4440 Claims Jobs

SUMMARY Retail Staff Job Description Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team. The group is involved in the retailing of various products such as apparel, footwear, consumer electronics, cosmetics & beauty products, home improvement, and baby products. Additionally, the group focuses on hospitality & leisure, healthcare, and mall management. Responsibilities: Folding and stacking at a basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displa...

Handle customer queries over calls, chat Provide and resolve healthcare related solutions to the customer Maintain and record data of every interaction Build good relationship with new or existing client Call/ WhatsApp HR Rajeshwari - 8791881514 Required Candidate profile Excellent communication skills in English B.pharma/ M.Pharma/ Diploma Pharmacy/ Freshers can apply Comfortable in rotational shift Can join Immediately Should be confident Good knowledge of Medical Perks and benefits Day Shift Yearly Bonus Incentives Health Insurance

Mercer is seeking candidates to join our Claims Service team based in the Pune/Mumbai office. This is a hybrid role that requires working in the office at least three days a week. Specialist Claims Service (Grade C1) What can you expect: Excellent exposure to complex & diverse claims handling. Opportunity to enhance Claims knowledge and understanding & build on client management skills. As a new colleague, you will be provided with Business Overview/Insights, in-depth process training, roles & responsibilities overview, expectations of various stakeholders to make you successful in this role. Within the first 30 days, we expect you to gain good understanding of the role and requirement that ...

Job Description Summary Legal Counsel supporting legal and compliance functions: This role involves drafting and negotiating high-value commercial contracts across APAC, managing legal risks, claims, and compliance programs. The candidate will collaborate with cross-functional teams and external counsel as well as support legal training and template development.A Meaningful Role: Take on a diverse and impactful position that offers real responsibility and the chance to shape outcomes. Global Opportunities: Be part of a leading international company, working on projects that span industries and continents. Career Growth: Build your future through clearly defined career paths, continuous learn...

Primary Responsibilities: Claims adjudication/Adjustments/Rework by reviewing the policies, researching, investigating, negotiating, processing, and adjusting claims Consistently meet established productivity, schedule adherence and quality standards Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company ma...

About Company Founded in 2011, ReNew, is one of the largest renewable energy companies globally, with a leadership position in India. Listed on Nasdaq under the ticker RNW, ReNew develops, builds, owns, and operates utility-scale wind energy projects, utility-scale solar energy projects, utility-scale firm power projects, and distributed solar energy projects. In addition to being a major independent power producer in India, ReNew is evolving to become an end-to-end decarbonization partner providing solutions in a just and inclusive manner in the areas of clean energy, green hydrogen, value-added energy offerings through digitalisation, storage, and carbon markets that increasingly are integ...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Job description CREDENSE MB is looking for multiple candidates with good analytical skills with understanding of US Health care. Candidate should have knowledge on Complete Revenue Cycle Management Accounts Receivables Medical Billing **MUST HAVE EXCELLENT COMMUNICATION SKILLS IN ENGLISH ** **MUST BE GOOD IN MS OFFICE TOOLS****NEED TO WORK IN SHIFTS ** Job Description: US Healthcare Charge Entry Payment posting Accounts Receivables Calls Denials and Appeals Management End to End Billing Cycle Management Posting Payments Eligibility Verification Prior Authorization Knowledge of Insurance Eligibility verification Good understanding of medical terminology, disease processes Excellent Communicat...

Role Overview: As an independent individual, you will be responsible for overseeing all aspects of project management, procurement, and vendor contracts within the Company. Your role will involve exposure to critical functions in the power and infrastructure sectors, including contracts management, procurement, project management, and comprehension of LC/BGs, warranty, and indemnity issues. Key Responsibilities: - Finalizing, reviewing, and negotiating General Conditions of Contract (GCC) for various contracts. - Handling Non-Disclosure Agreements, MoUs, LoIs, LoAs, Lender Agreements, Bank/Financial Institution documents, and other commercial agreements. - Managing pre-award and post-contrac...

Description - Internalgood Knowledge in Strength of MaterialsKnowledge in FEAKnowledge in BiW & ClosuresStrong communications skillsTools:Ansa, Abaqus, Nastran Qualifications - InternalGood Knowledge in Strength of MaterialsKnowledge in FEAKnowledge in BiW & ClosuresStrong communications skillsTools:Ansa, Abaqus, NastranGerman knowhow will be an added advantage

Responsibilities & Key Deliverables Manage smooth sales execution at Dealership and Distributor level to ensure revenue generation and growth subsequently. Activation, Enquiry Generation and Conversion at the Dealership/Distributor level. Coordination for Retail and Wholesale finance. Ensure Product availability and right product mix @ dealer point. Implementation of State level strategy and achievement of State Farm Machinery targets. Managing business with complete financial discipline. Promotion of Self Propelled combine Harvesters and Tractor driven implements to ensure State Farm Machinery business growth. Liaison with Government officials (Agriculture officials. identify Dealerships/Di...

Responsibilities & Key Deliverables Manage smooth sales execution at Dealership and Distributor level to ensure revenue generation and growth subsequently Activation, Enquiry Generation and Conversion at the Dealership/Distributor level Coordination for Retail and Wholesale finance Ensure Product availability and right product mix @ dealer point Implementation of State level strategy and achievement of State Farm Machinery targets Managing business with complete financial discipline Promotion of Self Propelled combine Harvesters and Tractor driven implements to ensure State Farm Machinery business growth Liaison with Government officials (Agriculture officials identify Dealerships/Distributo...

Territory Sales Executive - Amalapuram Job Details | Tata Consumer Products Limited Search by Keyword Search by Location Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Territory Sales Executive - Amalapuram Bangalore, KA, IN, 560024 Tata Consumer Products Limited Territory Sales Executive - Amalapuram Territory Sales Executive - Amalapuram Senior ASM - North AP Job Description Primary Sales - Develop the channel partner network and implement the distribution objectives to drive reach penetration across the territory Secondary sales (Retail Distribution) - Increase number of retail outlets, maintain high service level, drive visibility of all c...

About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joinin...

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have...

JOB SUMMARY Assists in carrying out the daily activities of the Human Resource Office including recruitment, total compensation, and training and development. Additionally, he/she assists in delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensuring compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 2 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; no work experience required. CORE WORK ACT...

Role Summary In the above context, the RMrole is responsible to supervise the business delivery under Banca team and Tie Ups& primarily grow the business with profits, Channel Management Managing Banks, NBFCs and other Micro Finance companies.Also liaising with Operations & Product tower, Process Excellence group, Claims,Finance,legal, Business Intelligence, marketing & Human Resource teams for the process. Ensuring that we deliver best of our services to client as well as to banks. Key Accountabilities/ Responsibilities Responsible for Achieving overall Gross Written Premium Team Management. Channel Relationship. Visit Branches Conduct Meetings Regular training of Bank employees regarding T...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New A...

Drafting and pleading skills will be considered as added advantage. The candidate should be conversant with mail culture and must know basic computer knowledge like Excel, word, Power point etc. , with typing speed Knowledge on Motor vehicle act or exposure in MV act will be considered as added advantage. Tracking of each Matter from Claims Dairy Co-ordination with other department of mandatory requirements - ILM, Operation, Underwriting etc. Smooth Processing of Claim

Lead Causal Inference Studies : Design and implement advanced causal models (e.g., Double Machine Learning, instrumental variables, propensity score analysis) to isolate the causal effects of specific nutritional interventions on health outcomes like glycemic response. Develop Next-Generation Algorithms: Conduct in-depth statistical analysis of clinical and biometric data to build the core logic for personalized health recommendations, ensuring they are grounded in causal evidence. Build & Validate Predictive Models: Develop and validate sophisticated machine learning models for prediction, while also working to distinguish correlational patterns from causal drivers in the data. Design and A...

Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues. Conducts complex research, review and analysis of medical records, treatment plans and claim information. Provides recommendations regarding claimants current potential functional abilities and develops goal-focused return-to-work plans. Assess training needs and creates, authors, and presents medical training to claim and business par...

Requisition No - R-1165187 Position Title: Senior Hospital Sales Executive Grade:1B Reporting: Zonal Hospital Sales Manager Location: Mumbai Job Purpose: Hospitals are the first point of care for patients in top tier markets because of the need for quality healthcare and assured health services. To harness the opportunity that lies within hospitals, a dedicated Key account management team with customized Marketing interventions. The purpose of this role would therefore be to: Scan the hospital environment for new business opportunities for hospital consumed HUL brands Identify opportunities in different type of hospitals by evaluating risks, formulating action plans, implementing key strateg...

JOB SUMMARY Assists in the management of the daily functions of the department to ensure protection of property assets, employees, guests and property. Maintains logs, certifications and documents required by law and Standard Operating Procedures. Assists in the training of staff in established emergency procedures and implements accident and fire prevention procedures. Position focuses on ensuring guest and employee satisfaction while achieving the operating budget. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the security/loss prevention or related professional area. OR 2-year degree from an accredited university in Criminal Justice or relate...