14 Claims Administration Jobs

NTT Data Services is looking to hire a BPO HC & Insurance Operations Sr Rep to join their team in Coimbatore, India. As an integral part of NTT DATA, your role will involve managing End to End Claims Administration services for a leading Health Plan in the US operating in Florida state. The NTT BPO team is dedicated to implementing processes and technologies that drive real transformation for clients of all sizes. By streamlining operations, enhancing productivity, and optimizing cash flow, we help our clients stay competitive and enhance member satisfaction. As a BPO HC & Insurance Operations Sr Rep, your responsibilities will include reviewing and processing insurance claims, validating Member, Provider, and other Claims information, coordinating Claim Benefits according to the Policy & Procedure, maintaining productivity goals, quality standards, and aging timeframes, scrutinizing Medical Claim Documents and settlements, organizing tasks based on priorities, and developing a strong understanding of the healthcare insurance industry and related processes. You will also be required to resolve complex situations by following established guidelines. To be successful in this role, you should possess a University degree or equivalent with formal studies in the English language and basic Math. Additionally, you should have at least 6+ months of experience in applying business rules to different fact situations, making appropriate decisions, using a computer with Windows PC applications, including keyboard navigation and software tools, and prioritizing workload to meet deadlines. If you are looking to be part of a dynamic team that values integrity, commitment, and growth, then this opportunity at NTT Data Services is the right fit for you. Join us in shaping a brighter future for NTT DATA and our clients.,

As a Specialist-Training at Sagility, you will play a crucial role in enhancing the skills and knowledge of our claims administration team. Your responsibilities will include collaborating with the Claims Administration management team to identify training needs, developing effective training strategies, and ensuring the successful onboarding of new hires. Your key duties will involve conducting onboarding training for new employees, providing continuous education for existing staff to improve their skills and productivity, and delivering training sessions through various methods such as classroom-style instruction, webinars, workshops, and one-on-one coaching. Additionally, you will be responsible for monitoring and evaluating the effectiveness of training programs, gathering feedback, and working with subject matter experts to ensure the accuracy and relevance of training materials. To excel in this role, you should have proven experience as a Training Specialist, preferably in the insurance or claims administration industry. A solid understanding of claims administration processes, excellent presentation, and communication skills are essential. You should also possess strong organizational skills, proficiency in instructional design principles, and experience with e-learning platforms and multimedia tools. Being adaptable and proactive with a passion for continuous improvement, you will contribute to the development of e-learning modules and other technology-based training solutions. Your analytical mindset will help in assessing training needs and measuring effectiveness through key performance indicators. Collaboration and building positive relationships with stakeholders at all levels of the organization will be key to your success. This role may require occasional travel for conducting on-site training sessions. If you are a motivated individual with experience in training and a desire to contribute to the success of our claims administration department, we invite you to join our team at Sagility as a Claims Administration Trainer. Location: BLR, AMR TECH PARK 2A 2nd Floor, India,

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years 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 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 tomorrow You 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. Includes the administration of health, life, and property & causality claims. Includes activities involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation. What are we looking for Healthcare Management Commitment to quality Ability to work well in a team Adaptable and flexible Written and verbal communication Process-orientation Health Insurance Portability & Accountability Act (HIPAA) Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Show more Show less

Job Summary: We are looking for a detail-oriented Claims Administrator with experience in SAP and strong communication skills. The role focuses on claims processing, supplier coordination, and handling credit/debit notes related to damaged goods and refunds. Key Responsibilities: Process and manage claims/tickets using SAP Create and follow up on Requests for Credit (RFC) Investigate and book credit notes from suppliers Match RFCs to credits and categorize items for refund Handle manual RFC creation and credit note booking Deal with damaged product processes and related fix-it tickets Process refunds to stores and franchises in coordination with suppliers Understand debit note handling and refund workflows

As a Health Admin Services New Associate at Accenture, you will be a part of the Healthcare Claims team responsible for the administration of health claims. Your role will involve core claim processing tasks such as registering claims, editing & verification, claims evaluation, and examination & litigation for health, life, and property & causality claims. You will play a crucial role in embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, while enabling streamlined operations to serve the emerging health care market of tomorrow. We are looking for individuals who are adaptable, flexible, and have a commitment to quality. A process-oriented mindset, results orientation, and strong written and verbal communication skills are essential for this role. As a Health Admin Services New Associate, you will be responsible for solving routine problems following general guidelines and precedents. Your primary interactions will be within your team and with your direct supervisor. You will receive detailed instructions on tasks, and decisions made will impact your work closely supervised. This role requires you to work as an individual contributor within a team with a predetermined, narrow scope of work. Please note that rotational shifts may be required for this role. If you are a recent graduate with 0 to 1 years of experience and have a passion for healthcare claims administration, this opportunity at Accenture could be the perfect fit for you. Join our global professional services company with leading capabilities in digital, cloud, and security, and be part of a team that embraces change to create value and shared success for clients, people, shareholders, partners, and communities.,

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Tanishaa Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432422 WhatsApp: 7899490271 | | Tanishaa.S@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Sneha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| sneha.v@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA -- Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432405| deekshitha@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| amala@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Sanjana Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432421| sanjana.b@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- -- Thanks & Regards, HR Deekshitha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432405| deekshitha@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Sneha Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432406| Whatsapp:8951047887| sneha.v@blackwhite.in | www.blackwhite.in

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 Good understanding on dealing with damaged products l Provide refund to store n franchise, dealing with supplier, refund process for damaged products fixit tickets idea on credit note Location : Pune CTC Range : 3.5 - 5.5lpa (lakh per annum) Notice period : Immediate - 30 Days Shift Timings : UK Shift Mode of Interview : Virtual Mode of Work : WFO (work from office) Mode of Hire : Permanent Note : NA Note : NA -- Thanks & Regards, HR Janhavi Staffing Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 8067432471| janhavi@blackwhite.in | www.blackwhite.in

Responsible for handling cargo claims. Responsible for the management and administration of all claims filed Globally. Responsible for the coordination with local Front desk and guiding them with regards to claim handling. Provide proactive, efficient, and fair but firm claims and recovery management and obtain best possible claims and recovery settlement for the Group. Provide technical expertise and advice related to incidents, claims matter and loss prevention initiatives. Key Responsibilities Claims - Handling cargo Claims as per the set guidelines. Having a customer centric approach at the same time keeping in mind the legal requirement and closing claim within legal ambit Establish appropriate claims handling relationship in respective management area. Assess and document factual background of claims matters; establish and update claims file. Safeguard rights of recovery and drive recovery actions. Liaise with internal and external stakeholders, such as claimants (customer, recovery agents, lawyer, under writer and P&I) third party claims administrators etc. Enter and update data in the claims data base (case management) according to corporate guideline. Manage and settle claims matters in accordance with corporate guideline. Provide advice and support to Local claim desk related to any claims matters. Keeping data quality at top level. Formulate, drive and/or support loss prevention initiatives. Decision Making Authority As per Organization guidelines Function Market & Industry Knowledge / Domain Knowledge / Process working Education: Graduate from recognized university LLB / LLM or MBA degree would be preferable. Experience: Minimum of 2 years of working experience within Shipping, Logistics, Marine surveyor, or insurance Industry. Exposure to shipping operations preferable. Experience in core claims handling (which includes independent claim settlement) will be an added advantage. Special Skills (Functional/Technical): Good Analytical skills. The knowledge of structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. The knowledge of local maritime laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the political process directly impacting claims handling of the region. Good Comprehension skills Excellent team player Well organized to carry out multi-tasks Flexible with changes Take ownership and responsibility of the job assigned Eye for the details