31 Claims Administration Jobs

Role Overview: As a Health Admin Services New Associate at Accenture, you will be embedded in digital transformation in healthcare operations, driving superior outcomes and value realization today while enabling streamlined operations to serve the emerging health care market of tomorrow. You will be a part of the Healthcare Claims team responsible for the administration of health claims, including core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation. Key Responsibilities: - Registering health, life, and property & causality claims - Editing and verifying claim details - Evaluating claims - Handling examination & litigation ...

As a Claims Management Specialist at Accenture, you will play a crucial role in helping insurers redefine their customer experience and drive sustainable growth through transforming to an intelligent operating model. Your responsibilities will include: - Analyzing and solving moderately complex problems in claims processing, analysis, and administration - Demonstrating strong analytical skills and hands-on experience with troubleshooting - Maintaining a results-oriented approach and ability to perform under pressure - Utilizing written and verbal communication effectively In this role, you will be expected to create new solutions by leveraging existing methods and procedures. You will need t...

As an Operations Team Member at Policy Dekho, your role will involve supporting daily operations, maintaining and organizing insurance records, assisting with client interactions, coordinating policies, and ensuring compliance with quality and regulatory standards. You will be responsible for facilitating documentation and claim management processes, collaborating across teams, and addressing customer queries effectively. Key Responsibilities: - Support daily operations and maintain insurance records - Assist with client interactions and coordinate policies - Ensure compliance with quality and regulatory standards - Facilitate documentation and claim management processes - Collaborate across...

Role Overview: You will be part of OnActive, a leading Business Process Management (BPM) company that offers innovative and digitally-led transformational solutions to a diverse range of clients. Your role will involve supporting various HR functions and ensuring compliance with statutory requirements. Key Responsibilities: - Provide support to the full spectrum of HR functions including talent acquisition, learning and development, and compensation and benefits. - Manage employee onboarding and offboarding processes. - Maintain employee personnel files and update employee information in the internal system. - Handle the application and renewal of work visas. - Keep track of employee leave a...

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 world's 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 e...

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 world's 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 e...

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 world's 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 e...

Role Overview: As a Health Admin Services Analyst at Accenture, your primary responsibility will be to provide support to the clinical team and client team in order to promote quality member outcomes, optimize member benefits, and ensure effective use of resources. Your role will involve supporting procedures that ensure adherence to medical policy and member benefits, delivering services that are medically appropriate, high quality, and cost-effective. You will also be involved in utilization management, case management, and disease management by gathering information using client-specific telephonic screening tools. Key Responsibilities: - Manage incoming and outgoing telephone calls, e-Re...

As a Health Admin Services Associate at Accenture, your role involves providing support to the clinical team and client team to promote quality member outcomes, optimize member benefits, and ensure effective resource utilization. Your responsibilities include the following: - Supporting procedures to ensure adherence to medical policy and member benefits for providing medically appropriate, high-quality, and cost-effective services. - Conducting pre-review screenings using client-specific telephonic screening tools under the guidance of US licensed health professionals. - Providing support for wellness programs, health management programs, and preventative care opportunities for members. - G...

Description And Requirements Insurance Associate Position Title:Sr Associate Reports to (Responsibility Level):Assistant Manager Supervises: NA Location: Jaipur Global Grade: GG 8 Complexity: PID/s Load Mapping: Position Summary Working within the Customer Service team supporting our Individual Protection business line, this role is responsible for delivering an exceptional customer service and is the first point of contact for our existing customers and advisers regarding claims queries and admin. The role consists of completing claims administration tasks following a customer, advisor, or internal request. This includes but not limited to, issuing, and reviewing claim forms, registering ne...

You will be part of the Customer Claims department at Apotex Inc., where you will be responsible for managing the claims administration process. Your main role will involve issuing timely settlements to customers to maintain a low outstanding claims balance. Additionally, you will be involved in investigating new claims, clearing overdue claims, providing forecasts, analyzing credits, assisting in resolving discrepancies with customers, and maintaining databases and spreadsheets. - Calculate and issue monthly settlements to customers, ensuring accurate reconciliation with customer claims. - Analyze and process credits for customer claims, ensuring accuracy and timeliness. - Provide forecasts...

As a Process Trainer (Non-voice) at Enlyte, your role will involve collaborating with the Claims Administration management team to identify training needs and develop effective strategies. Your primary responsibilities will include conducting onboarding training for new hires, providing continuous education for existing staff, and delivering training sessions through various methods. You will monitor and evaluate the effectiveness of training programs, collaborate with subject matter experts, and assist in the development of e-learning modules. Additionally, you will participate in cross-functional projects related to claims administration and prepare reports on training activities. **Key Re...

Role Overview: As a Senior Associate at PwC, you will work as part of a team of problem solvers, assisting in solving complex business issues from strategy to execution. Your responsibilities will include using feedback and reflection to enhance self-awareness, delegating tasks to others for growth opportunities, demonstrating critical thinking, and utilizing various tools to extract insights from industry trends. You will also be expected to review work for quality, uphold ethical standards, and communicate effectively while building quality relationships. Key Responsibilities: - Analyze client requirements and review estimates - Design and develop solutions in a timely manner - Support tes...

Role Overview: As a Health Admin Services New Associate at Accenture, you will be part of the Healthcare Claims team responsible for the administration of health claims. Your role involves core claim processing, such as registering claims, editing & verification, claims evaluation, and examination & litigation. You will play a vital role in 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. Key Responsibilities: - Solve routine problems, largely through precedent and referral to general guidelines - Interact primarily within your ...

You will be responsible for performing research on warranties and customizing warranty papers for work. Additionally, you will review all warranty claims and administer them with the awarded warranty. In this role, you will also be required to coordinate with the manager to prepare repair orders for authorization as per warranty requirements. This is a full-time position with benefits such as cell phone reimbursement, health insurance, and leave encashment. The working schedule is on a day shift. The ideal candidate should have 1 to 2 years of experience in the automobile industry and be a male candidate. A Bachelor's degree is preferred for this role.,

As a leading Business Process Management (BPM) company, OnActive collaborates industry knowledge with technology, analytics, and process expertise to co-create innovative solutions for numerous clients. The company offers a complete range of BPM solutions, including industry-specific services, customer experience, human resources, procurement, and research and analytics, to redefine the digital future of businesses. Responsibilities: - Supporting various HR functions such as talent acquisition, learning and development, and compensation and benefits. - Managing employee onboarding and offboarding processes. - Maintaining up-to-date employee personnel files and internal system data. - Handlin...

We are looking for a dedicated and experienced Training Specialist to join our team as a Claims Administration Trainer. Your primary responsibility will be to provide comprehensive training to our team members, ensuring they are well-equipped to handle claims processing and customer inquiries while adhering to company policies and industry regulations. As a key member of our claims administration department, you will contribute significantly to maintaining high standards and driving the organization's success. Your role as a Process Trainer (Non-voice) at Enlyte requires a minimum of 2 years of experience and a graduate-level education. You will collaborate closely with the Claims Administra...

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 Me...

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 resp...

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 ...

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 r...

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...

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...