595 Claims Adjudication Jobs - Page 16

Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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.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 Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure- 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 Qualification Any Graduation

SUMMARY Looking Both Fresher/Exp candidates ready to work in A VOICE Process in Leading KOLKATA MNC. Excellent Communication Skills. WORK FROM OFFICE. Salary up to 5lpa for EXP(more than 1 year) Freshers Salary : 3.6 LPA CTC. UG/GRAD both can apply. Requirements Requirements. * Any Undergraduate / Graduate fresher and exp with excellent English communication can apply * Should have excellent communication (read/write/speak) * Should be smart and have convincing skills * Doing outbound calls and providing information * Selling products and promos * Helping customer * Comfortable to work in rotational shift Benefits Benefits. Salary for Freshers - 3.6 LPA CTC Salary Experience (1+ years exp) - Up-to 5.20 LPA CTC. PF+ESIC+HEALTH INSURANCE+ GREAT MNC CULTURE+ LUXURIOUS OFFICFE+ CABS + IJP.

Hiring Alert Medical Officer (Claims) | Contract Role Location: IBC KNOWLEDGE PARK, Bhavani Nagar, S.G. Palya, Bengaluru, Karnataka 560029 Company: Medi Assist Insurance TPA Private Limited CTC: 3.4 LPA Timing: 9:30 AM 6:00 PM | MonFri (Rotational Saturdays working) Duration: 12-month contract (with chance of contract extension/on-roll conversion) Eligibility: BAMS or BHMS graduates only 0–3 years experience (freshers welcome!) Role Overview: You will scrutinize and process insurance claims based on policy terms, verify treatment/diagnosis, raise queries for incomplete documents, and ensure accurate and timely closure of claims. Key Skills: Strong medical understanding Basic computer & typing skills Good communication Send your resume to: pavana.praveen@mediassist.in prathiba.b@mediassist.in

Job Summary We are seeking a skilled professional with 1 to 6 years of experience in Claim Management to join our team in Insurance Claims. The ideal candidate will have strong expertise in MS Excel and excellent English language skills. This role requires working from the office during night shifts. Responsibilities Analyze and process annuity claims efficiently to ensure timely settlements. Utilize MS Excel to manage and organize claim data effectively. Collaborate with team members to resolve complex claim issues. Communicate clearly with stakeholders to provide updates on claim status. Ensure compliance with company policies and industry regulations. Identify opportunities for process improvements in claim management. Maintain accurate records of all claim transactions and communications. Provide exceptional customer service to claimants and beneficiaries. Conduct thorough investigations to validate claim authenticity. Prepare detailed reports on claim activities and outcomes. Support the team in achieving departmental goals and objectives. Stay updated with industry trends and best practices in claim management. Contribute to the companys mission by ensuring fair and accurate claim processing.

Join us for the WALK-IN Drive at Gallagher Mumbai for the Senior Analyst - Claim Adjusting & Claim Operations role on June 14, 2025. Timing: 10 AM to 2 PM Venue: 9th Floor, C Wing, Embassy 247 Park, Lal Bahadur Shastri Marg, Vikhroli West, Mumbai, Maharashtra 400083 We are looking for individuals with: - Excellent communication skills - Graduates only - Minimum 3 years of experience in end-to-end claims with Marine, Liability and Medical Malpractice, Property and Casualty, and Motor insurance Work Location: Mumbai Shift Timings: Rotational Morning (6 am to 3 pm) & Afternoon Shift (3 pm to 12 am)

We will count on you for : Daily Work Management and delivery of schemes Written and Verbal communication with onshore business partners Process reporting and training Ensuring compliance of all internal and client policies Providing timely updates to AM and Onshore counterparts Driving Process improvements Assist in analyzing and evaluating Benefits data files. Review data to identify issues and discrepancies and provides resolution of errors. Maintains operation systems and tools and provides system support. Performs daily operational assignments and activities, including data analysis, system support and reporting. What you need to have? Graduate with minimum 1 year experience overall Strong health knowledge and experience in global and regional benefits Proficient with MS Word, PowerPoint, and Excel Experience in process building, best practices and/or efficiency projects Strong oral and written communication & presentation skills Good analytical skills Ability to work within a team environment Strong self-starter, fast learner, quality conscious, committed to deadlines Strong attention to detail Strong teamwork skills combined with the ability to work independently with minimal supervision. Language skills are a plus and highly desired, but not required. knowledge of H&B domain What is in it for you? Medical insurance, personal accident insurance, group term life insurance from the day you join us Holidays (As Per the location) Shared Transport (Provided the address falls in service zone) What makes you stand out? Adaptable communicator, facilitator, influencer and problem solver High attention to detail Good relationship skills, Proven ability to work on own initiative as well as in a team Adaptable communicator, facilitator and problem solver High attention to detail Ability to multi-task and prioritize time effectively

Job Summary Join our dynamic team as a PE-Ins Claims specialist where youll leverage your customer service skills and domain knowledge to enhance our claims processing efficiency. This hybrid role offers a unique opportunity to work in a rotational shift environment providing comprehensive support in the Property & Casualty Insurance sector. Your contributions will directly impact our service quality and customer satisfaction. Responsibilities Assist in processing insurance claims efficiently to ensure timely resolution and customer satisfaction. Collaborate with team members to analyze and verify claim information for accuracy and completeness. Utilize customer service skills to address inquiries and provide clear information to clients regarding their claims. Support the team in maintaining accurate records of claims and related documentation. Contribute to the development of process improvements to enhance claims processing efficiency. Participate in training sessions to stay updated on industry trends and company policies. Work closely with the Property & Casualty Insurance domain to understand specific claim requirements. Engage in rotational shifts to provide consistent support and coverage for claim processing. Communicate effectively with clients and stakeholders to ensure a smooth claims experience. Apply domain knowledge to identify potential issues and escalate them appropriately. Provide feedback to management on customer service improvements and claim processing enhancements. Ensure compliance with company policies and industry regulations in all claim handling activities. Foster a collaborative work environment to achieve team goals and improve service delivery. Qualifications Demonstrate strong customer service skills with a focus on client satisfaction. Possess basic understanding of the Property & Casualty Insurance domain. Exhibit excellent communication and interpersonal skills. Show ability to work effectively in a hybrid work model and rotational shifts. Display attention to detail and accuracy in claim processing. Have a proactive approach to problem-solving and process improvement. Certifications Required Customer Service Certification Property & Casualty Insurance Certification

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 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 @ 9606553811 / 9606557106 !!!Thanks & Regards HR TEAM!!!

Skill required: Talent Development - Learning Operations Designation: Learning Operations Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years 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 Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsTalent Development processManage learning solutions, including activities such as registration, vendor management, product support, learning management system. What are we looking for Work with BI/ BP to prepare demand plan by collating training requests and working with country stakeholders, BPs.Work with BI to understand training needs and collect demand from the stakeholders and build out quarterly detailed demand plan.Conduct interviews with facilitators to assess their qualifications and expertise, and subsequently assign them to appropriate workshops based on their skillsets and experience.Conduct Train-the-Trainer (TTT) and Train-the-Backbone (TB) sessions to upskill facilitators, equipping them with the necessary knowledge and tools to effectively deliver workshops.Collaborate with the scheduling team to ensure that all session details, including session loading, enrollment, and attendance marking, were accurately updated in the Learning Management System (LMS).Collaborate with Business Partner and Stakeholders to retrieve session nominations.Manage session fill rate and handle ad hoc requests, collaborate with regional business partner, and take appropriate actions within cancellation window.Coordinate communication between facilitators and session requestors as necessary to ensure clear expectations are established regarding training delivery.Project management skills (Planning & Organizing)Working independently, accountable for deadlines, able to escalate if necessaryComfortable with ambiguity, able to provide advice and guidance when direction is not well definedConfidence/assured working with client leadership and delivering difficult messagesAbility to prioritize conflicting requirementsAbility to gather, analyze and formulate conclusions on dataPeople management skills (Coaching, listening, giving direction)Cost estimating and financial analysisStrong written and verbal communication skillsEnglish language proficiency requiredEvent planning experienceInitiative and bias for actionCritical thinking / problem solving skills 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 Qualification Any Graduation

Skill required: Delivery - Actuarial Analysis Designation: I&F Decision Sci Practitioner Sr Analyst Qualifications: Bachelors in actuarial science Years of Experience: 5 to 8 years 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 "Data & AIActuarial analysis uses statistical models to manage financial uncertainty by making educated predictions about future events. Insurance companies, banks, government agencies, and corporations use actuarial analysis to design optimal insurance policies, retirement plans, and pension plans." What are we looking for " Actuarial Modeling Actuarial Science Insurance Claims Adaptable and flexible Commitment to quality Ability to work well in a team Agility for quick learning Written and verbal communication" 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" Qualification Bachelors in actuarial science

Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate 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 Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for Ability to perform under pressureAdaptable and flexibleAbility to establish strong client relationshipWritten and verbal communicationPrioritization of workload 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 Qualification Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years 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.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 Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressureNA 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 Qualification Any Graduation

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 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.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 stakeholdersAbility to perform under pressureAgility for quick learningPrioritization of workloadProblem-solving skills 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

Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years 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.As a Travel Claims Adjuster, you will be responsible for investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process.- 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 Claims ProcessingDetail orientationNegotiation skillsAbility to work well in a teamAdaptable and flexibleAgility for quick learning- Bachelors 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: 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

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years 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.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 Commercial InsuranceProperty and Casualty InsuranceProblem-solving skillsAbility to perform under pressureAbility to establish strong client relationshipAbility to work well in a teamHands-on experience with trouble-shootingInsurance ClaimsProperty and Casualty Claims Certifications: Insurance Industry Generalist Certification - Accenture Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

We are Hiring hybrid wfh Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA ( Pune / Mumbai /Kochi Location) Process : Back office Process /UK Insurance Process Min 1yr to 4yrs exp. International BPO !!!Easy Selection and Spot Offer!!! Salary upto 4.5 Lacs + Incentives. Walk in at Infinites HR Services, Cerebrum IT Park, B3, 1st Floor, Kalyani Nagar Pune 411014. Call : Call : WhatsApp call only Dipika- 9623462146 / 7391077623 / 7391077624 Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Ali : 8888850831 / 8888850831 Regards Dipika 9623462146

We are Hiring hybrid WFH Back office Process Backoffice Marine/Motor Claims Insurance (Min 3yr To 9yrs BPO),Sal 10.00 LPA Mumbai - Vikhroli) Process : Back office Process /UK Insurance Process Min 1yr to 4yrs exp. International BPO !!!Easy Selection and Spot Offer!!! Salary upto 7.5 Lacs + Incentives. Fenkin Empire off no 404, 4th Floor, Thane West, 400601. Land Mark: Bhanushali Hospital, Station Road. Walkin Distance from Thane Railway Station. Meet Praveen / Sukhjit :7391077621 / 7391077622. Regards Dipika 9623462146

Shubham Hospitals, Varanasi is looking for Nurse Incharge to join our dynamic team and embark on a rewarding career journey. Oversee the daily operations of the healthcare facility, including staffing, scheduling, and patient care. Develop and implement patient care plans in collaboration with doctors and other healthcare professionals. Supervise and evaluate nursing staff, providing feedback and coaching as needed. Ensure compliance with all medical protocols, regulations, and standards of care. Manage and maintain patient records, ensuring accuracy and completeness. Respond to patient and family concerns, addressing issues and providing support as needed. Collaborate with other healthcare professionals to ensure seamless care delivery. Manage and report on departmental budget and resources. Strong leadership and communication skills.

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic TPA EXPERIENCE mandatory. Clinical Exp.

Role & responsibilities Job Description: Processing Membership / Claims transactions or a health care project in Chennai CDC5 location. User to be ready for work from office 5 days a week and should be based out of Chennai location. Should not have any arrears in academic semester. Should have WIFI connection in home. User should have good english written, understanding and communication skills. Should be strong in email drafting. Work Timings: 5 PM to 2:30 AM IST WFO/WFH: Work from office Qualification Any Graduation (BCom, BSC, BA, BBA Etc) except Computer science graduates.

Designation Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 3 years to 5 years Relevant Experience – 2 years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider Office Timings – UK evening shifts Working days- Mon-Fri Week offs – Sat & Sun Off

Designation Assistant Manager/Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 5years or 3years Relevant Experience 2years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider. Office Timings UK -US shifts Working days- Mon-Fri Week offs Sat & Sun Off If above skills sets matches your current & prior experience than kindly share your updated resume @ VrushaliD1@hexaware.com or connect me on whats app with your updated resume 8999838823 for a role model discussion.

Domain (Insurance) Job Title: Analyst/Senior Analyst (Administrator) Start Date (Provisional): 1 Month or less Contract Length: 1 Year initial with extensions Preferred Location: Powai, Mumbai Qualifications: Minimum Graduate Strong written and verbal communication Minimum 6 months of work experience in US Insurance Operations Work model: Hybrid (2-3 Months onsite) Shift timings: US or UK Shift What you need to have: Essential: Graduate in any field Flexible to work in any shifts as per business requirement Expected shift timing 2:30 PM to 11:30 PM or 6:30 PM to 3.30 AM Excellent command on written and oral communication. Play a key role in building and transitioning functional capability to the service centre. Manage your book of work and ensure timely delivery on all cases as per SLAs (i.e. Meet SLAs on Accuracy, Productivity, and TAT as per agreed standards) Understand the process and execute case/request per the training provided and guidelines outlined in process manuals. Completing all training-related activities when assigned Any processing delays or open queries to be escalated to PL/TMs after due investigation. Any escalation or complaint received from clients or stakeholders should be notified to the line manager. Ensure adherence to policies & procedures as per organization standards and laid out SOPs. Ensure operational risks are highlighted on time and escalated to proper authorities for corrective action. Adherence to data and information security guidelines.