligibility to ensure the claim belongs to DRMS prior to posting. Reaches out t...

Great Britain - Claims Role Great Britain Claims Designation Advisor Business Unit Great Britain Shift Timings Day Rotational Location Thane – iTHINK Reporting to Business Support Supervisor/ Assistant Manager About Willis Towers Watson Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 45,000 employees serving more than 140 countries and markets. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our uniq...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Role & responsibilities Short Paid Claim Contesting Executive-Drive timely and accurate contesting of short-paid claims across hospital-insurer interfaces, ensuring recovery yield and SOP compliance. Analyze short-paid claims and categorize by deduction type, insurer, and RCA triggers. Draft and submit contest letters with supporting documentation via IHX and insurer portals. Track contesting outcomes and escalate unresolved cases per SLA timelines. Collaborate with unit credit cells and central recovery team for RCA discipline and documentation hygiene. Maintain dashboards for contesting status, win-loss ratios, and financial impact. Ensure adherence to SOPs and flag deviation trends for go...